About SCAN

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 270,000 members in California, Arizona, and Nevada. 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. If you are interested in becoming part of an organization that is innovating senior healthcare visit www.thescangroup.org, www.scanhealthplan.com, or follow us on LinkedIn; Facebook; and Twitter.

The Job

Provides leadership to expand SCAN offerings and capabilities for high quality population health programs. Innovates and implements new clinical programs for members with emerging or complex health issues, behavioral and mental health care needs, and end of life care. Shapes sustainable programs to improve member experience and outcomes.

You Will

Works with the SCAN Value Based Care (VBC) team and the extended Chief Medical Officer (CMO) leadership team to identify, develop, design, and implement new clinical programs to expand SCAN’s care model and to enable improved outcomes for its membership.

Works with senior management in VBC to develop strategies that enhance SCAN’s care model to deliver on the Triple Aim, focus on emerging risk and high-risk populations, and ensure healthcare equity within program design and interventions.

Identifies areas of improvement within SCAN’s care model to address unmet clinical, behavioral, social, and cognitive needs. Builds and sources specific programs by identifying populations to target, goals for improved care in populations, services that drive outcomes, and evaluation metrics that will help assess the programs. Implements new programs with a focus on business case development, outcomes measurement, and operational design.

Facilitates annual evaluations of SCAN programs serving emerging risk and high-risk members to update the portfolio of services offered.

Promotes quality with strategies and programs to support cost effective care and recommends appropriate 5-STAR measures that address clinical metrics and experience.

Interfaces with SCAN Complex Care Management and Utilization Management leadership to ensure scaling of programs and to support growth and expansion.

Achieves financial objectives by supporting the preparation of an annual budget, approving appropriate expenditures, analyzing variances, and initiating corrective action.

Ensures that SCAN systems support program delivery and that new performance measures are developed and tracked to evaluate program effectiveness. Supports the development and preparation of management reports that assess the effectiveness or programs and services.

Actively support the achievement of SCAN’s Vision and Goals.

Other duties as assigned.

Your Qualifications

• Bachelor's Degree in Health Care field, Master's degree preferred
• 5+ years management experience in a Managed Health Care or healthcare startup setting, Medicare/Medicaid
• Strong healthcare program development, quality and data analysis skills including understanding of basic research methods, and ability to make decisions accordingly
• Strong interpersonal skills, including excellent written and verbal communication skills.
• Strong organizational skills; Ability to multitask.
• Ability to appropriately maintain confidentiality.
• Excellent presentation skills.

Covid-19 Vaccination Policy

To ensure a healthy and safe work environment, if you are selected for this position, your job offer with SCAN Health will be contingent upon being fully vaccinated and providing proof of your COVID-19 vaccine within 3 days after your start date. Generally, you are considered fully vaccinated 14 days after receiving the last dose, as recommended by the manufacturer, of a vaccine that has been authorized by the FDA for use in the United States, including vaccinations that have been approved pursuant to an Emergency Use Authorization. If fully vaccinated outside of the United States, the vaccination must be listed for emergency use by the World Health Organization (WHO). If you cannot receive the vaccine because of a disability/medical reason or sincerely-held religious belief, you may request an accommodation to this requirement by contacting COVID-19 Vaccination Policy. Learn more about the COVID-19 vaccination here - https://www.cdc.gov/coronavirus/2019-ncov/vaccines/index.html

What's in it for you?

• Base Pay Range: $106,200.00 to $169,900.00 annually
• Work Mode: 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
• Tuition reimbursement
• 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.

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Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c)