SCAN Health Insurance

Bilingual Care Coordinator - SNP

SCAN Health Insurance · Full Time · 4 days ago

SCAN Health Insurance

🌎 United States 💵 $21.78 - $25 per hour ⭐ 0-2 yrs exp 💼 Healthcare

The Care Coordinator will assess, plan, and monitor the holistic needs of members to support their health and independence. They will act as a primary point of contact for members and providers to facilitate access to benefits and community resources.

security spanish medical english communication feedback training critical-thinking interviewing documentation organization medical-terminology coaching

APPLY

Care Manager - LVN

SCAN Health Insurance · Full Time · 7 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 utilization reviews, and facilitating discharge needs from acute and skilled nursing settings. Serve as the primary point of contact for patients, families, and providers to ensure timely delivery of services and medical supplies.

medical organization mentoring

APPLY

Director, Provider Data Operations

SCAN Health Insurance · Full Time · 7 days ago

SCAN Health Insurance

🌎 United States 💵 $147K - $205K per year ⭐ 10+ yrs exp 💼 Others

Leads end-to-end provider data operations to ensure a single source of truth for provider intelligence across the enterprise. Drives strategy for data accuracy, governance, and AI-enabled automation to support regulatory compliance and operational efficiency.

insurance medical operations training staffing leadership data-management organization compliance

APPLY

Member Service Rep

SCAN Health Insurance · Full Time · 7 days ago

SCAN Health Insurance

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

Acts as a primary point of contact for members to resolve questions regarding benefits, eligibility, claims, and referrals. Ensures high member satisfaction by providing professional support and coordinating solutions across various departments.

insurance customer-service call-center medical communication training organization

APPLY

Telesales Representative

SCAN Health Insurance · Full Time · 12 days ago

SCAN Health Insurance

🌎 United States ⭐ 2-5 yrs exp 💼 Others

Assess health plan needs for prospective members and facilitate telephonic enrollment while adhering to CMS regulatory guidelines. Support field sales by scheduling appointments and conducting follow-up welcome calls to new members.

insurance customer-service medical crm training organization

APPLY

Medical Management Assistant (SCAN Temp)

SCAN Health Insurance · Full Time · 19 days ago

SCAN Health Insurance

🌎 United States 💵 $20.14 - $27.77 per hour ⭐ 2-5 yrs exp 💼 Healthcare

Supports the Medical Management department by processing provider calls, faxes, and inpatient data into the case management system. Responsible for authorizing services and verifying member eligibility and benefits to ensure quality care delivery.

assistant medical communication reporting operations training organization medical-terminology compliance

APPLY

Sales Operations Analyst, Sr.

SCAN Health Insurance · Full Time · a month ago

SCAN Health Insurance

🌎 United States 💵 $30.77 - $42.4 per hour ⭐ 5-10 yrs exp 💼 Sales

The role manages the end-to-end sales commission process and provides analytics on incentive compensation plans. It involves auditing data for accuracy, resolving payment discrepancies, and partnering with Finance and HR to optimize sales performance.

APPLY

Network Management Implementation Specialist

SCAN Health Insurance · Full Time · a month 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 transition. Coordinate cross-functional tasks, maintain operational workflows, and support system modernization efforts to improve provider experience and data integrity.

APPLY

Manager, Pharmacy Experience and Access

SCAN Health Insurance · Full Time · a month ago

SCAN Health Insurance

🌎 United States 💵 $147K - $214K per year ⭐ 5-10 yrs exp 💼 Healthcare

Oversee the design and implementation of the Part D program, ensuring CMS compliance and operational excellence for a senior-focused Medicare Advantage Plan. Manage the contracted pharmacy benefit manager (PBM) and lead the Pharmacy Experience & Access team to optimize member experience and clinical operations.

APPLY

Senior End User Support Specialist

SCAN Health Insurance · Full Time · a month ago

SCAN Health Insurance

🌎 United States 💵 $34.47 - $47.5 per hour ⭐ 5-10 yrs exp 💼 Support

Provide high-level technical support and troubleshooting for software and hardware while acting as a bridge between Help Desk Technicians and Infrastructure Engineering. Manage workflow for Help Desk staff and handle escalated technical issues to ensure customer satisfaction.

APPLY

Director, Special Investigations Unit - AHFI

SCAN Health Insurance · Full Time · 2 months 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.

APPLY

Bilingual Concierge Advocate

SCAN Health Insurance · Full Time · 2 months 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.

APPLY

Medical Management Specialist, LVN

SCAN Health Insurance · Full Time · 2 months 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.

APPLY

Telesales Representative - SCAN Temp

SCAN Health Insurance · Full Time · 2 months 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.

APPLY

SAL Advocate

SCAN Health Insurance · Full Time · 2 months 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.

APPLY

Member Services Advocate

SCAN Health Insurance · Full Time · 3 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.

APPLY

Manager, Pharmacy Operations

SCAN Health Insurance · Full Time · 3 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.

APPLY

Broker Account Executive (Houston, TX)

SCAN Health Insurance · Full Time · 3 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.

APPLY

Sr. STARS Quality Analyst

SCAN Health Insurance · Full Time · 5 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.

APPLY