Lensa is a career site that helps job seekers find great jobs in the US. We are not a staffing firm or agency. Lensa does not hire directly for these jobs, but promotes jobs on LinkedIn on behalf of its direct clients, recruitment ad agencies, and marketing partners. Lensa partners with DirectEmployers to promote this job for Molina Healthcare. Clicking "Apply Now" or "Read more" on Lensa redirects you to the job board/employer site. Any information collected there is subject to their terms and privacy notice.
Job DescriptionJob SummaryMolina 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/AbilitiesThe 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 QualificationsREQUIRED 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 QualificationsBA/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 / ANNUALActual compensation may vary from posting based on geographic location, work experience, education and/or skill level. If you have questions about this posting, please contact support@lensa. com
Customize your resume to highlight skills and experiences relevant to this specific position.
Learn about the company's mission, values, products, and recent news before your interview.
Ensure your LinkedIn profile is complete, professional, and matches your resume information.
Prepare thoughtful questions to ask about team dynamics, growth opportunities, and company culture.
