Manager, Care Coordination

Scan-Health-Plan; Long Beach (CA); Hybrid; USD 92,000 - 127,000; Full time

Benefits offered by this job

Annual employee bonus program

Wellness Program

Generous paid-time-off (PTO)

11 paid holidays + birthday/float

401(k) Retirement Plan with employer-m

Tuition reimbursement

Employee recognition program

Job summary

Scan Health Plan in Long Beach, CA, is hiring a Manager of Care Coordination to lead teams delivering education and assistance to members navigating the healthcare system, while ensuring adherence to policies and regulatory standards.

You will implement processes, supervise daily operations, and partner with stakeholders to drive performance and quality across CMS, NCQA, and DMHC guidelines. The role offers a mostly remote work mode, annual bonus eligibility, generous PTO, and a robust 401(k).

Qualifications

• Bachelor's degree or equivalent experience in healthcare leadership.
• 5+ years in healthcare management or leadership.
• Working knowledge of NCQA, CMS, DMHC, and DHCS regulations.
• Strong project management and regulatory compliance expertise.
• Excellent written and verbal communication skills.

Responsibilities

• Lead and develop Care Coordination teams to improve member health outcomes.
• Ensure regulatory compliance and quality standards across programs.
• Develop and monitor department metrics and reporting.
• Collaborate with stakeholders to drive process improvements.
• Recruit, train, and retain qualified staff.

Skills

Healthcare leadership

Regulatory compliance

Project management

Communication skills

Strategic thinking

Education

Bachelor's degree or equivalent experience

Tools

Microsoft Office Suite

Visio

Teams

Job description

Founded in 1977 as the Senior Care Action Network, SCAN began with a simple but radical idea: that older adults deserve to stay healthy and independent. That belief was championed by a group of community activists we still honor today as the “12 Angry Seniors.” Their mission continues to guide everything we do.Today, SCAN is a nonprofit health organization serving more than 500,000 people across Arizona, California, Nevada, New Mexico, Texas, and Washington, with over $8 billion in annual revenue. With nearly five decades of experience, we have built a distinctive, values-driven platform dedicated to improving care for older adults.Our work spans Medicare Advantage, fully integrated care models, primary care, care for the most medically and socially complex populations, and next-generation care delivery models. Across all of this, we are united by a shared commitment: combining compassion with discipline, innovation with stewardship, and growth with integrity.At SCAN, we believe scale should strengthen—not dilute—our mission. We are building the future of care for older adults, grounded in purpose, accountability, and respect for the people and communities we serve.The JobThe Manager, Care Coordination enhances members’ ability to manage their health and live independently by managing teams that provide education and assistance with navigating the healthcare system and managing their health, developing and monitoring processes to ensure compliance with regulatory requirements and best practices.You WillManages teams through oversight of day-to-day operations and productivity to ensure alignment with and achievement of department goals and objectives.Manages workflow and assigns priorities and projects to ensure completion of required activities within the designated timeframes.Maintains staff by recruiting, selecting, orienting, and training employees; maintaining a safe and secure work environment; developing personal growth opportunities.Accomplishes staff results by communicating job expectations; planning, monitoring, and appraising job results; coaching, counseling, and disciplining employees; initiating, coordinating, and enforcing systems, policies, and procedures.Assures HCS Policy and Procedures, desktop procedures, training materials, and program communications are current and accurately reflect the processes and regulatory requirements of the Care Coordination Department.Facilitates meetings, trains staff to deliver care coordination following SCAN and department policy and procedures to achieve organizational goals and outcomes.Acts as department subject matter expert by representing department at assigned committees to support two-way communication between departments and committees as appropriate. And provide clinical and non-clinical support to supervisors and staff for escalated issues and concerns.Partners with stakeholders and department management, to create and review department metric reporting for productivity and efficacy to support organizational vision and goals. Participates in the development and analysis of monthly metrics reporting.Assists Director in preparation of annual program evaluation, projects, and other activities as requested by management.Promotes compliance with and adheres to all regulatory and quality standards including but not limited to: Centers for Medicare and Medicaid Services (CMS), Department of Managed Health Care (DMHC), Department of Health Care Services (DHCS), and accreditation bodies’ standards such as the National Committee for Quality Assurance (NCQA) as it relates to Care Coordination activities.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 QualificationsBachelor's Degree or equivalent experience5+ years of experience in healthcare, medical management, change management, and/or leadership.Demonstrated management experience.Must possess working knowledge of related NCQA standards, SNP requirements, and CMS and DHS regulations.Knowledge and/or familiarity with the principles of project and program management.Demonstrated ability to develop and implement new, replacement systems, and gain buy-in from appropriate audience.Able to lead and influence those without direct reporting relationships to achieve desired outcomes.Ability to communicate with clarity, the vision, value, and tasks to formal and informal audiences.Able to develop relationships quickly and leverage working relationships to drive performance outcomes.Ability to work with all levels of staff, within and external to the organization to achieve goals.Strong interpersonal skills, including excellent written and verbal communication skills.Strong organizational skills; Ability to multitask and to appropriately maintain confidentiality.Microsoft Office (Word, Excel, PowerPoint, Outlook, Teams) and Visio at advanced level.What's in it for you?Base salary range: $92,400 to $127,306 per yearInternal title: Manager Care CoordinationWork Mode: Mostly RemoteAn annual employee bonus programRobust Wellness ProgramGenerous paid-time-off (PTO)Eleven paid holidays per year, plus 1 floating holiday, plus 1 birthday holidayExcellent 401(k) Retirement Saving Plan with employer match and contributionRobust employee recognition programTuition reimbursementAn 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.#LI-MS1#LI-HybridEqual Opportunity Employer/Protected Veterans/Individuals with DisabilitiesThe contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c)