Long Beach, California, United States · Hybrid
$70k–$84k/yr
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 sti…
Skills: Utilization Management, Leadership, Problem Solving, Communication, Interpersonal Skills
Anaheim, California, United States · On-site
Earn reliable extra income close to home with a consistent schedule. No long-distance driving. Just local apartment communities, steady work, and a routine you can count on. Important: To perform this role, you must have…
Skills: Waste Management, Grounds Maintenance, Sanitation, Time Management, Independent Work
Long Beach, California, United States · Hybrid
$108k–$125k/yr
About Us Hydrafacial is a global category-creating company focused on bringing innovative products to market and delivering beauty health experiences by reinventing our consumer’s relationship with their skin, their bodi…
Skills: Regulatory Strategy, Technical Writing, FDA Submission Processes, ISO 13485, Medical Device Compliance
Long Beach, California, United States · On-site
$16/hr–$21/hr
Job Description: Dave & Buster’s is different from everywhere else. No two days are ever the same. Time will fly by serving hundreds of people with flexible schedules you can accommodate school or other jobs. Plus, your …
Skills: Janitorial Services, Housekeeping, Facility Maintenance, Chemical Handling, Sanitation
Long Beach, California, United States · On-site
Job Description: Dave & Buster’s is different from everywhere else. No two days are ever the same. Time will fly by serving hundreds of people with flexible schedules you can accommodate school or other jobs. Plus, your …
Skills: Customer Service, Order Taking, POS Operation, Cash Handling, Alcohol Awareness
Long Beach, California, United States · On-site
It's fun to work in a company where people truly BELIEVE in what they're doing! We're committed to bringing passion and customer focus to the business. The pay rate or range for this position is: $25.00 per hour Job Summ…
Skills: Building Maintenance, Minor Repairs, Customer Service, Commercial Facilities Maintenance, Equipment Handling
Long Beach, California, United States · Hybrid
$121k–$145k/yr
About Us Hydrafacial is a global category-creating company focused on bringing innovative products to market and delivering beauty health experiences by reinventing our consumer’s relationship with their skin, their bodi…
Skills: Clinical Research Methodologies, Good Clinical Practice (GCP), Medical Writing, KOL Management, Claims Substantiation
Long Beach, California, United States · On-site
$27/hr–$30/hr
At Legends Global, we are the premier hospitality partner to the world’s greatest live events, venues, and brands. Through our fully integrated service model, we deliver exceptional experiences across every touchpoint — …
Skills: Warehouse Management, Inventory Control, Procurement, Safety Compliance, Equipment Maintenance
Long Beach, California, United States · On-site
Overview Company Overview: Allied Universal®, North America’s leading security and facility services company, offers rewarding careers that provide you a sense of purpose. While working in a dynamic, welcoming, and colla…
Skills: Security Patrol, Customer Service, Emergency Response, Incident Reporting, Observation
Long Beach, California, United States · On-site
$18/hr–$25/hr
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate…
Skills: Customer Service, Cash Handling, Inventory Management, Retail Sales, Communication
Long Beach, California, United States · On-site
$83k–$115k/yr
Are you a person who believes in providing great care? Do you believe in having a positive impact on other people's lives? Are you a team player, quick-thinker, and ready to be a part of an organization that supports you…
Skills: Staff Development, Nursing Supervision, Infection Prevention and Control, Educational Planning, Clinical Orientation
Long Beach, California, United States · On-site
Are you a person who believes in providing great care? Do you believe in having a positive impact on other people's lives? Are you a team-player, quick-thinker, and ready to be a part of an organization that supports you…
Skills: Psychosocial Assessment, Care Planning, Case Management, Crisis Intervention, Regulatory Compliance
Long Beach, California, United States · On-site
$32/hr–$34/hr
**Paid Vacation Time, Paid Training, Day Shift, & Health Benefits (Medical, Dental, Vision, HSA, FSA) & More** Based out of our Long Beach office and float to our Downey, Torrance, and Costa Mesa offices. Are you an expe…
Skills: Nursing Skills, Multitasking, Customer Service, Collaboration, Independent Work
Long Beach, California, United States · On-site
$19/hr–$19/hr
We’re seeking an Assistant Store Manager to join our team to help with store operations, customer service and team development. Duties include, but are not limited to, the following: Assist with store functions and day-t…
Skills: Store Management, Customer Service, Team Development, Inventory Management, Loss Prevention
Long Beach, California, United States · On-site
$16/hr–$18/hr
Job Description: Dave & Buster’s is different from everywhere else. No two days are ever the same. Time will fly by serving hundreds of people with flexible schedules you can accommodate school or other jobs. Plus, your …
Skills: Technical Repair, Electrical Skills, Equipment Maintenance, Customer Service, Inventory Management
Long Beach, California, United States · On-site
$20/hr–$25/hr
HIRING IMMEDIATELY at Mendocino Farms! NOW HIRING BACK OF HOUSE TEAM MEMBERS! Make up to $20.00 - $25.00 / hr including tips! We’re not just selling sandwiches and salads. We’re selling HAPPY! Restaurant Team…
Skills: Food Preparation, Kitchen Station Management, Grilling, Dishwashing, Garnishing
Long Beach, California, United States · On-site
$20/hr–$25/hr
HIRING IMMEDIATELY at Mendocino Farms! NOW HIRING FRONT OF HOUSE TEAM MEMBERS! Make up to $20.00 - $25.00 / hr including tips! We’re not just selling sandwiches and salads. We’re selling HAPPY! Restaurant Tea…
