Top 133 Scan health plan Jobs

Quality Auditor - Enrollment (Health Plan)
SCAN Health Plan —Lakewood, CA
- $25.38 - $36.76 an hour
- Full-time
- Remote
- Background check
- Microsoft Excel
- Microsoft Outlook
- Wellness program
- Paid holidays
Quick Apply
13d
Telesales Representative - SCAN Temp
SCAN Health Plan —Long Beach, CA
- $21.64 an hour
- Full-time
- Remote
- Background check
- Mid-level
- Older adults
- 401(k) matching
- Paid sick time
Quick Apply
SAL Advocate
SCAN Health Plan —Phoenix, AZ
- $20.00 - $21.50 an hour
- Full-time
- Remote
- Background check
- Word processing
- HIPAA
- Wellness program
- Paid holidays
Quick Apply
Member Services Advocate
SCAN Health Plan —Austin, TX
- $20.00 - $21.50 an hour
- Full-time
- Remote
- Background check
- Word processing
- HIPAA
- Wellness program
- Paid holidays
Quick Apply
Senior Business Process Redesign Consultant - SCAN Temp
SCAN Health Plan —Long Beach, CA
- $51.06 - $73.90 an hour
- Full-time
- Hybrid work
- Background check
- 7 years
- Microsoft Outlook
- Health insurance
- Paid sick time
Quick Apply
Health Insurance Sales Representative (San Fernando Valley, CA)
SCAN Health Plan —San Fernando, CA
- $70,304 - $75,000 a year
- Full-time
- Hybrid work
- Background check
- Spanish
- English
- Wellness program
- Paid holidays
Quick Apply
Senior Business Analyst - SCAN Temp
SCAN Health Plan —Long Beach, CA
- $38.61 - $55.86 an hour
- Full-time
- Hybrid work
- Background check
- Microsoft Excel
- 6 years
- Health insurance
- Paid sick time
Quick Apply
Senior Accountant - SCAN Temp
SCAN Health Plan —Long Beach, CA
- $44.42 - $50.00 an hour
- Full-time
- Hybrid work
- Background check
- Oracle
- Microsoft Outlook
- Health insurance
- Paid sick time
Quick Apply
Senior Process Transformation Consultant - SCAN Temp
SCAN Health Plan —Long Beach, CA
- $51.06 - $73.90 an hour
- Full-time
- Hybrid work
- Background check
- 7 years
- Microsoft Outlook
- Health insurance
- Paid sick time
Quick Apply
Program Lead, QNXT Implementation - SCAN Temp
SCAN Health Plan —Long Beach, CA
- $51.06 - $73.90 an hour
- Full-time
- Hybrid work
- Background check
- Microsoft Excel
- 6 years
- Health insurance
- Paid sick time
Quick Apply
Medicare Compliance Project Manager (SCAN TEMP)
SCAN Group —Long Beach, CA
- $44.42 - $64.27 an hour
- Full-time
- Hybrid work
- Background check
- Mid-level
- Office
- Wellness program
- 401(k) matching
Quick Apply
Senior Configuration Specialist QNXT - SCAN Temp
SCAN Health Plan —Long Beach, CA
- $34.47 - $49.87 an hour
- Full-time
- Hybrid work
- Background check
- Microsoft Excel
- Microsoft Outlook
- Health insurance
- Paid sick time
Quick Apply
Marketing Analytics Analyst, Sr.
SCAN Health Plan —Long Beach, CA
- $80,300 - $138,330 a year
- Full-time
- Remote
- Background check
- Marketing
- Master's degree
- Wellness program
- Paid holidays
Quick Apply
Sales System Analyst
SCAN Group —Long Beach, CA
- $25.38 - $36.33 an hour
- Full-time
- Hybrid work
- Background check
- Mid-level
- SQL
- Wellness program
- Paid holidays
Quick Apply
Bilingual SAL Advocate
SCAN Health Plan —Sacramento, CA
- $20.00 - $21.50 an hour
- Full-time
- Remote
- Word processing
- HIPAA
- Military encouraged
- Wellness program
- Paid holidays
Quick Apply
Bilingual Spanish Sr. Community Health Worker (Riverside)
SCAN Health Plan —Riverside, CA
- $25.38 - $35.01 an hour
- Full-time
- Hybrid work
- Background check
- Spanish
- Current TB test
- Wellness program
- Paid holidays
Quick Apply
Healthcare Driver
myPlace Transport CA LLC —Los Angeles, CA
- $20 - $25 an hour
- Full-time
- Clean driving record
- Current TB test
- High school diploma or GED
- Wellness program
- Paid holidays
Quick Apply
Bilingual Concierge Advocate
SCAN Health Plan —Houston, TX
- $22 - $24 an hour
- Full-time
- Remote
- Background check
- HIPAA
- Research
- Wellness program
- Paid holidays
Quick Apply
Advanced Practice Clinician, Integrated Care Delivery (San Bernardino County)
SCAN Health Plan —San Bernardino, CA
- $125,400 - $179,300 a year
- Weekends as needed
- Background check
- Nursing
- Skilled nursing facility
- Wellness program
- Paid holidays
Quick Apply
Medicare Compliance Analyst
SCAN Group —Long Beach, CA
- $80,300 - $116,197 a year
- Full-time
- Background check
- 5 years
- Mid-level
- Wellness program
- Paid holidays
Quick Apply

