SCAN Health Insurance

Talent Acquisition Business Partner

SCAN Health Insurance · Full Time · 4 hours ago

SCAN Health Insurance

🌎 United States 💵 $71700 - $103K per year ⭐ 2-5 yrs exp 💼 Recruitment

Partner with business leaders to identify, evaluate, and hire top talent aligned with organizational goals. Manage the full recruitment lifecycle, including sourcing, interviewing, and extending job offers.

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Director, Special Investigations Unit - AHFI

SCAN Health Insurance · Full Time · 5 days ago

SCAN Health Insurance

🌎 United States 💵 $147K - $190K per year ⭐ 10+ yrs exp 💼 Others

Lead the development and execution of the Special Investigations Unit (SIU) infrastructure to manage fraud, waste, and abuse (FWA) programs. Oversee complex investigative cases, ensure regulatory compliance, and collaborate with legal and internal audit teams to implement recovery efforts.

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Bilingual Concierge Advocate

SCAN Health Insurance · Full Time · 11 days ago

SCAN Health Insurance

🌎 United States 💵 $22 - $24 per hour ⭐ 2-5 yrs exp 💼 Others

Act as a front-line contact center agent providing personalized support and resolving healthcare administrative issues for members. Coordinate with internal and external stakeholders to ensure timely resolution of member concerns and maintain detailed interaction records.

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Bilingual SAL Advocate

SCAN Health Insurance · Full Time · 11 days ago

SCAN Health Insurance

🌎 United States 💵 $20 - $21.5 per hour ⭐ 0-2 yrs exp 💼 Others

Serve as a primary point of contact for members regarding benefits, eligibility, claims, and referrals. Ensure member satisfaction by providing quality customer service and resolving issues in a timely and professional manner.

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Sales Operations Coordinator

SCAN Health Insurance · Full Time · 13 days ago

SCAN Health Insurance

🌎 United States 💵 $25 - $32 per hour ⭐ 2-5 yrs exp 💼 Sales

Manage the end-to-end onboarding, reporting, and certification processes for internal and external sales agents. Coordinate with compliance, finance, and marketing departments to resolve contracting discrepancies and ensure data accuracy.

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Care Manager - LVN

SCAN Health Insurance · Full Time · 13 days ago

SCAN Health Insurance

🌎 United States 💵 $34.47 - $55.14 per hour ⭐ 2-5 yrs exp 💼 Healthcare

Coordinate high-quality care for members by managing authorizations, conducting pre-service and concurrent reviews, and facilitating discharge needs. Serve as the primary point of contact for patients, families, and providers to ensure timely delivery of services and medical supplies.

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Care Manager - LVN

SCAN Health Insurance · Full Time · 13 days ago

SCAN Health Insurance

🌎 United States 💵 $34.47 - $55.14 per hour ⭐ 2-5 yrs exp 💼 Healthcare

The Care Manager coordinates high-quality care for members by managing authorizations, conducting pre-service and concurrent reviews, and facilitating discharge needs. They serve as the primary point of contact for patients, families, and providers to ensure optimal care delivery and facility placement.

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Care Mgmt Coordinator

SCAN Health Insurance · Full Time · 13 days ago

SCAN Health Insurance

🌎 United States 💵 $23.51 - $34.03 per hour ⭐ 0-2 yrs exp 💼 Others

Coordinates and manages acute care services for patients during non-business hours to ensure continuity of care. Responsibilities include developing care plans, managing referrals, and ensuring documentation complies with ICD coding standards.

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Telesales Representative

SCAN Health Insurance · Full Time · 13 days ago

SCAN Health Insurance

🌎 United States ⭐ 2-5 yrs exp 💼 Others

Facilitate telephonic enrollment for health plans by presenting benefit information and verifying Medicare/Medi-Cal eligibility. Support field sales by scheduling appointments and managing prospect follow-ups via CRM.

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SCAN History, Summer Intern

SCAN Health Insurance · Full Time · 14 days ago

SCAN Health Insurance

🌎 United States 💵 $20 - $25 per hour ⭐ 0-2 yrs exp 💼 Others

The intern will conduct in-depth research using archives and interviews to document the organization's founding story. They will synthesize these findings into a cohesive narrative and a structured timeline of the organization's 50-year history.

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Network Management Implementation Specialist

SCAN Health Insurance · Full Time · 19 days ago

SCAN Health Insurance

🌎 United States 💵 $71700 - $103K per year ⭐ 2-5 yrs exp 💼 Others

Manage the end-to-end onboarding and offboarding processes for contracted medical groups and providers to ensure a seamless experience. Coordinate cross-functional tasks, maintain operational documentation, and support system modernization efforts to improve provider network efficiency.

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Retention Program Manager, Sr.

SCAN Health Insurance · Full Time · 20 days ago

SCAN Health Insurance

🌎 United States ⭐ 5-10 yrs exp 💼 Product

Oversee and manage multiple retention-focused projects and cross-functional workgroups to improve member experience and retention outcomes. Design and execute retention campaigns while providing data-driven insights and performance reports to senior leadership.

