[Hiring] Medicare Compliance Intern @SCAN Health Insurance

Role Description

The Medicare Compliance Intern supports the Medicare Advantage and Prescription Drug (MAPD) Compliance Program by assisting with regulatory research, oversight activities, documentation support, and tracking/trending efforts related to federal, state, and delegated entity compliance requirements. This summer only internship is designed for undergraduate and graduate students interested in healthcare compliance, regulation, audit, or public health. The intern will gain exposure to the regulatory oversight framework used by CMS, California Department of Health Care Services (DHCS), and other applicable state regulators, as well as compliance oversight of delegated entities (FDRs).

The role works under the direction of Compliance leadership and supports second line compliance activities, including regulatory analysis, audit readiness support, and cross functional coordination, without engaging in day to day operational execution.

You Will

• Regulatory Research & Analysis: Conduct research and summarization of federal and state regulatory requirements applicable to MAPD plans, including CMS guidance, DHCS requirements (as applicable), and other state regulatory expectations; prepare concise written summaries and comparison tables for Compliance leadership.
• Tracking & Documentation: Maintain trackers for regulatory requirements, oversight activities, and compliance deliverables (e.g., guidance reviews, evidence requests, attestations, and corrective action tracking), ensuring accuracy, completeness, and audit‑ready documentation standards.
• Project Coordination Support: Provide project management support for compliance oversight activities that require coordination with cross-functional stakeholders (e.g., meeting notes, action item tracking, timeline monitoring, deliverable follow-ups, and status reporting).
• Audit Readiness & Documentation Support: Assist with compilation, organization, and quality checks of audit documentation (e.g., evidence inventories, document indexing, version control, completeness checks) to support readiness for CMS, DHCS, and state regulatory reviews.
• Tracking, Trending, and Insights: Support trending and analysis of compliance-related data points (e.g., findings, corrective action tracking, recurring issues, timeliness measures), and draft simple summaries to support compliance reporting and governance materials.
• Documentation & Governance Support: Draft, format, and update compliance program artifacts (e.g., trackers, job aids, presentations, meeting agendas/minutes, and internal communications) under supervision, ensuring clarity and audit-ready documentation standards.
• Cross-Functional Collaboration: Coordinate with business owners to gather information needed for compliance oversight activities (e.g., attestations, evidence requests, status updates), while maintaining professional, service-oriented communication.
• Continuous Improvement Support: Identify opportunities to improve documentation organization, tracker design, process efficiency, and knowledge management; recommend updates to templates/tools that support consistency and audit readiness.
• Delegation Oversight Support: Assist the team in tracking oversight activities related to delegated entities (e.g., document reviews, monitoring artifacts, status logs). Help organize materials supporting delegated compliance monitoring and reporting.

Qualifications

• Current enrollment in an undergraduate or graduate program (e.g., Public Health, Health Administration, Public Administration, Business, Policy, Nursing, Legal Studies, Data Analytics, or related field).
• Demonstrated academic or work experience involving research, writing, data organization, analysis, or project coordination (coursework, internships, or student employment acceptable).
• Interest in health plan operations, Medicare/Medicaid, healthcare regulation, compliance, audit, or risk management.
• Familiarity with documentation standards, file organization, or evidence compilation (e.g., for audits, accreditation, or quality reviews).
• Research & Writing Skills: Ability to synthesize complex information into clear, organized summaries for business and compliance audiences.
• Analytical Skills: Ability to identify themes, gaps, and trends across documents/data and communicate insights.
• Attention to Detail: Demonstrated accuracy in document handling, version control, and audit-ready organization.
• Professional Communication: Ability to communicate respectfully and effectively with cross-functional stakeholders; comfortable asking clarifying questions and providing status updates.
• Project Coordination: Ability to manage multiple tasks, track action items, and meet deadlines in a dynamic environment.
• Discretion & Professionalism: Ability to handle sensitive information with discretion and follow confidentiality expectations.
• Continuous Improvement Mindset: Interest in improving templates, trackers, and ways of working through organization and smart use of tools (including AI where appropriate).

Benefits

• Base Pay Range: $20.00- $25.00 per hour
• Work Mode: Mostly Remote
• Summer Internship Program is from 5/26 - 8/14
• An opportunity to become part of a team that makes a difference to our members and our community every day!