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Scan Health Plan Jobs (NOW HIRING)

SCAN

Associate General Counsel

Long Beach, CA · Hybrid

Today, SCAN is a nonprofit health organization serving more than 500,000 people across Arizona ... Performs legal research and provides legal and regulatory counsel on issues relating to health plan ...

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How much do scan health plan jobs pay per week?

As of Jun 6, 2026, the average weekly pay for scan health plan in the United States is $2,070.81, according to ZipRecruiter salary data. Most workers in this role earn between $1,836.54 and $2,326.92 per week, depending on experience, location, and employer.

What is Scan Health Plan?

Scan Health Plan is a not-for-profit Medicare Advantage health plan that provides medical coverage and health services primarily to seniors. Founded in 1977, Scan Health Plan focuses on helping older adults stay healthy and independent by offering a variety of Medicare Advantage plans, including those with prescription drug coverage. The organization serves members in several states and is known for its emphasis on preventive care, chronic disease management, and personalized support services. Their plans often include additional benefits such as dental, vision, and wellness programs beyond what traditional Medicare offers.

What are the key skills and qualifications needed to thrive as a Health Plan Administrator, and why are they important?

To thrive as a Health Plan Administrator, you need a solid background in healthcare management, knowledge of insurance regulations, and typically a degree in healthcare administration or a related field. Familiarity with claims processing systems, health information management software, and regulatory compliance tools is essential. Excellent organizational, problem-solving, and interpersonal communication skills help in managing complex workflows and engaging with diverse stakeholders. These skills ensure efficient plan operations, regulatory compliance, and high-quality member services.

What is the difference between Scan Health Plan vs Medical Claims Processor?

AspectScan Health PlanMedical Claims Processor
Primary RoleHealth insurance plan administration and member servicesProcessing and reviewing medical insurance claims
Required CredentialsHealth insurance knowledge, customer service skillsMedical coding, claims processing certifications
Work EnvironmentOffice-based, healthcare insurance industryOffice or remote, healthcare insurance industry
Employer & Industry UsageHealth insurance providers, managed care organizationsInsurance companies, healthcare providers

Scan Health Plan focuses on managing health insurance plans and member services, while Medical Claims Processors handle the review and processing of medical claims. Both roles operate within the healthcare insurance industry but have different responsibilities and required skills.

What are some common challenges faced by team members working at Scan Health Plan, and how can they be addressed?

Team members at Scan Health Plan often navigate a dynamic healthcare environment where adapting to regulatory changes and ensuring high-quality member service are key challenges. Collaborating closely with cross-functional departments, such as clinical, customer service, and IT, is essential for addressing these challenges efficiently. Staying up-to-date with healthcare regulations and maintaining clear communication within multidisciplinary teams helps ensure smooth operations and positive outcomes for members. Employees are encouraged to use internal resources, participate in training programs, and seek mentorship to build resilience and expertise.
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What states have the most Scan Health Plan jobs? States with the most job openings for Scan Health Plan jobs include:
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Scan Health Plan jobs near you
Quality Auditor - Health Plan Operations

Quality Auditor - Health Plan Operations

SCAN Group

Remote

Full-time

Retirement, PTO

Posted 12 days ago

Job 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. That belief was championed by a group of community activists we still honor today as the "12 Angry Seniors." Their mission continues to guide everything we do.
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. Across all of this, we are united by a shared commitment: combining compassion with discipline, innovation with stewardship, and growth with integrity.
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.
The Job
The Quality Auditor will perform routine and targeted operational quality audits across health plan operations including but not limited to Claims, Grievances and Appeals, Enrollment, Configuration, Provider Data and/or Letters/Materials to ensure compliance with regulatory requirements, internal policies, contractual obligations, and operational standards. This role monitors quality, accuracy, identifies opportunities for improvements that will enhance member and provider experience.
You Will
  • Ensure regulatory compliance and overall quality and efficiency by utilizing strong working knowledge of Claims, Grievances and Appeals, Enrollment, Configuration, Provider Data and/or Letters/Materials standards for assigned business process
  • Work assigned cases through SCANs workflow system, and applies correct status attributes to track and trend issues. Notate cases/audits with required detail to ensure that others understand status of case/audit and final resolutions.
  • Work closely with other business units to ensure processing errors are reviewed and corrected
  • Follow policies and procedures in order to maintain efficient and compliant operations; communicate suggestions for improvement and efficiencies to management; identify and report problems with workflows following proper departmental procedures; actively participate in departmental staff meetings and training sessions.
  • Follow all appropriate Federal and State regulatory requirements and guidelines applicable to SCAN Health Plan operations or as documented in company policies and procedures.
  • Provide a high level of customer service to internal customers by consistently meeting and/or exceeding team expectations including but not limited to quality, productivity and attendance.
  • Escalate appropriate audit issues to management as required and follow departmental/organizational policies and procedures.
  • Maintain required levels of production and quality standards as established by management. Participate in and supports ad-hoc audits as needed.
  • Contribute to overall department success by participating in department initiatives, effective communication and collaboration with all members of the SCAN team through knowledge and idea sharing, take ownership to identify and report issues to appropriate management staff for resolution and work actively with the SCAN team to improve the support to our Members and Providers.
  • Contribute to team effort by accomplishing related results as needed.
  • Actively support the achievement of SCAN's Vision and Goals.
  • We seek Rebels who are curious about AI and its power to transform how we operate and serve our members.
  • Other duties as assigned.

Your Qualifications
  • Associate's degree preferred or equivalent experience
  • 3+ years complex auditing processing and/or auditing experience in the health plan, healthcare, or managed care organization with experience in Claims, Grievances and Appeals, Enrollment, Configuration, Provider Data and/or Letters/Materials.
  • Must be proficient in processing/auditing for Medicare and Medicaid plans.
  • 3+ years' experience in managed healthcare environment related to Claims, Grievances and Appeals, Enrollment, Configuration, Provider Data and Letters/Materials processing/audit processing/audit.
  • Strong organizational, analytical thinking and accounting skills; oral and written communication skills
  • Strong knowledge of CMS requirements regarding auditing processing
  • Completion of health insurance training and medical terminology or equivalent knowledge through on-the-job training and experience.
  • Knowledge of health care benefit structures and insurance procedures, as they exist in a Managed Care environment.
  • Strong PC Skills. Microsoft Office (Word, Excel, Outlook, Teams) are required.

What's in it for you?
  • Base wage range: $25.38 to $36.76 per hour
  • Work Mode: Remote
  • Annual bonus program
  • Robust Wellness Program
  • Generous paid-time-off (PTO)
  • Eleven paid holidays per year, plus 1 additional 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!

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.
#LI-MS1
#LI-Remote
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)

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