Manager, Care Coordination

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

Benefits offered by this job

Bonus program

Wellness program

PTO

Holiday plan

401(k) retirement plan

Job summary

SCAN Health Plan seeks a Manager, Care Coordination to lead teams delivering education and navigation support for members, ensuring adherence to regulatory requirements and best practices. You will drive care coordination processes, oversee staffing and performance, and partner with stakeholders to meet organizational goals.

This role emphasizes regulatory compliance, quality standards, and continuous improvement while supporting a mostly remote work mode and a comprehensive benefits package.

Qualifications

• Bachelor's Degree or equivalent experience.
• 5+ years of experience in healthcare, medical management, change management, and/or leadership.
• Working knowledge of NCQA standards, SNP requirements, and CMS/DHS regulations.
• Knowledge of project and program management principles.
• Ability to lead and influence those without direct reporting relationships.
• Strong written and verbal communication skills.
• Advanced proficiency with Microsoft Word, Excel, PowerPoint, Outlook, Teams, and Visio.

Responsibilities

• Manage teams through oversight of day-to-day operations and productivity to meet department goals.
• Oversee workflow, priorities, and projects to ensure timely completion.
• Recruit, orient, train, and develop staff; maintain a safe, compliant environment.
• Support regulatory compliance with CMS/DMHC/DHCS/NCQA standards.

Skills

Leadership and people management

Communication

Organizational skills

Change management

Influence without authority

Stakeholder collaboration

Interpersonal skills

Education

Bachelor's degree or equivalent experience

Tools

Microsoft Office

Visio

Job description

The 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 Will Manages 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 Qualifications

Bachelor's Degree or equivalent experience 5+ 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 year
• Internal title: Manager Care Coordination
• 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!

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 Affi…

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-Hybrid Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired, 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)

Become part of a mission-driven team that makes a difference in the lives of seniors every day. SCAN has a long history of finding and investing in ways to meet seniors’ needs. This focus is what attracts employees to SCAN. For each and every one of us, the SCAN mission is personal. Keeping Seniors Healthy and Independent is both our mission and our passion. That same commitment carries over to our employees. We provide the training, tools and support necessary to do your work. We reward effort and celebrate success. SCAN both develops and attracts people who are leading experts in their respective fields. If the SCAN mission is one you believe in too, we want you to consider what we have to offer.

Why consider a career at SCAN?

• A competitive compensation and benefits program;
• An annual employee bonus program;
• Generous paid-time-off (PTO);
• Eleven paid holidays per year;
• Excellent Retirement Savings program;
• A work-life balance;
• An opportunity to become part of a team that makes a difference to our members and our community every day!