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Data Scientist on SCAN's Medical Economics Analytics team, applying statistical modeling, ML, and GenAI to claims and clinical data to identify and quantify total cost of care savings opportunities across Medicare Advantage operations.
Oversee the Medigap compliance program at a nonprofit Medicare health plan, monitoring and implementing federal and state regulatory requirements, leading risk assessments, and supporting regulatory examinations for Medicare Advantage and Medigap products.
The Senior Program Manager oversees cross-functional healthcare initiatives and strategic projects to improve access to care within an HMO model. The role involves managing project plans, budgets, and teams while leveraging advanced skills in SQL and Microsoft Office to drive organizational performance.
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…
Supervises a team handling Medicare Advantage enrollment reconciliation, ensuring accurate data workflows and regulatory compliance while improving processes and training staff.
Owns AI-enabled conversational and omnichannel service experiences for a Medicare Advantage health plan, partnering with ops and tech teams to design, govern, and continuously improve customer-facing AI and automation.
Principal AI Security Engineer designs and secures AI architectures using Azure AI stack, enforces governance frameworks, and mitigates LLM-specific threats for a healthcare nonprofit serving older adults.
Senior Staff Software Engineer building healthcare and payor systems (Utilization/Care Management, Provider data) using Java/.Net APIs, Azure cloud, HL7/FHIR, and AI coding assistants like GitHub Copilot.