Medicare Compliance & Audit Readiness Manager

SCAN Health Plan; Long Beach, Northern (CA, KY); Hybrid; USD 92,000 - 134,000; Full time

Benefits offered by this job

Annual bonus program

Wellness Program

PTO + holidays

401(k) with employer match

Tuition reimbursement

Job summary

SCAN Health Plan in Long Beach, CA is seeking a Medicare Compliance Project Manager to lead audit readiness and regulatory-execution activities, focusing on CMS and state regulators. You will coordinate audit lifecycle, organize evidence, and ensure responses are accurate and defensible.

This role collaborates across teams to prepare CAPs, tracking progress, validating actions, and maintaining audit universes and documentation.

Qualifications

• Bachelor's degree or equivalent combination of education and experience.
• 3–5 years of experience in healthcare compliance, auditing, regulatory affairs, risk management, project management, or a related field.
• Experience coordinating complex projects involving multiple stakeholders and competing deadlines.
• Experience supporting audits, examinations, corrective action plans, or compliance oversight activities.
• Strong organizational, analytical, and communication skills.
• Experience supporting CMS Program Audits, Financial Audits, Validation Audits, or other federal or state regulatory reviews.
• Experience developing, tracking, validating, or monitoring corrective action plans (CAPs).

Responsibilities

• Audit readiness support including documentation organization and evidence management.
• Maintain audit universes and validate data with CMS expectations.
• Lead coordination of regulatory audits from intake to close.
• Compile and review audit documentation for clarity and compliance.
• Support CAP development with root cause analysis.
• Track CAP activities through completion and remediation.
• Prepare audit status updates and dashboards for governance.

Skills

Regulatory audit management

Project management

CAP tracking & validation

Analytical thinking

Written & verbal communication

Relationship management

Regulatory compliance knowledge

Data management & documentation

Education

Bachelor's Degree or equivalent combination of education and experience

PMP

CHC

CIA

CCEP

Job description

SCAN Health Plan in Long Beach, CA is seeking a Medicare Compliance Project Manager to lead audit readiness and regulatory-execution activities, focusing on CMS and state regulators. You will coordinate audit lifecycle, organize evidence, and ensure responses are accurate and defensible.

This role collaborates across teams to prepare CAPs, tracking progress, validating actions, and maintaining audit universes and documentation.