Senior Vice President, Network Management Senior Vice President,
Long Beach, CA
As one of the nation’s largest not-for-profit Medicare Advantage
plans, serving more than 200,000 members in California, SCAN Health
Plan has been a mission-driven organization dedicated to keeping
seniors healthy and independent for over 40 years. SCAN employees
are passionate about what they do, and understand that success is
based on achieving the mission. Employees are afforded with the
training and tools necessary to do their jobs and are rewarded for
their efforts and recognized as experts in their fields. To learn
more, visit scanhealthplan.com or follow us on social media:
LinkedIn ; Facebook ; and Twitter .
Responsible for the overall financial and regulatory performance
of SCAN’s provider network. Develops and implements the strategic
direction for SCAN’s network and oversees network management
operations to build and maintain a high performing provider
Defines long-term strategic goals for SCAN’s provider network
and develops clear plans to achieve them.
Oversees operations that develop and maintain positive
relationships and financially viable contracts with medical
providers. Engages contracted network leaders and establishes and
maintains positive business relationships. Negotiates contracts
with high priority providers.
Collaborates with the SCAN Sales organization to execute company
growth initiatives through the acquisition of new networks,
providers, and vendors.
Accountable for provider performance related to financial,
operations, regulatory, quality, and member satisfaction targets
and other performance-related priorities. Ensures providers
understand and commit to performance goals.
Leads key initiatives and collaborations that involve network
Works across the SCAN organization, with clinical and
administrative areas, to develop and deploy provider systems,
standards, policies and procedures to improve network
Oversees Network administrative functions, including budget
management, internal and external audit, regulatory compliance,
contract administration, and policy and procedure enforcement.
Collaborates with SCAN senior leaders to establish and achieve
financial and membership growth targets. Contributes as a corporate
leader by providing recommendations, direction and support of short
and long-term company strategies.
Directs and supports staff to achieve organizational goals by
communicating job expectations, planning, monitoring and appraising
job results, coaching and counseling, driving increased employee
engagement, and developing and maintaining succession plans.
Other duties as assigned.
Bachelor’s Degree in Business Administration, Public Health,
Public Administration or related field of study required
Master’s degree in Health Care or Business preferred.
10+ years of experience in Managed Care with provider management
and contracting is required.
5+ years of experience in an executive level position
Expert knowledge of Medicare Advantage Products.
Knowledge of industry standards, current trends and their
application to a Medicare Advantage plan.
Sound business and financial judgment with problem-solving
High commitment to customer service.
Executive presence and the ability to communicate at the Board
Exceptional interpersonal skills and excellent oral and written
Proven ability to interact effectively with all levels of the
What's in it for you?
A competitive compensation and benefits program
An annual employee bonus program
Robust Wellness Program
Generous paid-time-off (PTO)
Ten paid holidays per year
Excellent 403(b) Retirement Saving Plan with employer match
Business Casual attire
Robust employee recognition program
A work-life balance and much more!
We're always looking for talented people to join our team!
Qualified applicants are encouraged to apply now!
SCAN is an equal opportunity employer and it is our policy to
abide by all federal, state and local laws prohibiting employment
discrimination. All qualified applicants will receive consideration
Equal Opportunity Employer/Protected Veterans/Individuals with
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