About SCAN

SCAN Group is a not-for-profit organization dedicated to tackling the most pressing issues facing older adults in the United States. SCAN Group is the sole corporate member of SCAN Health Plan, one of the nation’s leading not-for-profit Medicare Advantage plans, serving more than 270,000 members in California, Arizona, and Nevada. SCAN has been a mission-driven organization dedicated to keeping seniors healthy and independent for more than 40 years and is known throughout the healthcare industry and nationally as a leading expert in senior healthcare. SCAN employees are a group of talented, passionate professionals who are committed to supporting older adults on their aging journey, while also innovating healthcare for seniors everywhere. Employees are provided in-depth training and access to state-of-the-art tools necessary to do their jobs, as well as development and growth opportunities. SCAN takes great pride in recognizing our team members as experts in their fields and rewarding them for their efforts. If you are interested in becoming part of an organization that is innovating senior healthcare visit www.thescangroup.org, www.scanhealthplan.com, or follow us on LinkedIn, Facebook, and Twitter.

The Job

Responsible for implementing Population Health Management (PHM) strategy to execution in collaboration with internal business/IT stakeholders within the Health Plan and with external stakeholders and provider groups. Define and consolidate PH strategy, facilitate cross-functional discussions based on Population Health and NCQA guidelines/standards. Facilitate cross-functional teams to share insights, design solutions and implement solutions and processes.

You Will

Defines and leads implementation of PHM strategy rooted in data. Leads PHM-dedicated team to consolidate and synthesize cross-functional inputs to build cohesive strategic plan.

Responsible for leading day to day strategy to execution for all PHM programs and services in collaboration with internal business/IT stakeholders and external provider groups. This includes program update, program changes, risks and issues associated to the program and escalating to Senior leadership for action.

Performs root cause analysis for PHM opportunities using relevant techniques and data. This role facilitates strategy and design in collaboration with cross-functional teams to design and implement solutions and processes.

Understands and applies PHM and NCQA guidelines/standards for the identification of business needs, data needs and provider needs to identify opportunities and develop solutions and processes.

Synthesizes information and partners with internal and external teams to create business and functional specifications/requirements by facilitating cross functional meetings and workshops of business and IT stakeholders.

Collaborates with Senior Leadership to align on PHM interventions and company direction to inform cross-functional decision making.

Analyzes data, translates insights from the data, coordinates data collection and analysis to measure impact of designed interventions based on defined key performance indicators and PHM outcome metrics.

Partners with the project management to create an action plan for implementing recommendations. Tracks and develops mitigation plans (where possible) for risks and constraints facing the team.

Fosters positive working relationships with internal and external stakeholders to gain buy-in and enable seamless implementation.

Communicates effectively with stakeholders at all levels to identify needs and evaluate alternative business solutions with support from project management.

Continually seeks opportunities to increase customer satisfaction and deepen client and vendor relationships.

Functions as an expert in process redesign and process expert to the team, providing guidance as needed. Develops talent in PHM team and across the organization to build institutional awareness of PHM interventions.

Maintains professional and technical knowledge by attending educational workshops; reviewing professional publications; establishing personal networks; participating in professional societies.

Actively supports the achievement of SCAN’s Vision and Goals.

Other duties as assigned.

Your Qualifications

Bachelor’s degree in a relevant subject area such as Public Health, Nursing, Health Administration, Social Work, Business Administration, or related field. MBA is preferred. A comparable combination of education/experience and/or training will be considered equivalent to the education listed.

Proficient in applications (i.e. Visio and Workflow Diagrams) and experience to effectively communicate current state and future state, including program evaluation.

8+ years of professional experience.

8+ years of healthcare experience.

Relevant experience in the management of population health related programs.

Strong understanding of Project Management discipline.

Excellent presentation skills with ability to communicate a visual story.

Ability to communicate difficult/sensitive information tactfully.

Ability to facilitate effective cross functional team interaction.

Strong experience in writing business and functional requirements and facilitating workshop sessions to gather requirements.

Covid-19 Vaccination Policy

To ensure a healthy and safe work environment, if you are selected for this position, your job offer with SCAN Health will be contingent upon being fully vaccinated and providing proof of your COVID-19 vaccine within 3 days after your start date. Generally, you are considered fully vaccinated 14 days after receiving the last dose, as recommended by the manufacturer, of a vaccine that has been authorized by the FDA for use in the United States, including vaccinations that have been approved pursuant to an Emergency Use Authorization. If fully vaccinated outside of the United States, the vaccination must be listed for emergency use by the World Health Organization (WHO). If you cannot receive the vaccine because of a disability/medical reason or sincerely-held religious belief, you may request an accommodation to this requirement by contacting COVID-19 Vaccination Policy. Learn more about the COVID-19 vaccination here - https://www.cdc.gov/coronavirus/2019-ncov/vaccines/index.html

What's in it for you?

• Base salary range: $ 92,400 to 147,800 / year
• An annual employee bonus program
• Robust Wellness Program
• Generous paid-time-off (PTO)
• Ten paid holidays per year, plus 1 additional floating 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.

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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)