Analyst, Compliance (Remote)
Molina Healthcare Arizona; Bowling Green, Kentucky; Warren, Michigan; Sterling Heights, Michigan; Lincoln, Nebraska; Cleveland, Ohio; Cincinnati, Ohio; Fort Worth, Texas; Green Bay, Wisconsin; Florida; Phoenix, Arizona; Chandler, Arizona; Tampa, Florida; Savannah, Georgia; Meridian, Idaho; Owensboro, Kentucky; Covington, Kentucky; Rio Rancho, New Mexico; Iowa; Miami, Florida; Bellevue, Nebraska; Grand Island, Nebraska; Roswell, New Mexico; New York, New York; Akron, Ohio; Dayton, Ohio; Dallas, Texas; Layton, Utah; Milwaukee, Wisconsin; Kenosha, Wisconsin; New York; Texas; Atlanta, Georgia; Augusta, Georgia; Nampa, Idaho; Detroit, Michigan; Santa Fe, New Mexico; Rochester, New York; Idaho; Columbus, Georgia; Macon, Georgia; Salt Lake City, Utah; West Valley City, Utah; Spokane, Washington; Vancouver, Washington; Bellevue, Washington; Racine, Wisconsin; Washington; Wisconsin; Caldwell, Idaho; Iowa City, Iowa; Orlando, Florida; Boise, Idaho; Idaho Falls, Idaho; Lexington-Fayette, Kentucky; Grand Rapids, Michigan; Ann Arbor, Michigan; Las Cruces, New Mexico; Kearney, Nebraska; Syracuse, New York; Houston, Texas; Austin, Texas; Orem, Utah; Seattle, Washington; Madison, Wisconsin; Ohio; Utah; Mesa, Arizona; Scottsdale, Arizona; Albuquerque, New Mexico; Yonkers, New York; Tacoma, Washington; Kentucky; New Mexico; Nebraska; Cedar Rapids, Iowa; Louisville, Kentucky; Tucson, Arizona; Jacksonville, Florida; Omaha, Nebraska; Buffalo, New York; Columbus, Ohio; San Antonio, Texas; Provo, Utah; Georgia; Michigan; Des Moines, Iowa; Davenport, Iowa; Sioux City, Iowa; St. Petersburg, Florida Job ID 2030156JOB DESCRIPTION
Job Summary
Molina Healthcare's Compliance team supports compliance operations for all Molina product lines enterprise wide. It is a centralized corporate function supporting compliance activities at individual state health plans.
KNOWLEDGE/SKILLS/ABILITIES
The Compliance Analyst position is primarily responsibility for supporting the day to day operations and initiatives of the Compliance Department.
- Provides technical expertise to Molina interdepartmental regulatory & legislative interpretation inquiries.
- Performs Plan Required Reporting.
- Interpret and analyzes Medicare, Medicaid and MMP Required Reporting Technical Specifications.
- Create and maintain monthly and quarterly Key Performance Indicator (KPI) reports.
- Support the management of the regulatory memo distribution process Ability to work independently and set priorities.
- Manages compliance incidents management and related processes, including associated corrective action plans.
- Provides technical expertise to Molina interdepartmental regulatory & legislative interpretation inquiries.
- Responds to legislative inquiries/complaints (state insurance regulators, Congressional, etc.).
- Assists with the regulatory memo distribution process.
- Coordinates site visits for federal & state regulators.
- Leads large, complex projects to achieve compliance objectives.
- Interprets and analyzes state and federal regulatory manuals and revisions.
- Interprets and analyzes federal and state rules and requirements for proposed & final rules.
- Coordinates comments relating to federal notices of proposed rulemaking.
- Manages user access to CMS.
- Ability to work independently and set priorities.
JOB QUALIFICATIONS
Required Education
BA/BS/BC degree Healthcare Administration or minimum equivalent employment experience of 4+ years, Health Care or related field required
Required Experience
4 years’ experience in health care industry in related field desired
Preferred Education
BA/BS/BC Healthcare Administration
Preferred Experience
4 years’ experience in health care industry in related field desired
Preferred License, Certification, Association
Certified in Healthcare Compliance
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 - $106,214 / 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: 02/13/2025ABOUT OUR LOCATION
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