[Hiring] Supervisor, Care Management @SCAN Health Insurance

Role Description

Contributes to the care and well-being of SCAN's most complex members, empowering members to age in place by overseeing the day-to-day operations and outcomes of a multidisciplinary care management team. Defines daily priorities for telephonic and field staff and responsible for team compliance with all regulatory requirements, clinical standards and internal policies and procedures so staff can focus on addressing members’ care management needs, supporting navigation of the healthcare system, and responding to and resolving escalated issues with compassion and efficiency. Implements and oversees chronic disease management programs.

• Supervises the day-to-day operations, productivity, and quality of a multidisciplinary team to ensure alignment with and achievement of department goals and objectives.
• Monitors performance and compliance with regulatory requirements, clinical standards, and internal policies and procedures through frequent oversight of reports and auditing.
• Acts as subject matter expert for team, members, providers, internal and external departments for interpretation and administration of various benefits/programs.
• Ensures that department policy and procedures, desktop procedures, workflows, job aides, training materials, are current and accurately reflect processes.
• Demonstrates high level organizational, analytical, critical thinking, and leadership skills to resolve issues and assist team members.
• Facilitates team meetings, keeps accurate documentation, and leads special projects.
• Uses advanced motivational interviewing techniques to understand and accurately address member concerns.
• Provides staff coaching and education to both telephonic and field-based staff.
• Maintains skill in software applications that are integral to the job functions and assumes role of primary trainer.
• Adhere to all quality, compliance, and regulatory standards.
• Supervises/Manages Others (i.e. hires, performance reviews, corrective action, etc.)
• Actively support the achievement of SCAN’s Vision and Goals.
• Other duties as assigned.

Qualifications

• Required: Bachelor's Degree or equivalent experience.
• Preferred: Graduate or Advanced Degree or equivalent experience.
• 2+ years experience working in managed care, healthcare environment, or case management.
• 2+ years working with seniors and working remotely strongly preferred.
• Spanish speakers preferred.
• Leadership - Basic skills to develop others.
• Problem Solving - Basic problem-solving skills.
• Communication - Good communication and interpersonal skills.
• Bilingual ability strongly preferred.
• Strong interpersonal skills, including excellent written and verbal communication skills.
• Strong organizational skills.
• Strong critical thinking skills.
• Ability to collaborate effectively within a multidisciplinary team.
• Ability to appropriately maintain confidentiality.
• Strong knowledge of medical terminology and abbreviations.
• Deep understanding of CMS and DHCS regulations, including Special Needs Plan requirements.
• Deep understanding of local community resources for seniors.

Benefits

• Base salary range: $80,300 to $130,000 per year.
• Work Mode - Mostly Remote: Employees who reside outside the local area are expected to work remotely and travel to SCAN's headquarters approximately once per month.
• An annual employee bonus program.
• Robust Wellness Program.
• Generous paid-time-off (PTO).
• Eleven paid holidays per year, plus 1 floating holiday, plus 1 birthday 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!

Company Description

Founded in 1977 as the Senior Care Action Network, SCAN began with a simple but radical idea: that older adults deserve to stay healthy and independent. Today, SCAN is a nonprofit health organization serving more than 500,000 people across Arizona, California, Nevada, New Mexico, Texas, and Washington, with over $8 billion in annual revenue.

With nearly five decades of experience, we have built a distinctive, values-driven platform dedicated to improving care for older adults. Our work spans Medicare Advantage, fully integrated care models, primary care, care for the most medically and socially complex populations, and next-generation care delivery models.

At SCAN, we believe scale should strengthen—not dilute—our mission. We are building the future of care for older adults, grounded in purpose, accountability, and respect for the people and communities we serve.