• Analyst, Compliance

    Molina Healthcare (AZ)


    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 QUALIFICATIONS:

    + 3-4 years’ related compliance work experience and/or credentials

    + Exceptional communication skills, including presentation capabilities, interpersonal skills and conflict resolution.

    + Excellent negotiation skills with exceptional interpersonal communication and oral and written communication skills.

    + Ability to maintain an independent and objective perspective.

    PREFERRED QUALIFICATIONS:

    + BA/BS and/or CHC (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 - $116,835 / ANNUAL

    *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.