Medigap & MAPD Regulatory Compliance Lead

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) matching

Tuition reimbursement

Hybrid onsite schedule

Job summary

SCAN Health Plan in Long Beach, CA seeks a Medigap Compliance Program Manager to oversee Medicare Advantage and Medigap regulatory compliance. You will interpret federal/state requirements, coordinate Department of Insurance regulatory tasks, and support regulatory examinations with cross-functional teams.

The role requires strong regulatory expertise and experience in Medicare/Medigap. Enjoy a largely onsite role with a comprehensive benefits package and opportunities to influence compliance

Qualifications

• Bachelor's degree or equivalent.
• 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

• Oversee Medigap and state regulatory affairs compliance domains.
• Coordinate regulatory requirements implementation across business areas.
• Support regulatory inspections, examinations, and inquiries.
• Interpret regulatory guidance into clear compliance expectations for business units.
• Lead compliance policy development and control improvements.

Skills

Regulatory expertise

Analytical thinking

Problem solving

Communication

Advisory skills

Time management

State insurance knowledge

Stakeholder management

Education

Bachelor's degree

Job description

SCAN Health Plan in Long Beach, CA seeks a Medigap Compliance Program Manager to oversee Medicare Advantage and Medigap regulatory compliance. You will interpret federal/state requirements, coordinate Department of Insurance regulatory tasks, and support regulatory examinations with cross-functional teams.

The role requires strong regulatory expertise and experience in Medicare/Medigap. Enjoy a largely onsite role with a comprehensive benefits package and opportunities to influence compliance