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SCAN

Not-for-profit Medicare Advantage plan for seniors

Senior Program Manager - Market Performance

Program ManagementConfirmed live in the last 24 hours
Full-timeHybrid

About the Job

Requirements

  • A bachelor's degree or equivalent experience.
  • At least 5 years of experience in healthcare operations, provider network management, managed care, value-based care, consulting, population health, or related industries.
  • Experience managing complex cross-functional projects and enterprise initiatives.
  • Experience supporting performance improvement programs and operational excellence efforts.
  • Knowledge of Medicare Advantage, provider networks, healthcare delivery systems, or health plan operations.
  • Experience using data and analytics to identify business opportunities and support decision-making.
  • Demonstrated ability to develop reports, presentations, dashboards, and executive-ready materials.
  • Experience collaborating with provider organizations, health systems, delegated entities, or healthcare stakeholders.
  • Strong understanding of project management methodologies and change management principles.
  • Experience supporting technology implementations, business process redesign, or operational transformation initiatives.
  • Ability to manage multiple priorities in a fast-paced environment.
  • Strong written and verbal communication skills, including executive-level presentation development.
  • Strong organization, prioritization, and project management capabilities.
  • Strong analytical and quantitative skills, including the ability to interpret complex data.
  • Ability to influence stakeholders and drive execution without direct authority.
  • Ability to manage multiple initiatives simultaneously and meet deadlines.
  • Ability to synthesize market intelligence, competitive insights, provider performance data, and operational considerations into clear recommendations and business cases.
  • Experience developing scalable processes, playbooks, and operating procedures.
  • Advanced proficiency with reporting, dashboarding, and performance monitoring tools.
  • Advanced proficiency with Microsoft Word, Excel, PowerPoint, Outlook, and Teams.
  • A background check is required.

Responsibilities

  • Coordinate and manage initiatives that improve market and provider performance across quality, growth, member experience, access to care, risk adjustment, and cost management; translate strategic objectives into actionable workplans, timelines, and deliverables.
  • Partner with General Managers, Provider Relations, performance subject matter experts, and Analytics teams to create dashboards, scorecards, and reporting tools that track market and provider performance; monitor trends and identify emerging risks and opportunities for improvement.
  • Develop, maintain, and update standardized playbooks, best practices, and operational procedures, ensuring consistent application of performance improvement methodologies across markets.
  • Partner with General Managers and Provider Relations to support provider engagement activities, performance reviews, training programs, and improvement initiatives; help develop provider-facing reports, presentations, and performance materials.
  • Manage complex projects involving multiple stakeholders and business functions; facilitate meetings, track milestones, manage risks, and ensure successful completion of key deliverables.
  • Conduct research and analysis on network performance, provider engagement, market dynamics, competitive intelligence, and operational effectiveness; develop recommendations based on data and performance findings; coordinate market assessments, opportunity analyses, and business case development for prospective markets, provider segments, and growth opportunities.
  • Support initiatives related to market expansion evaluations, provider service model enhancements, operational improvements, and other strategic projects; coordinate implementation activities, monitor progress against goals, and monitor vendor deliverables, performance metrics, and project outcomes.
  • Support development and delivery of training, communications, and change management activities to enable adoption of new programs, processes, and tools; promote operational consistency and knowledge sharing across markets.
  • Actively support the achievement of SCAN’s Vision and Goals.
  • Perform other duties as assigned.

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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