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Medical Management Specialist, LVN

SCAN Health Insurance · Full Time · 21 days ago

SCAN Health Insurance

🌎 United States 💵 $30.77 - $44.52 per hour ⭐ 5-10 yrs exp 💼 Healthcare

The Medical Management Specialist-LVN supports utilization management processes to ensure the medical necessity and cost-effectiveness of care for members. This includes conducting pre-service and concurrent reviews, managing complex medical cases, and coordinating safe discharges from inpatient settings.

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Medical Management Specialist, LVN

SCAN Health Insurance · Full Time · 21 days ago

SCAN Health Insurance

🌎 United States 💵 $30.77 - $44.52 per hour ⭐ 5-10 yrs exp 💼 Healthcare

The Medical Management Specialist-LVN supports utilization management processes to ensure the medical necessity and cost-effectiveness of care for members. This includes conducting pre-service and concurrent reviews, managing complex medical cases, and coordinating safe discharges from inpatient settings.

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Telesales Representative - SCAN Temp

SCAN Health Insurance · Full Time · 22 days ago

SCAN Health Insurance

🌎 United States ⭐ 2-5 yrs exp 💼 Others

Facilitate telephonic enrollment for health plans by presenting benefit information and verifying Medicare/Medi-Cal eligibility. Support field sales by scheduling appointments and conducting follow-up welcome calls to prospective members.

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Quality Auditor - Health Plan Operations

SCAN Health Insurance · Full Time · a month ago

SCAN Health Insurance

🌎 United States 💵 $25.38 - $36.76 per hour ⭐ 2-5 yrs exp 💼 Finance

Perform routine and targeted operational quality audits across health plan operations to ensure compliance with regulatory requirements and internal policies. Monitor accuracy and identify improvement opportunities to enhance the member and provider experience.

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SAL Advocate

SCAN Health Insurance · Full Time · a month ago

SCAN Health Insurance

🌎 United States 💵 $20 - $21.5 per hour ⭐ 0-2 yrs exp 💼 Others

Serve as the primary point of contact for members regarding benefits, eligibility, claims, and referrals. Ensure member satisfaction by providing quality customer service and resolving issues efficiently while adhering to regulatory guidelines.

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Marketing Analytics Analyst, Sr.

SCAN Health Insurance · Full Time · a month ago

SCAN Health Insurance

🌎 United States 💵 $80300 - $138K per year ⭐ 5-10 yrs exp 💼 Software Development

Responsible for creating marketing data strategies and implementing reports to optimize budget, spend, and campaign performance. The role involves collaborating with cross-functional teams to provide actionable insights for customer acquisition and retention.

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Member Services Advocate

SCAN Health Insurance · Full Time · 2 months ago

SCAN Health Insurance

🌎 United States 💵 $20 - $21.5 per hour ⭐ 0-2 yrs exp 💼 Support

Acts as a primary point of contact for members to resolve questions regarding benefits, eligibility, claims, and referrals. Ensures member satisfaction by providing high-quality customer service and coordinating resolutions with providers and internal departments.

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Manager, Pharmacy Operations

SCAN Health Insurance · Full Time · 2 months ago

SCAN Health Insurance

🌎 United States 💵 $80300 - $116K per year ⭐ 5-10 yrs exp 💼 Healthcare

Lead the pharmacy operations team to ensure regulatory compliance with CMS and other state requirements regarding prescription drug benefits. Oversee PBM operations, manage Part D reporting, and drive departmental goals through cross-functional collaboration.

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Broker Account Executive (Houston, TX)

SCAN Health Insurance · Full Time · 2 months ago

SCAN Health Insurance

🌎 United States 💵 $85000 - $105K per year ⭐ 5-10 yrs exp 💼 Sales

The Broker Account Executive is responsible for overseeing, training, and servicing the broker distribution channel to achieve sales targets for Medicare Advantage plans. This role involves maintaining relationships with agencies, ensuring regulatory compliance, and coordinating broker education and marketing campaigns.

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Sr. STARS Quality Analyst

SCAN Health Insurance · Full Time · 3 months ago

SCAN Health Insurance

🌎 United States 💵 $71700 - $103K per year ⭐ 5-10 yrs exp 💼 Others

This role is responsible for analyzing performance data within the Medicare Advantage STAR Program, supporting quality improvement initiatives, managing measure-level interventions, and ensuring the organization meets CMS STAR rating goals. The analyst will monitor, analyze, and develop insights on various STAR measures, perform root-cause analysis, and collaborate across departments to design and implement quality improvement strategies.

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Instructional Designer II

SCAN Health Insurance · Full Time · 3 months ago

SCAN Health Insurance

🌎 United States 💵 $71700 - $103K per year ⭐ 2-5 yrs exp 💼 Design

The Instructional Designer II is responsible for designing, developing, and implementing high-quality training programs and materials for employees and operations teams, collaborating with SMEs to create engaging learning experiences. This role ensures all training aligns with company goals and regulatory requirements, including conducting needs analysis, developing curricula, and evaluating program effectiveness.

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Sr. Claims Resolution Analyst

SCAN Health Insurance · Full Time · 4 months ago

SCAN Health Insurance

🌎 United States 💵 $64000 - $92602 per year ⭐ 5-10 yrs exp 💼 Legal

Senior Claims Resolution Analysts are responsible for investigating and resolving complex insurance claims by analyzing data, reviewing policies, communicating with stakeholders, and negotiating settlements. They may also mentor junior staff, guide difficult cases, and assist with process improvement initiatives.

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