Skills: Guest Relations, Order Taking, Food Running, Bussing Tables, Plating Food
Long Beach, California, United States · On-site
$20/hr–$25/hr
HIRING IMMEDIATELY at Mendocino Farms! NOW HIRING BACK OF HOUSE TEAM MEMBERS! Make up to $20.00 - $25.00 / hr including tips! We’re not just selling sandwiches and salads. We’re selling HAPPY! Restaurant Team…
Skills: Food Preparation, Kitchen Station Management, Grilling, Dishwashing, Garnishing
Long Beach, California, United States · On-site
$20/hr–$25/hr
HIRING IMMEDIATELY at Mendocino Farms! NOW HIRING FRONT OF HOUSE TEAM MEMBERS! Make up to $20.00 - $25.00 / hr including tips! We’re not just selling sandwiches and salads. We’re selling HAPPY! Restaurant Tea…
Skills: Guest Relations, Order Taking, Food Running, Bussing Tables, Plating Food
Long Beach, California, United States · On-site
$20/hr–$25/hr
HIRING IMMEDIATELY at Mendocino Farms! NOW HIRING BACK OF HOUSE TEAM MEMBERS! Make up to $20.00 - $25.00 / hr including tips! We’re not just selling sandwiches and salads. We’re selling HAPPY! Restaurant Team…
Skills: Food Preparation, Dishwashing, Grilling, Garnishing, Hospitality
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Oversee daily operations of non-clinical Medical Management staff, including prior authorization and concurrent review. Ensure compliance with regulatory standards and drive department process improvements through coaching and auditing.
Requires an Associate's degree or equivalent experience with 2-3 years in Medicare Advantage Health Plan Utilization Management. Must have at least 1 year of leadership experience and knowledge of field policies and practices.
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.
Oversee daily operations and activities performed by non-clinical staff, including Prior Authorization, Hospital Notification, and Concurrent Review support, to ensure the provision of appropriate utilization of services and efficient and quality service to members and providers.
Supervise and coordinate day-to-day operations of the Medical Management department non-licensed staff
Demonstrate oversight of the authorization process, hospital notification and census management
Complete quality review and auditing to ensure compliance with all regulatory and compliance standards
Support ongoing department process improvements through the PDSA practice by timely communication and education to the team
Ensures staff success by timely communication of job expectations and monitoring of goal progress by coaching and counseling employees; initiating, coordinating, and enforcing systems, policies, and procedures
Maintain staff by recruiting, selecting, orienting, and training employees; maintaining a safe and secure work environment; developing personal growth opportunities
Build effective professional relationships with providers and other internal and external partners by using excellent verbal and written communication skills, developing trust, meeting timelines,
respecting cultural differences, using active listening skills, and maintaining confidentiality
Promote compliance with and adheres to all regulatory and quality standards including but not limited to: Centers for Medicare and Medicaid Services (CMS), Department of Managed Health
Care (DMHC), Department of Health Care Services (DHCS), and accreditation bodies’ standards such as the National Committee for Quality Assurance (NCQA) as it relates to Medical
Management's activities
Supervisory Responsibilities Supervises/Manages Others (i.e. hires, performance reviews, corrective action, etc.)
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.
Associate's Degree or equivalent experience
2-3 years of related experience in a Medicare Advantage Health Plan Utilization Management
At least 1 year of leadership experience
Knowledge of the field's policies, procedures, and practices
Leads and directs the work of other employees
Leadership - Basic skills to develops others
Problem Solving - Basic problem-solving skills
Communication - Good communication and interpersonal skill
Base salary range: $70,304 to $84,143 per year
Work Mode: Mostly Remote
An annual employee bonus program
Robust Wellness Program
Generous paid-time-off (PTO)
11 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!
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.
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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)
SCAN is a mission-driven organization that is tackling some of the biggest issues in health care for older adults.
About SCAN Keeping Seniors Healthy and Independent–that’s been our mission for more than 40 years. Founded in Long Beach, CA in 1977 by a group of senior activists committed to improving access to the care and services they needed as they aged, SCAN is a recognized leader in senior care. As one of the nation’s largest not-for-profit Medicare Advantage plans, SCAN also provides a range of community services, including the innovative programs of Independence at Home and robust community education and community giving. The SCAN mission is not something that just hangs on the wall, it’s a commitment understood and embraced by every employee. We believe in supporting our employees so they, in turn, can support our members as well as seniors and caregivers in the communities we serve. That means providing training, tools and opportunities for growth—and rewarding jobs well done. Our employees enjoy: - A competitive compensation and benefits program - An annual employee bonus program - Generous paid-time-off (PTO) - Ten paid holidays per year - Excellent 403(b) Saving Plan, providing up to 4% match and vesting after three years - Casual attire . . . wear jeans every day!! - A work-life balance and much more! Want to learn more about SCAN? Visit us at scanhealthplan.com
Offices: Long Beach, California 90806, US
