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SCAN

Not-for-profit Medicare Advantage plan for seniors

Director of Market Performance

Business OperationsConfirmed live in the last 24 hours
Full-timeLong Beach, CA, USAHybrid

About the Job

Requirements

  • A bachelor's degree or equivalent experience in Business Administration, Health Care Administration, Public Health, Finance, Operations, Analytics, or a related field.
  • A graduate or advanced degree or equivalent experience.
  • At least 7 years of progressively responsible experience in provider performance, health plan operations, provider relations, value-based care, population health, risk adjustment, quality improvement, analytics, or operational transformation.
  • Prior leadership experience developing enterprise programs, performance frameworks, provider engagement strategies, or cross-functional initiatives.
  • Strong knowledge of health plan operations, provider performance management, value-based care, quality improvement, Stars performance, risk adjustment, and provider engagement strategies.
  • Ability to translate complex data, analytics, and performance insights into actionable strategies, executive-ready reporting, and operational improvement plans.
  • Ability to develop provider-facing materials, executive presentations, dashboards, playbooks, and training content.
  • Ability to define cross-functional key performance indicators, scalable processes, governance structures, service models, and performance improvement frameworks across multiple markets.
  • Strong program management, analytical, problem-solving, decision-making, and organizational skills.
  • Advanced relationship management, stakeholder engagement, and partnership-building capabilities.
  • Ability to manage competing priorities and lead complex initiatives in a fast-paced, matrixed environment.
  • Ability to promote innovation, continuous improvement, and adoption of new technologies, including artificial intelligence-enabled solutions.
  • Advanced technical skills with Microsoft Office Suite, Visio, and SQL.
  • A background check is required.

Responsibilities

  • Lead the development, maintenance, and continuous improvement of enterprise-wide provider performance playbooks, frameworks, and execution standards across all markets.
  • Partner with subject matter experts and business leaders to define, operationalize, and monitor key performance indicators across quality, cost, growth, member experience, access, risk adjustment, coding accuracy, and provider performance.
  • Design scalable methodologies to identify performance opportunities, document interventions, track outcomes, and measure provider group and market-level performance improvement.
  • Translate data, analytics, and performance insights into actionable provider interventions that improve quality outcomes, Stars performance, affordability, coding accuracy, access, and member experience.
  • Create standardized performance improvement tools, executive-ready reporting, provider-facing materials, scorecards, dashboards, training content, and engagement resources.
  • Establish governance processes to monitor performance trends, identify risks, evaluate intervention effectiveness, and recommend corrective actions across provider partners and markets.
  • Serve as the business lead for operational initiatives that impact provider performance, including encounter submission onboarding, gap closure processes, provider training, vendor management, and audit reporting frameworks.
  • Drive implementation of innovative provider performance and operational transformation programs, including advanced coding accuracy initiatives and technology-enabled process improvements.
  • Lead change management and training efforts to support adoption of provider engagement standards, performance improvement programs, reporting practices, and market performance strategies.
  • Design and implement the long-term provider service model strategy, including provider-facing support functions, shared service models, centralized intake, case routing, escalation processes, customer relationship management strategy, provider portals, and service model enhancements.
  • Actively support the achievement of SCAN’s Vision and Goals.
  • Perform other duties as assigned.

Desired Qualifications

  • Experience supporting Medicare Advantage, managed care, value-based care, provider network performance, or health plan operations.
  • Experience leading enterprise-wide performance improvement programs, provider engagement strategies, shared service models, or technology-enabled operational transformation initiatives.
  • Experience with dashboards, scorecards, provider reporting, customer relationship management platforms, provider portals, data analytics tools, or performance management systems.

About the Company

SCAN

Not-for-profit Medicare Advantage plan for seniors

SCAN provides health coverage for seniors through Medicare Advantage and offers community programs like Independence at Home and Volunteer Action for Aging. Members enroll in SCAN’s Medicare Advantage plan to receive medical benefits, and SCAN also runs in-home care and community services that support aging in place, funded by the organization and partners. It differentiates itself as a not-for-profit with a long history (since 1977) focused on seniors and caregivers and backed by strong employee benefits and community engagement. The goal is to help seniors stay healthy and independent by improving access to care and strengthening the communities the organization serves.

Company size
1,001-5,000
Company stage
Not listed
Total funding
Not listed
Headquarters
Long Beach, CA
Founded
1977

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