Medicare Supplemental Benefits Sr. Manager

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 285,000 members in California, Arizona, Nevada, and Texas. 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

Lead the strategic direction and development of our Medicare Supplemental Benefits program by driving increased efficiency, service levels, and value. As the Senior Manager, Medicare Supplemental Benefits, you will set and execute strategies, oversee performance monitoring, and identify key opportunities for improvement. You will develop, plan, lead, monitor, and own multiple, concurrent supplemental benefits, utilizing cross-functional teams to deliver defined results requirements and ensure alignment with company objectives and long-term vision.

You Will

Develop and execute strategies for defined supplemental benefits, starting with dental with the potential to expand into additional high-impact offerings. * Lead Vendor Relations processes and develop best practices for business needs. * Act as the supplemental benefit authority and subject matter expert to the organization

Build collaborative partnerships with strategic vendors, including buy-in and support across all leadership levels internally, and within the vendor. * Manage a defined set of product implementations from simple to complex across markets, products, post-implementation transition to operations.

Responsible for overseeing vendor performance management by ensuring SLAs are met, monitoring KPIs and trends, creating vendor dashboards, , identifying areas for improvement, and driving accountability through regular performance reviews and corrective action plans.

Documenting and monitoring corrective actions taken to address identified deficiencies and maintaining compliance.

Developing and implementing a vendor performance program that includes analytics/metrics that measure value.

Ensure issues are identified and managed to resolution in a timely manner and deliverables are met as required.

Interpret internal stakeholder needs then collaborates with and provides guidance to vendor(s)/partner(s) to assure new capabilities and services are developed to meet identified internal needs.

Research and analyze internal and external information related to product development, including industry trends, competitor activities, and specific health service delivery systems.

Evaluate and source new opportunities to add or consolidate vendor partners.

Develop and refine new strategies to support supplemental benefits and assess annual supplemental benefits needs. * Collaborate with cross-functional teams including Product, Actuarial, Finance, and Clinical teams to align benefit design with affordability targets, utilization trends, and member experience goals. * Leverage member feedback, appeals and grievances data, and utilization insights in collaboration with member experience teams to improve benefit usability and satisfaction.

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

Actively support the achievement of SCAN's Vision and Goals.

Other duties as assigned.

Your Qualifications

Bachler's Degree or equivalent experience preferred

5-7 years of related experience.

Proficient in Microsoft Office Suite

Ability to develop and operationalize long-term strategies for supplemental benefit programs that align with organizational goals and member needs. - Vendor Management & Performance Oversight

Skilled in establishing vendor relationships, setting service level expectations, driving accountability through KPIs and dashboards, and managing corrective actions when needed.

Cross-Functional Leadership - Proven ability to partner with internal teams including Product, Finance, Clinical, and Actuarial to align benefit design with compliance, affordability, and experience goals.

Data-Driven Decision Making - Strong analytical skills to leverage member feedback, utilization trends, and grievance insights to inform benefit enhancements and optimize program performance.

Product Development & Benefit Optimization - Expertise in sourcing, launching, and refining supplemental benefits, from ideation to implementation, with continuous improvement based on market insights and organizational priorities. If you're building a job description or prepping for leveling discussions, I can help weave these into competency statements or translate them into evaluation criteria. Want to take it there?

Skilled in establishing vendor relationships, setting service level expectations, driving accountability through KPIs and dashboards, and managing corrective actions when needed.

Proven ability to partner with internal teams including Product, Finance, Clinical, and Actuarial to align benefit design with compliance, affordability, and experience goals.

Strong analytical skills to leverage member feedback, utilization trends, and grievance insights to inform benefit enhancements and optimize program performance.

Expertise in sourcing, launching, and refining supplemental benefits, from ideation to implementation, with continuous improvement based on market insights and organizational priorities.

What's in it for you?

• Base Pay Range: $125,400 - $181,419 Salary
• Work Mode: Mostly Remote
• An annual employee bonus program
• Robust Wellness Program
• Generous paid-time-off (PTO)
• 11 paid holidays per year, 1 floating holiday, birthday off, and 2 volunteer days
• Excellent 401(k) Retirement Saving Plan with employer match
• 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.