Sr. Auditor, Delegation Oversight (Remote)
Molina Healthcare Albany, New York; Everett, Washington; Kenosha, Wisconsin; Louisville, Kentucky; Warren, Michigan; Albuquerque, New Mexico; Georgia; Yonkers, New York; Provo, Utah; Miami, Florida; Sioux City, Iowa; Iowa City, Iowa; Bowling Green, Kentucky; Columbus, Ohio; Phoenix, Arizona; Covington, Kentucky; Texas; Seattle, Washington; Meridian, Idaho; Idaho Falls, Idaho; Tucson, Arizona; San Antonio, Texas; Utah; Washington; Syracuse, New York; Orem, Utah; Bellevue, Washington; Green Bay, Wisconsin; Atlanta, Georgia; Caldwell, Idaho; St. Petersburg, Florida; Madison, Wisconsin; Cincinnati, Ohio; New York, New York; Vancouver, Washington; Milwaukee, Wisconsin; Owensboro, Kentucky; Kearney, Nebraska; Santa Fe, New Mexico; Fort Worth, Texas; Savannah, Georgia; Davenport, Iowa; Augusta, Georgia; Ann Arbor, Michigan; Michigan; Tacoma, Washington; Dayton, Ohio; Salt Lake City, Utah; Spokane, Washington; Idaho; Austin, Texas; Houston, Texas; Scottsdale, Arizona; Lexington-Fayette, Kentucky; Boise, Idaho; Nampa, Idaho; Cedar Rapids, Iowa; Kentucky; Macon, Georgia; Rio Rancho, New Mexico; Omaha, Nebraska; Dallas, Texas; Rochester, New York; Layton, Utah; Grand Island, Nebraska; Columbus, Georgia; Florida; Racine, Wisconsin; Buffalo, New York; Nebraska; Mesa, Arizona; Chandler, Arizona; Jacksonville, Florida; Wisconsin; Orlando, Florida; Cleveland, Ohio; Grand Rapids, Michigan; Lincoln, Nebraska; Akron, Ohio; Sterling Heights, Michigan; Iowa; West Valley City, Utah; Roswell, New Mexico; Ohio; Bellevue, Nebraska; Des Moines, Iowa; Las Cruces, New Mexico; Detroit, Michigan; New York; New Mexico; Tampa, Florida Job ID 2031173
Job Description
Job Summary
The Sr Auditor, Delegation Oversight will independently perform audits of multi-delegated functions with minimal oversight and expertise in at least one functional area of auditing. Â Ensures continuous compliance with Program Integrity requirements (e.g., Monitoring of Exclusion Databases, Mandatory Employee Trainings and Financial Reviews) of Molina Health Plan, NCQA, CMS and State Medicaid entities.
Job Duties
- Leads and performs pre-delegation, annual audits, ensuring all components of audit activities comply with with NCQA, State and Federal requirementsÂ
- Conducts focused audits on subcontractors, as applicable,  documenting the outcomes and making  recommendations as necessary for further action.
- Conducts analysis of audit issues to identify root cause, develop and issue corrective action plans.
- Prepares, tracks and provides audit finding reports in accordance with departmental requirements.
- Prepare, submit and present audit reports to Delegation Oversight Committees.
- Presents audit findings to subcontractors and makes recommendations for improvements based on audit results.
- Works with Delegation Oversight Management to develop and maintain assessment tools.Â
- Complete all mandatory compliance training annually or as required by leadership.
Job Qualifications
REQUIRED EDUCATION: Bachelor’s Degree or equivalent, combination of education and experience
REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:Â
- Minimum three years Delegation Oversight experience.Â
- Minimum two year auditing or utilization review experience.
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $77,969 - $128,519 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
About Us
Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Job Type: Full Time Posting Date: 04/09/2025ABOUT OUR LOCATION
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