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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.