Medigap Compliance Program Lead

SCAN Group; Long Beach (CA); On-site; USD 92,000 - 134,000; Full time

Benefits offered by this job

Annual bonus program

Wellness program

Generous PTO and holidays

401(k) with employer match

Tuition reimbursement

Onsite/Hybrid work options

Job summary

SCAN Group in the United States seeks a Medigap Compliance Program Manager to oversee Medicare Advantage and state regulatory obligations. You will coordinate with Legal Affairs and operations to implement and monitor regulatory requirements, ensuring timely compliance.

In this role you will advise on Medigap issues, assess impact of regulatory changes, and lead policy development to sustain compliant operations across business units.

Qualifications

• Strong knowledge of Medicare, Medigap and state regulatory requirements.
• Experience interpreting federal and state regulations.
• Ability to translate regulatory guidance into actionable compliance tasks.
• Experience supporting regulatory examinations, audits or corrective actions.
• Experience collaborating with Compliance, Legal and Operations teams.

Responsibilities

• Oversee Medigap and state regulatory affairs compliance domains for MAPD.
• Monitor federal/state regulatory changes and translate into compliance requirements.
• Lead cross-functional interpretation and impact assessments for new rules.
• Support regulatory examinations, audits and inquiries with timely responses.
• Develop and communicate compliance policies, standards and controls.

Skills

Regulatory expertise

Analytical thinking

Problem solving

Written & verbal communication

Advisory & consultative

Organizational skills

State insurance regulatory knowledge

Stakeholder influence

Education

Bachelor's degree or equivalent

Job description

SCAN Group in the United States seeks a Medigap Compliance Program Manager to oversee Medicare Advantage and state regulatory obligations. You will coordinate with Legal Affairs and operations to implement and monitor regulatory requirements, ensuring timely compliance.

In this role you will advise on Medigap issues, assess impact of regulatory changes, and lead policy development to sustain compliant operations across business units.