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Quality Auditor - Enrollment (Health Plan)

SCAN Health Plan -
Lakewood, CA

Quick Apply

Job Details

Full-time
$25.38 - $36.76 an hour
13 days ago

Benefits

Wellness program
Paid holidays
401(k)
Tuition reimbursement
Paid time off
On-the-job training
401(k) matching

Qualifications

Microsoft Excel
Microsoft Outlook
Medicare
Managed care
Managed care organization experience
CMS
Medicaid health insurance
CMS regulatory compliance
Medicare regulations
Accounting
Microsoft Teams
Medicaid
Quality audits

Full Job Description

Founded in 1977 as the Senior Care Action Network, SCAN began with a simple but radical idea: that older adults deserve to stay healthy and independent. That belief was championed by a group of community activists we still honor today as the “12 Angry Seniors.” Their mission continues to guide everything we do.

Today, SCAN is a nonprofit health organization serving more than 500,000 people across Arizona, California, Nevada, New Mexico, Texas, and Washington, with over $8 billion in annual revenue. With nearly five decades of experience, we have built a distinctive, values-driven platform dedicated to improving care for older adults.

Our work spans Medicare Advantage, fully integrated care models, primary care, care for the most medically and socially complex populations, and next-generation care delivery models. Across all of this, we are united by a shared commitment: combining compassion with discipline, innovation with stewardship, and growth with integrity.

At SCAN, we believe scale should strengthen—not dilute—our mission. We are building the future of care for older adults, grounded in purpose, accountability, and respect for the people and communities we serve.

The Job

The Quality Auditor - Enrollment will perform routine and targeted operational quality audits across health plan operations including but not limited to Enrollment to ensure compliance with regulatory requirements, internal policies, contractual obligations, and operational standards. This role monitors quality, accuracy, identifies opportunities for improvements that will enhance member and provider experience.

You Will

Ensure regulatory compliance and overall quality and efficiency by utilizing strong working knowledge of health plan Enrollment.
Work assigned cases through SCANs workflow system, and applies correct status attributes to track and trend issues. Notate cases/audits with required detail to ensure that others understand status of case/audit and final resolutions.
Work closely with other business units to ensure processing errors are reviewed and corrected
Follow policies and procedures in order to maintain efficient and compliant operations; communicate suggestions for improvement and efficiencies to management; identify and report problems with workflows following proper departmental procedures; actively participate in departmental staff meetings and training sessions.
Follow all appropriate Federal and State regulatory requirements and guidelines applicable to SCAN Health Plan operations or as documented in company policies and procedures.
Provide a high level of customer service to internal customers by consistently meeting and/or exceeding team expectations including but not limited to quality, productivity and attendance.
Escalate appropriate audit issues to management as required and follow departmental/organizational policies and procedures.
Maintain required levels of production and quality standards as established by management. Participate in and supports ad-hoc audits as needed.
Contribute to overall department success by participating in department initiatives, effective communication and collaboration with all members of the SCAN team through knowledge and idea sharing, take ownership to identify and report issues to appropriate management staff for resolution and work actively with the SCAN team to improve the support to our Members and Providers.
Contribute to team effort by accomplishing related results as needed.
Actively support the achievement of SCAN’s Vision and Goals.
We seek Rebels who are curious about AI and its power to transform how we operate and serve our members.
Other duties as assigned.

Your Qualifications

Associate’s degree preferred or equivalent experience
3+ years complex auditing processing and/or auditing experience in the health plan, healthcare, or managed care organization with experience in Enrollment.
Must be proficient in processing/auditing for Medicare and Medicaid plans.
3+ years’ experience in managed healthcare environment related to Enrollment.
Strong organizational, analytical thinking and accounting skills; oral and written communication skills
Strong knowledge of CMS requirements regarding auditing processing
Completion of health insurance training and medical terminology or equivalent knowledge through on-the-job training and experience.
Knowledge of health care benefit structures and insurance procedures, as they exist in a Managed Care environment.
Strong PC Skills. Microsoft Office (Word, Excel, Outlook, Teams) are required.

What’s in it for you?

Base wage range: $25.38 to $36.76 per hour
Work Mode: Remote
Annual bonus program
Robust Wellness Program
Generous paid-time-off (PTO)
Eleven paid holidays per year, plus 1 additional floating holiday, plus 1 birthday holiday
Excellent 401(k) Retirement Saving Plan with employer match and contribution
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.

#LI-MS1

#LI-Remote

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)

Quick Apply

Refine Your Search

scan health plan jobs

Quality Auditor - Enrollment (Health Plan)

Telesales Representative - SCAN Temp

SAL Advocate

Member Services Advocate

Senior Business Process Redesign Consultant - SCAN Temp

Health Insurance Sales Representative (San Fernando Valley, CA)

Senior Business Analyst - SCAN Temp

Senior Accountant - SCAN Temp

Senior Process Transformation Consultant - SCAN Temp

Program Lead, QNXT Implementation - SCAN Temp

Medicare Compliance Project Manager (SCAN TEMP)

Senior Configuration Specialist QNXT - SCAN Temp

Marketing Analytics Analyst, Sr.

Sales System Analyst

Bilingual SAL Advocate

Bilingual Spanish Sr. Community Health Worker (Riverside)

Healthcare Driver

Bilingual Concierge Advocate

Advanced Practice Clinician, Integrated Care Delivery (San Bernardino County)

Medicare Compliance Analyst

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