Medigap Compliance Program Lead

GRP SCAN Group; California (MO); Hybrid; USD 92,000 - 134,000; Full time

Benefits offered by this job

Annual bonus program

Wellness program

Generous PTO + holidays

401(k) with employer match

Tuition reimbursement

Job summary

SCAN is seeking a Medigap Compliance Program Manager to oversee MAPD and state insurance regulatory compliance. This role partners with Legal, Operations, and Enrollment to implement, monitor, and maintain regulatory requirements across Medigap products.

You will assess changes in regulation and translate guidance into actionable obligations for the business. The position emphasizes independent oversight, regulatory readiness, and collaboration across teams to support compliance programs and

Qualifications

• Bachelor's degree or equivalent combination of education and experience.
• 5+ years of healthcare compliance, regulatory affairs, audit, risk management, Medicare, Medigap, or related experience.
• Experience interpreting and implementing federal and state regulatory requirements.
• Experience conducting compliance risk assessments and providing regulatory guidance to business stakeholders.
• Experience supporting regulatory examinations, audits, investigations, or corrective action activities.
• Medicare Advantage, Part D, and/or Medigap experience.
• Experience working with state Departments of Insurance and state regulatory requirements.
• Experience supporting regulatory examinations, market conduct reviews, audits, or corrective action plans.
• Experience leading cross-functional initiatives in a highly regulated healthcare environment.

Responsibilities

• Provide independent oversight of Medigap and state regulatory affairs compliance domains.
• Coordinate regulatory readiness and ensure implementation of state insurance obligations.
• Support regulatory examinations, audits, inquiries, and market conduct reviews.
• Lead regulatory interpretation and compliance impact assessments for new requirements.
• Develop and revise compliance policies, standards, and controls.
• Provide regulatory guidance and education to assigned functional areas.

Skills

Regulatory Expertise

Analytical Thinking

Problem Solving

Written & Verbal Communication

Advisory & Consultative

Organizational & Time Mgmt

State Insurance Regulatory Knowledge

Stakeholder Influence

Education

Bachelor's degree or equivalent

Job description

SCAN is seeking a Medigap Compliance Program Manager to oversee MAPD and state insurance regulatory compliance. This role partners with Legal, Operations, and Enrollment to implement, monitor, and maintain regulatory requirements across Medigap products.

You will assess changes in regulation and translate guidance into actionable obligations for the business. The position emphasizes independent oversight, regulatory readiness, and collaboration across teams to support compliance programs and