Compliance Analyst (MI Health Plan) - REMOTE Eastern Time - Molina Healthcare : Job Details

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.