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Medicare Compliance Analyst
Molina HealthcareAZ, United States; Arizona; Akron, Ohio; Atlanta, Georgia; Provo, Utah; Milwaukee, Wisconsin; Dallas, Texas; Scottsdale, Arizona; Ohio; Georgia; Florida; New Mexico; Caldwell, Idaho; Owensboro, Kentucky; Savannah, Georgia; Green Bay, Wisconsin; St. Petersburg, Florida; Cedar Rapids, Iowa; Cleveland, Ohio; Macon, Georgia; Nebraska; Bellevue, Nebraska; Lincoln, Nebraska; Mesa, Arizona; Layton, Utah; Detroit, Michigan; Madison, Wisconsin; Las Cruces, New Mexico; Buffalo, New York; Spokane, Washington; Albany, New York; Bellevue, Washington; Tacoma, Washington; Omaha, Nebraska; Ann Arbor, Michigan; Racine, Wisconsin; Fort Worth, Texas; Jacksonville, Florida; Miami, Florida; Phoenix, Arizona; Santa Fe, New Mexico; Albuquerque, New Mexico; Salt Lake City, Utah; Meridian, Idaho; Chandler, Arizona; Iowa; Austin, Texas; Covington, Kentucky; Dayton, Ohio; Augusta, Georgia; Syracuse, New York; Grand Island, Nebraska; Grand Rapids, Michigan; Lexington-Fayette, Kentucky; Houston, Texas; Warren, Michigan; Washington; Boise, Idaho; Iowa City, Iowa; Columbus, Ohio; Yonkers, New York; Idaho Falls, Idaho; Sterling Heights, Michigan; Kenosha, Wisconsin; Everett, Washington; Wisconsin; West Valley City, Utah; Nampa, Idaho; Davenport, Iowa; Roswell, New Mexico; Bowling Green, Kentucky; San Antonio, Texas; Rochester, New York; Orem, Utah; Tampa, Florida; New York; Michigan; Cincinnati, Ohio; Rio Rancho, New Mexico; Des Moines, Iowa; Kearney, Nebraska; Orlando, Florida; Vancouver, Washington; Kentucky; Texas; Utah; Idaho; Sioux City, Iowa; Louisville, Kentucky; Columbus, Georgia; Tucson, Arizona Job ID 2034674
JOB DESCRIPTION
Job Summary
Molina Healthcare's Medicare Compliance team supports Medicare operations for the Molina Medicare product lines. It is a centralized corporate function supporting compliance activities.
KNOWLEDGE/SKILLS/ABILITIES
The Compliance Analyst position is primarily responsible for Medicare Oversight.
- Provide regulatory expertise to the Organization: both State and Federal
- Have working knowledge of federal and state guidelines pertaining to Medicare Advantage (MA) products.
- Perform internal MA Compliance Reporting.
- Perform internal monitoring.
- Detailed oriented to conduct thorough research.
- Recommend applicable corrective action(s) to business partners.
- Process improvement driven.
- Create, update, and retire P&Ps, Standard Operating Procedures and Training documents.
- Lead regularly scheduled business meetings.
- Interpret and analyze Medicare and Medicaid communications.
- Review and interpret internal dashboards for outliers and deeper dive research when applicable.
- Lead projects to achieve compliance objectives.
- Interpret and analyze State and Federal Regulatory rules, manuals and revisions.
- Interact with internal stakeholders via verbal and written communication.
- Ability to work independently and set priorities.
- Foster an environment of open communication with business partners.
EXPERIENCE
- 2-4 years’ related compliance work experience
- Exceptional communication skills, including presentation capabilities, both written and verbal.
- Excellent interpersonal communication and oral and written communication skills.
- High level Interaction with Leadership.
- Writing Policy & Procedures
- Project Management experience is highly preferred.
REQUIRED EDUCATION:
- Bachelor’s degree and/or equivalent combination of relevant education and experience
REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:
- 2- 4 years’ experience in compliance related work
REQUIRED LICENSE, CERTIFICATION, ASSOCIATION:
PREFERRED EDUCATION:
PREFERRED EXPERIENCE:
- 1-3 years’ experience in the health care industry
- Managed Care 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 - $116,835 / 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 11/21/2025Job Alerts
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