Job Description

**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. + Analyze data use critical thinking + 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. + Strong Microsoft Office experience to include intermediate to advanced experience in Excel **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 - $95,000 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Job Tags

Work experience placement, Work at office, Remote work,

Similar Jobs