Medicare Compliance Program Lead - Audit & CAPs

SCAN; Long Beach (CA); Sur place; USD 92 000 - 134 000; Plein temps

Avantages offerts par ce poste

Base pay range

Mostly onsite

Annual bonus

Wellness program

PTO + holidays

401(k) match

Tuition reimbursement

Résumé du poste

SCAN is a nonprofit health organization serving millions of Americans. The Medicare Compliance Project Manager supports regulatory audit readiness and execution activities, coordinating audit lifecycles from intake to CAP closure across CMS and other regulators.

You will lead audit readiness activities, maintain audit universes, manage documentation, and coordinate corrective action plans with business owners to ensure timely, accurate responses and ongoing compliance.

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).
• Experience supporting compliance issue management, audit readiness, or regulatory response activities.
• Experience maintaining audit universes, evidence inventories, or regulatory documentation repositories.

Responsabilités

• Audit Readiness Support – Organize documentation and manage audit universes and evidence for readiness reviews.
• Audit Universe Maintenance & Validation – Review universes for data integrity and CMS alignment; coordinate updates.
• Regulatory Audit Leadership & Coordination – Lead audits from intake to close with cross‑functional collaboration.
• Audit Documentation & Response Management – Compile and review submissions for clarity and consistency.
• CAP Development & Tracking Support – Document findings and help develop corrective actions.
• CAP Validation & Effectiveness Review – Lead validation to ensure sustained compliance.
• PCI Tracking – Track potential compliance issues identified in audits or monitoring.
• CAP Alignment – Evaluate and transition issues into formal CAPs.

Connaissances

Regulatory Audit Management

Project Management

Corrective Action & Remediation Oversi

Analytical & Critical Thinking

Written & Verbal Communication

Relationship Management

Regulatory Compliance Knowledge

Data Management & Documentation

Formation

Bachelor's Degree

Description du poste

SCAN is a nonprofit health organization serving millions of Americans. The Medicare Compliance Project Manager supports regulatory audit readiness and execution activities, coordinating audit lifecycles from intake to CAP closure across CMS and other regulators.

You will lead audit readiness activities, maintain audit universes, manage documentation, and coordinate corrective action plans with business owners to ensure timely, accurate responses and ongoing compliance.