ATTENTION JOB SEEKERS AND MOLINA APPLICANTS: FRAUD ALERT
Be aware that third parties posing as Molina Healthcare may be soliciting money from job seekers and extending offers to candidates who have not interviewed. Molina does not engage in these type of practices. If you have received an offer and have not been engaging with Molina Healthcare in an interview process, reach out to erc@molinahealthcare.com to validate the legitimacy of your offer. Please note that Molina has reported this activity to the appropriate law enforcement agencies for further investigation. If you feel you’ve been victimized, please report it to local law enforcement.
Medicare Compliance Manager (Medicare Advantage Required) - REMOTE
Molina Healthcare Kentucky; Davenport, Iowa; Ann Arbor, Michigan; Madison, Wisconsin; Sterling Heights, Michigan; Cincinnati, Ohio; Columbus, Georgia; Atlanta, Georgia; Idaho Falls, Idaho; Spokane, Washington; Iowa; West Valley City, Utah; Savannah, Georgia; Nebraska; New Mexico; Idaho; Nampa, Idaho; Albuquerque, New Mexico; Syracuse, New York; Washington; Michigan; Kearney, Nebraska; Scottsdale, Arizona; Utah; Sioux City, Iowa; Green Bay, Wisconsin; Akron, Ohio; Layton, Utah; Orem, Utah; Cleveland, Ohio; Miami, Florida; Vancouver, Washington; Everett, Washington; Florida; Wisconsin; Bellevue, Washington; Covington, Kentucky; Racine, Wisconsin; Grand Rapids, Michigan; Lexington-Fayette, Kentucky; Tampa, Florida; Fort Worth, Texas; Cedar Rapids, Iowa; Provo, Utah; Caldwell, Idaho; Austin, Texas; Owensboro, Kentucky; Lincoln, Nebraska; Ohio; Omaha, Nebraska; Dayton, Ohio; Warren, Michigan; Chandler, Arizona; Des Moines, Iowa; Columbus, Ohio; Augusta, Georgia; Macon, Georgia; Tacoma, Washington; Santa Fe, New Mexico; Salt Lake City, Utah; Dallas, Texas; Mesa, Arizona; Kenosha, Wisconsin; Roswell, New Mexico; Detroit, Michigan; Grand Island, Nebraska; New York; Jacksonville, Florida; San Antonio, Texas; Phoenix, Arizona; Las Cruces, New Mexico; Louisville, Kentucky; Tucson, Arizona; Orlando, Florida; Houston, Texas; Bellevue, Nebraska; Boise, Idaho; Texas; Georgia; St. Petersburg, Florida; Iowa City, Iowa; Bowling Green, Kentucky; Meridian, Idaho; Buffalo, New York; Rio Rancho, New Mexico; Rochester, New York; Yonkers, New York; Milwaukee, Wisconsin; Albany, New York Job ID 2032734Job Summary
Establish a specifically designed compliance program that effectively prevents and/or detects violation of applicable laws and regulations, which will protect the Business from liability of fraudulent or abusive practices. Ensures that the Business understands and complies with applicable laws and regulations pertaining to the Health Care environment. Ensures the Business' accountability for compliance by overseeing, follow-up and resolution of investigations.
Knowledge/Skills/Abilities
• Assists with implementation and day-to-day operations of the Compliance Program, Compliance Plan, Code of Conduct, and Fraud, Waste and Abuse Plan across the enterprise while ensuring compliance with governmental requirements.
• Spearheads development and implementation of compliance policies and procedures and training programs for the Molina enterprise.
• Oversees and provides direction of site visits for regulatory audits and coordinates corrective action plan, as needed.
• Investigates and resolves compliance problems, questions, or complaints received internally or from customers/agencies.
• Provides input and representation on key compliance initiatives, meetings, and committees. Stays abreast of industry and compliance trends; recommends and implements changes to internal company processes as needed..
Job Qualifications
Required Education
Bachelor's Degree or equivalent combination of education and experience
Required Experience
5-7 years
Preferred Education
Masters Degree preferred; will consider previous experience in health plan setting in government programs management (Contract Manager)
Preferred Experience
7-9 years
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 - $155,508 / 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 07/24/2025Job Alerts
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