Program Director, Quality & Compliance

SCAN; Long Beach (CA); Remote; USD 125,000 - 201,000; Full time

Job summary

Join a mission-driven organization dedicated to improving the lives of older adults. In this exciting Program Manager role, you will lead impactful programs that align with strategic goals, ensuring compliance with healthcare standards while driving quality improvement initiatives. Collaborate with cross-functional teams and utilize your analytical skills to manage projects effectively. This innovative firm values its employees, offering robust training and growth opportunities. If you're passionate about making a difference in the healthcare industry, this role is perfect for you!

Benefits

Annual employee bonus program

Robust Wellness Program

Generous paid-time-off (PTO)

11 paid holidays plus 1 floating holiday

Excellent 401(k) Retirement Saving Plan with employer match

Employee recognition program

Qualifications

• 5 years of project or program management experience required.
• Intermediate to advanced understanding of project management principles.

Responsibilities

• Lead programs ensuring alignment with organizational goals.
• Manage multiple projects and facilitate senior management decision making.

Skills

Project Management

Analytical Thinking

Problem Solving

Effective Communication

Healthcare Quality Metrics

Quantitative Analysis

Qualitative Analysis

Stakeholder Management

Education

Bachelor's Degree

Job description

SCAN Group is a not-for-profit organization dedicated to tackling the most pressing issues facing older adults in the United States. SCAN Group is the sole corporate member of SCAN Health Plan, one of the nation’s leading not-for-profit Medicare Advantage plans, serving more than 285,000 members in California, Arizona, Nevada, and Texas. SCAN has been a mission-driven organization dedicated to keeping seniors healthy and independent for more than 40 years and is known throughout the healthcare industry and nationally as a leading expert in senior healthcare. SCAN employees are a group of talented, passionate professionals who are committed to supporting older adults on their aging journey, while also innovating healthcare for seniors everywhere. Employees are provided in-depth training and access to state-of-the-art tools necessary to do their jobs, as well as development and growth opportunities. SCAN takes great pride in recognizing our team members as experts in their fields and rewarding them for their efforts.

The Job

The purpose of this role is to facilitate the planning, design, and implementation of programs (groups of projects) that are linked through common departmental or organizational goals and strategies. The Program Manager combines analytical thinking, business knowledge, and program management skills to develop the framework for execution to ensure that the programs are aligned with the organization’s larger strategy, completed timely, within budget, and in alignment with identified goals.

You Will

• Lead programs (group of projects) that are linked through common departmental or organizational goals and strategies including those related to the Quality Improvement Program, quality monitoring and oversight, and regulatory requirements.
• Lead operational readiness for NCQA accreditation in partnership with business leads.
• Implement SCAN’s cross-functional Quality Improvement Program Description, Quality Improvement Work Plan, Quality Program and Work Plan Evaluation, and Compliance program in support of the organization’s mission and goals.
• Ensure Quality Improvement program compliance to meet or exceed regulatory and quality standards including but not limited to: Centers for Medicare and Medicaid Services (CMS), Department of Managed Health Care (DMHC), Department of Health Care Services (DHCS), and accreditation bodies’ standards such as the National Committee for Quality Assurance (NCQA).
• Partner with business areas to operate in a manner that is consistent with continuous quality improvement.
• Articulate vision, goals, and objectives for the organization, especially as it relates to the assigned program. As a self-starter, drive strategic projects and ensure deliverables are aligned with the organization’s larger strategy.
• Manage the execution of strategies through program design and implementation, ensuring strategic alignment with executive-level partners.
• Manage multiple projects and assignments under the umbrella of the associated program (that are cross-functional and multi-disciplinary), serving in a project leadership capacity. Assemble project teams, collaborate on individual responsibilities, develop project schedules, and determine resources needed to achieve milestones and overall objectives/outcomes.
• Ensure change management feasibility, plan and implement accordingly. Develop effective communication strategies to facilitate initiative rollout. Deliver notifications and program/project updates to affected parties. Keep internal and external stakeholders informed of progress, challenges, and barriers.
• Identify and manage risks associated with individual projects and overall program, develop and implement mitigation strategies to remove barriers.
• Plan, monitor, and adapt program success based on outcomes. Develop and oversee policies and processes for operational efficiency and program quality.
• Facilitate senior management decision making by analyzing strategic alternatives and developing recommendations.
• Other duties as assigned.

Your Qualifications

• Bachelor’s degree or a comparable combination of education/experience and/or training will be considered equivalent to the education listed above.
• 5 years of project or program management, with an Intermediate to Advanced understanding of project management principles.
• Knowledge of related NCQA standards, CMS, and DHS regulations.
• Knowledge of healthcare quality metrics.
• Demonstrated capability of planning for short- and long-term range goals.
• Moderate to strong skills in quantitative analysis, qualitative analysis, and problem-solving.
• Analyzing internal/intra-departmental processes.
• Effective verbal and written communication skills, catered to a variety of audiences at various levels.
• Managing competing priorities and expectations across multiple stakeholders, ability to manage a variety of projects simultaneously.
• Demonstrated understanding of the healthcare industry.
• Ability to develop and maintain positive relationships and facilitate the exchange of information across business units.

What's in it for you?

• Base Pay Range: $125,400 - $200,600 (Annually)
• Work Mode: Mostly Remote
• An annual employee bonus program
• Robust Wellness Program
• Generous paid-time-off (PTO)
• 11 paid holidays per year, plus 1 additional floating holiday
• Excellent 401(k) Retirement Saving Plan with employer match
• Robust employee recognition program
• An opportunity to become part of a team that makes a difference to our members and our community every day!

We're always looking for talented people to join our team! Qualified applicants are encouraged to apply now!

At SCAN we believe that it is our business to improve the state of our world. Each of us has a responsibility to drive Equality in our communities and workplaces. We are committed to creating a workforce that reflects our community through inclusive programs and initiatives such as equal pay, employee resource groups, inclusive benefits, and more.

SCAN is proud to be an Equal Employment Opportunity and Affirmative Action workplace. Individuals seeking employment will receive consideration for employment without regard to race, color, national origin, religion, age, sex (including pregnancy, childbirth or related medical conditions), sexual orientation, gender perception or identity, age, marital status, disability, protected veteran status, or any other status protected by law. A background check is required.