Enrollment QA & Reconciliation Supervisor

SCAN Health Plan; Long Beach, Northern (CA, KY); Hybrid; USD 72,000 - 104,000; Full time

Benefits offered by this job

Annual bonus program

Wellness program

Generous PTO

11 holidays + floating/birthday

401(k) with employer match

Tuition reimbursement

Job summary

SCAN Health Plan in Long Beach, CA, is seeking a Supervisor, Enrollment Quality Assurance to lead enrollment reconciliation and staff activities for Medicare plans and employer groups.

You will supervise workflows, coordinate across departments, and drive process improvements while ensuring regulatory compliance and audit readiness. This role emphasizes leadership, analytics, and cross-functional collaboration in a dynamic healthcare environment.

Qualifications

• Bachelor's or technical degree required.
• 3+ years of enrollment and reconciliation experience in the Health Care or Health Plan industry.
• Proven supervisory experience.
• Medicare Advantage experience highly preferred.
• Leadership, problem solving, and communication skills expected.
• Advanced proficiency with Microsoft Office.

Responsibilities

• Oversee data workflows and daily enrollment reconciliation tasks.
• Monitor cross-functional work between Enrollment and Reconciliation and Grievance/Appeals.
• Improve processes for membership and payment reconciliation workflows.
• Train staff and monitor performance to meet regulatory guidelines.
• Assign work, prioritize deliverables, and manage team workload.
• Handle escalated issues and provide guidance to the team.
• Stay current with legislation affecting health insurance procedures.
• Prepare reports by collecting, analyzing, and summarizing trends for management.
• Support audits and assist management with audit requests.

Skills

Supervisory experience

Leadership

Communication

Problem solving

Education

Bachelor's or Technical Degree

Tools

Microsoft Office Suite

Job description

SCAN Health Plan in Long Beach, CA, is seeking a Supervisor, Enrollment Quality Assurance to lead enrollment reconciliation and staff activities for Medicare plans and employer groups.

You will supervise workflows, coordinate across departments, and drive process improvements while ensuring regulatory compliance and audit readiness. This role emphasizes leadership, analytics, and cross-functional collaboration in a dynamic healthcare environment.