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Senior Specialist, Delegation Oversight (Remote)
Molina Healthcare Texas; St. Petersburg, Florida; Omaha, Nebraska; Meridian, Idaho; Chandler, Arizona; Mesa, Arizona; Rio Rancho, New Mexico; Fort Worth, Texas; Roswell, New Mexico; West Valley City, Utah; Covington, Kentucky; Vancouver, Washington; Utah; Tacoma, Washington; Racine, Wisconsin; San Antonio, Texas; Salt Lake City, Utah; Dallas, Texas; New York; Idaho; Savannah, Georgia; Michigan; Georgia; Davenport, Iowa; Ann Arbor, Michigan; Iowa City, Iowa; Dayton, Ohio; Jacksonville, Florida; Phoenix, Arizona; Sterling Heights, Michigan; Cincinnati, Ohio; Columbus, Georgia; Spokane, Washington; Austin, Texas; Scottsdale, Arizona; Nebraska; Cedar Rapids, Iowa; Rochester, New York; Syracuse, New York; Warren, Michigan; Owensboro, Kentucky; Kearney, Nebraska; Augusta, Georgia; Atlanta, Georgia; Yonkers, New York; Orem, Utah; Lexington-Fayette, Kentucky; Tucson, Arizona; Wisconsin; Iowa; Lincoln, Nebraska; Houston, Texas; Akron, Ohio; Layton, Utah; Miami, Florida; Detroit, Michigan; Las Cruces, New Mexico; Grand Rapids, Michigan; Louisville, Kentucky; Washington; Caldwell, Idaho; Ohio; Boise, Idaho; Sioux City, Iowa; Nampa, Idaho; Green Bay, Wisconsin; Grand Island, Nebraska; Cleveland, Ohio; Albuquerque, New Mexico; Columbus, Ohio; Albany, New York; Everett, Washington; Bellevue, Nebraska; Orlando, Florida; Idaho Falls, Idaho; New Mexico; Santa Fe, New Mexico; Madison, Wisconsin; Buffalo, New York; Tampa, Florida; Kenosha, Wisconsin; Des Moines, Iowa; Bellevue, Washington; Florida; Macon, Georgia; Provo, Utah; Milwaukee, Wisconsin; Kentucky; Bowling Green, Kentucky Job ID 2033312JOB DESCRIPTION
Job Summary
Responsible for continuous quality improvements within the Delegation Oversight Department. Oversees delegated activities to ensure compliance primarily with DMHC and DHCS requirements including delegation standards and requirements contained in the Molina Medical Compliance and Fraud, Waste and Abuse Program.
KNOWLEDGE/SKILLS/ABILITIES
- Coordinates, conducts, and documents delegation assessments as necessary to comply with state, federal, NCQA, and any other applicable requirements.
- Prepares status reports from Delegated Entities. Develops corrective action plans when deficiencies are identified, and documents follow-up to completion. Ensures compliance with reporting requirements by tracking the receipt and completeness of reports.
- Develops corrective action plans when compliance issues are identified, and document follow-up to completion.
- Assists with meetings of the Delegation Oversight Committee, including the preparation of documents for committee oversight of delegated functions.
- Works with Network Management team to develop and maintain delegation agreements and assessment tools.
- Prepares delegation oversight document evidence for state monitoring visits and NCQA accreditation surveys and participates on Molina's work team.
JOB QUALIFICATIONS
Required Education
Bachelor's Degree or equivalent combination of education and experience.
Required Experience
- 3+ years managed care experience.
- Min. 1 year experience completing delegation oversight assessment/ audits.
- Data analysis experience.
Required License, Certification, Association
Valid State Driver's License
Preferred Education
Bachelor's Degree in Business or Health Care related field.
Preferred Experience
- 5 years managed care experience.
- 2 years’ experience completing delegation oversight assessments/audits.
- Quality management/regulatory experience with increasing responsibility.
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 Posting Date 08/19/2025Job Alerts
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