Medicare Compliance Project Manager (SCAN TEMP)

SCAN Health Insurance • Long Beach, CA

12d • $44 - $64 • Hybrid

About The Position

The Medicare Compliance Project Manager SCAN TEMP supports the execution of enterprise compliance initiatives by leading and coordinating cross-functional projects tied to Medicare Advantage (MA), Prescription Drug (Part D), and FIDE-SNP regulatory requirements. This role partners closely with Compliance, Operations, Legal, and business stakeholders to ensure regulatory changes are implemented accurately, compliance risks are identified and addressed, and projects are delivered on time. The position requires strong project management discipline, regulatory knowledge, and the ability to translate complex requirements into actionable plans while maintaining audit-ready documentation and supporting a proactive compliance environment. This is a temporary position for a limited time, not to exceed 6 months.

Requirements

• Regulatory Expertise- Demonstrates working knowledge of CMS and state regulatory requirements, including Medicare Advantage, Part D, and Medicaid programs, and applies regulatory guidance to support compliance activities, monitoring, and issue resolution.
• Analytical and Critical Thinking- Applies strong analytical and critical thinking skills to evaluate regulatory requirements, assess control effectiveness, identify compliance risks, and support problem-solving efforts across complex operational scenarios.
• Attention to Detail & Documentation Demonstrated attention to detail to ensure accuracy, completeness, and audit ready documentation in compliance analyses, reporting, and governance materials.
• Effective Written & Verbal Communication- Communicates clearly and professionally in both written and verbal formats, translating complex regulatory requirements into practical guidance and preparing concise documentation, summaries, and reports for stakeholders.
• Advisory & Consultative Skills- Ability to provide practical, risk-based guidance and professional challenge to business partners while maintaining second line independence and avoiding operational execution.
• Organizational & Time Management Skills- Strong ability to manage multiple priorities, regulatory timelines, and competing demands in a dynamic, highly regulated environment.

Nice To Haves

• We seek Rebels who are curious about AI and its power to transform how we operate and serve our members.

Responsibilities

• Coordinates cross-functional compliance projects by coordinating tasks, tracking deliverables, and maintaining project plans to ensure milestones and regulatory deadlines are met.
• Collaborates with stakeholders to gather requirements, document project scope, and monitor progress, escalating risks, or delays to ensure timely resolution.
• Supports the identification, documentation, and escalation of compliance issues and tracks corrective actions to promote timely resolution and mitigation of risks.
• Manages implementation of regulatory or process change initiatives by tracking action items, facilitating status updates, and ensuring alignment across impacted teams.
• Maintains complete, accurate, and audit-ready documentation and supports internal and external audits by providing timely responses and required materials.
• Identifies opportunities to enhance compliance processes and supports implementation of improvements to increase efficiency, strengthen controls, and reduce regulatory risk.
• Monitors and analyzes federal and state regulatory requirements impacting Medicare Advantage and Prescription Drug (MAPD) and FIDE-SNP operations, conducting impact assessments, and supporting the timely and accurate implementation of regulatory changes.
• Executes compliance monitoring activities to evaluate the effectiveness of operational controls, documents findings, and identifies potential compliance risks.
• Supports alignment between Medicare (CMS) and Medi-Cal (DHCS) requirements by identifying potential gaps, overlaps, or conflicts within FIDE-SNP operations.
• Contributes to project reporting by preparing status summaries, tracking key risks and dependencies, and supporting leadership visibility into compliance initiatives.
• Actively support the achievement of SCAN’s Vision and Goals.
• Other duties as assigned.

Benefits

• Robust Wellness Program
• Excellent 401(k) Retirement Saving Plan with employer match
• An opportunity to become part of a team that makes a difference to our members and our community every day!
• A competitive compensation and benefits program
• An annual employee bonus program
• Generous paid-time-off (PTO)
• Eleven paid holidays per year
• Excellent Retirement Savings program
• A work-life balance

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed