Medicare Advantage Annual Readiness Program Manager

SCAN Group; Long Beach (CA); Remote; USD 106,000 - 152,000; Full time

Job summary

A leading organization in senior healthcare is looking for a Medicare Advantage Annual Readiness Program Manager. This role involves leading operational readiness programs, ensuring compliance, and collaborating with various departments. The ideal candidate has extensive experience in Medicare Advantage and project management, with strong leadership and communication skills. Join a mission-driven team dedicated to improving the lives of older adults while enjoying a competitive salary and robust benefits.

Benefits

Annual employee bonus program

Robust Wellness Program

Generous paid-time-off (PTO)

Eleven paid holidays plus floating holiday

401(k) Retirement Saving Plan with employer match

Tuition reimbursement

Qualifications

• 5+ years of project or program management experience.
• Experience leading AEP readiness programs in Medicare Advantage.

Responsibilities

• Lead planning and execution of annual operational readiness programs.
• Drive cross-functional collaboration across business units.
• Conduct post-implementation reviews for continuous improvement.

Skills

Leadership

Decision Making

Communication

Strategic Thinking

Planning

Education

Bachelor's Degree

Tools

MS Project

Job description

Medicare Advantage Annual Readiness Program Manager

Join to apply for the Medicare Advantage Annual Readiness Program Manager role at SCAN

Medicare Advantage Annual Readiness Program Manager

Join to apply for the Medicare Advantage Annual Readiness Program Manager role at SCAN

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.

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 Annual Readiness Program Manager is responsible for leading and executing the organization’s readiness strategy to ensure operational preparedness for the annual cycle of health plan changes, regulatory compliance, and open enrollment activities. This role collaborates cross-functionally with key departments to deliver a seamless and compliant readiness experience. The Program Manager serves as the central liaison across business areas, driving alignment, readiness execution, and post-implementation improvement for all assigned initiatives.

The ideal candidate will have experience managing AEP readiness efforts within a Medicare Advantage environment and supporting other enterprise programs requiring rigorous planning and cross-functional coordination. The Program Manager serves as the central liaison across business areas, driving alignment, readiness execution, and post-implementation improvement for all assigned initiatives.

The Annual Readiness Program Manager will report to the VP of Operational Excellence or the Director of Operational Excellence.

You Will

Lead end to end planning and execution of annual operational readiness programs and other critical readiness initiatives that support business growth, implementations, and/or operational changes). Coordinate timelines, deliverables, and milestones across departments to ensure successful operational execution against business goals.

Manage the execution of strategies through program design and implementation, ensuring strategic alignment with key leaders and executive-level partner(s).

Partner with stakeholders to build cross functional strategy and implementation teams. Facilitate identification of program scope, manage associated project implementation, communicate progress to plan, and drive timely execution to obtain business results.

Drive cross-functional collaboration and alignment across business units including Sales, Marketing, Product, IT, Member Services, Operations, Healthcare Services, Compliance, Communications and Network Management etc. to deliver a seamless and compliant readiness experience

Implement change management plans and communication strategies. Deliver notifications and program/project updates to affected parties. Keep internal and external stakeholders informed of progress, challenges, and barriers.

Organize and lead cross-functional readiness program meetings for AEP and other major initiatives to ensure transparency, accountability, and timely delivery. Foster strong partnerships across technical, compliance, and operational teams to drive collaboration and remove barriers to readiness.

Identify and manage risks associated with individual projects and overall program, develop and implement mitigation strategies to remove barriers.

Plan, monitor, and adapt program success based on outcomes. Plan, monitor, and adapt program success based on outcomes. Develop AEP playbook, identifying improvements to processes, communications, and overall experience.

Keep senior leadership abreast of progress, issues, and appropriately escalate risks and/or issues to project sponsor, stakeholder, and executive leadership team steering committee.

Conduct post-implementation reviews and lessons learned sessions to inform future cycles and continuous improvement.

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

PMO preferred

5+years of project or program management experience within a health plan or health care setting, with an intermediate to advanced understanding of project management principles.

Demonstrated experience leading AEP readiness programs in Medicare Advantage health plan environment.

5+ years of experience in health plan operations, with expertise in Medicare Advantage readiness.

Leadership: Lead and inspire teams to achieve goals and drive organizational success

Decision Making and Problem Solving: Effective decision-making and problem-solving skills

Communication: Excellent communication and interpersonal skills

Cross-Functional Coordination: Proven experience supporting cross-functional operational readiness for large-scale programs

Strategic Thinking: Strategic, creative, iterative thinker with strong problem-solving skill

Planning and Critical Thinking: Strong planning, critical thinking, and leadership skills

Initiative: Self-starter who can initiate and lead projects as well as navigate different environments

Proficient in program management methodologies, with a strong track record of creating and maintaining standard program documents and artifacts to effectively support program tracking, reporting, and deliverables.

Moderate capabilities in both quantitative and qualitative analysis, with a proven ability to apply critical thinking and problem-solving techniques to complex challenges.

Skilled in evaluating and optimizing internal and intra-departmental processes to improve efficiency, effectiveness, and alignment with organizational objectives

Excellent verbal and written communication, tailoring messages to diverse audiences at all levels, from executive leadership to frontline staff, ensuring clarity and alignment.

Adept at managing competing priorities and stakeholder expectations, with the ability to successfully juggle multiple initiatives in a dynamic, fast-paced environment.

Demonstrated ability to work with all levels of staff, within and external to the organization to achieve shared goals and drive organizational success.

Knowledge of managed care health insurance programs; strong experience in the healthcare payer industry and knowledge of Medicare.

Strong ability to develop and maintain positive, productive relationships across business units, ensuring smooth communication and information exchange.

Comfortable and effective in navigating fast-paced, ever-changing environments, with the ability to manage multiple concurrent readiness initiatives and address complex interdependencies.

MS Project

What's in it for you?

• Base salary range: $106,200 to $151,910 per year
• Internal title - Program Manager
• Work Mode - Remote (with occasional travel to Long Beach, CA)
• 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.

Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Project Management and Information Technology

• Industries

  Hospitals and Health Care

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