HCS Program Manager

About SCAN

SCAN Group is a not-for-profit organization dedicated to tackling the most pressing issues facing older adults in the United States. SCAN Group is the sole corporate member of SCAN Health Plan, one of the nation's leading not-for-profit Medicare Advantage plans, serving more than 300,000 members in California, Arizona, Nevada, Texas and New Mexico. SCAN has been a mission-driven organization dedicated to keeping seniors healthy and independent for more than 45 years and is known throughout the healthcare industry and nationally as a leading expert in senior healthcare. SCAN employees are a group of talented, passionate professionals who are committed to supporting older adults on their aging journey, while also innovating healthcare for seniors everywhere. Employees are provided in-depth training and access to state-of-the-art tools necessary to do their jobs, as well as development and growth opportunities. SCAN takes great pride in recognizing our team members as experts in their fields and rewarding them for their efforts. If you are interested in becoming part of an organization that is innovating senior healthcare visit www.thescangroup.org, www.scanhealthplan.com, or follow us on LinkedIn, Facebook, and Twitter.

The Job

The HCS Program Manager leads strategic initiatives across Health Care Services, ensuring compliance with regulatory requirements and driving operational excellence. This role manages cross-functional projects, supports audit readiness, and fosters continuous improvement to enhance member outcomes and organizational performance.

You Will

Own and drive assigned projects from initiation through execution and evaluation, ensuring alignment with Centers for Medicare & Medicaid Services (CMS), Department of Health Care Services (DHCS), and organizational priorities.

Define project scope, develop detailed work plans, manage timelines, and coordinate cross-functional resourcesto ensure successful delivery.

Ensure compliance with regulatory standards and maintain audit readiness through proactive planning and documentation.

Collaborate with internal teams to streamline workflows, improve system alignment, and remove operational barriers.

Develop and refine policies, training, and documentation to support operational effectiveness and long-term sustainability.

Facilitate communication across departments and serve as a liaison with stakeholders, ensuring transparency and alignment throughout the project lifecycle.

Collaborate with data and analytics teams to create comprehensive reporting that supports decision-making and demonstrates program impact.

Ensure accurate and timely submission of all required documentation and reporting, including regulatory deliverables and internal updates.

Monitor program and project performance using key metrics, identifying trends and opportunities for improvement.

Lead post-implementation reviews and continuous improvement efforts, incorporating feedback and lessons learned into future initiatives.

We seek Rebels who are curious about AI and its power to transform how we operate and serve our members.

Actively support the achievement of SCAN's Vision and Goals.

Other duties as assigned.

Your Qualifications

Bachelor's Degree or equivalent experience required in Public Health, Business Administration, or related field.

Graduate or Advanced Degree or equivalent experience preferred in Public Health, Business Administration, or related field.

5+ years of experience in program or project management (within a health plan or health care environment preferred).

Experience with Special Needs Plans (SNP) or managed care programs.

Familiarity with quality assurance and continuous improvement methodologies.

Project Management certification (e.g., Project Management Professional (PMP), Lean Six Sigma).

Knowledge of Agile principles and experience working in Agile environments.

Leadership - Skilled to develops others

Problem Solving - Strong problem-solving skills

Optimizes Work Processes - Identifies and creates processes necessary to get work done

Strong leadership, communication, collaboration, and problem-solving skills.

Ability to manage multiple priorities and work cross-functionally.

What's in it for you?

• Base salary range: $106,200.00 to $151,910.00 per year
• Work Mode - Mostly Remote
• An annual employee bonus program
• Robust Wellness Program
• Generous paid-time-off (PTO)
• Eleven paid holidays per year, plus 1 floating holiday, plus 1 birthday holiday
• Excellent 401(k) Retirement Saving Plan with employer match and contribution
• Robust employee recognition program
• Tuition reimbursement
• An opportunity to become part of a team that makes a difference to our members and our community every day!

We're always looking for talented people to join our team! Qualified applicants are encouraged to apply now!

At SCAN we believe that it is our business to improve the state of our world. Each of us has a responsibility to drive Equality in our communities and workplaces. We are committed to creating a workforce that reflects our community through inclusive programs and initiatives such as equal pay, employee resource groups, inclusive benefits, and more.

SCAN is proud to be an Equal Employment Opportunity and Affirmative Action workplace. Individuals seeking employment will receive consideration for employment without regard to race, color, national origin, religion, age, sex (including pregnancy, childbirth or related medical conditions), sexual orientation, gender perception or identity, age, marital status, disability, protected veteran status or any other status protected by law. A background check is required.

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