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Analyst, Compliance

Molina Healthcare Long Beach, California Job ID 2007735
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Job 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
Required License, Certification, Association
None
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.
 

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: 07/16/2021

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  • Compliance, Long Beach, California, United StatesRemove