Molina Healthcare
Lincoln, Nebraska; Georgia; Ohio; Atlanta, Georgia; Provo, Utah; Milwaukee, Wisconsin; Spokane, Washington; Sioux City, Iowa; St. Petersburg, Florida; Meridian, Idaho; Bellevue, Nebraska; Columbus, Georgia; Roswell, New Mexico; Cedar Rapids, Iowa; Augusta, Georgia; Grand Island, Nebraska; Albany, New York; Covington, Kentucky; Ann Arbor, Michigan; Orem, Utah; Santa Fe, New Mexico; Buffalo, New York; Sterling Heights, Michigan; Tampa, Florida; West Valley City, Utah; Florida; Utah; Rio Rancho, New Mexico; Houston, Texas; Green Bay, Wisconsin; Idaho; Racine, Wisconsin; Jacksonville, Florida; Phoenix, Arizona; Syracuse, New York; Caldwell, Idaho; Washington; Idaho Falls, Idaho; Las Cruces, New Mexico; Lexington-Fayette, Kentucky; Warren, Michigan; Bellevue, Washington; New Mexico; Tucson, Arizona; Kearney, Nebraska; Detroit, Michigan; Yonkers, New York; Everett, Washington; Nampa, Idaho; Tacoma, Washington; Akron, Ohio; San Antonio, Texas; Cincinnati, Ohio; Owensboro, Kentucky; Savannah, Georgia; Louisville, Kentucky; Fort Worth, Texas; Des Moines, Iowa; Columbus, Ohio; Rochester, New York; Michigan; Wisconsin; Bowling Green, Kentucky; Salt Lake City, Utah; Austin, Texas; Nebraska; Orlando, Florida; Vancouver, Washington; Davenport, Iowa; Dayton, Ohio; Albuquerque, New Mexico; Madison, Wisconsin; Grand Rapids, Michigan; Dallas, Texas; Mesa, Arizona; Boise, Idaho; New York; Iowa; Miami, Florida; Macon, Georgia; Scottsdale, Arizona; Omaha, Nebraska; Kentucky; Iowa City, Iowa; Layton, Utah; Cleveland, Ohio; Chandler, Arizona; Kenosha, Wisconsin; Texas
Job ID 2032620

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. This position is supporting compliance operations for Molina’s Texas Health Plan.

KNOWLEDGE/SKILLS/ABILITIES

The Compliance Analyst position is primarily responsibility for supporting the day to day operations and initiatives of the Texas Compliance function.

• Provides technical expertise to regulatory & legislative interpretation inquiries.
• Performs Plan Required Reporting as needed
• Interpret and analyze Medicare, Medicaid and MMP Required Reporting Specifications.
• Create and maintain monthly and quarterly Key Performance Indicator (KPI) reports.
• Manages compliance incidents management and related processes, including associated corrective action plans.
• Provides technical expertise with Molina interdepartmental regulatory & legislative interpretation inquiries.
• Responds to legislative inquiries/complaints (state insurance regulators, Congressional, etc.).
• Assists with the regulatory memo distribution process.
• 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.
• Ensure completion and delivery of audit deliverables, including tracking, reporting and review of audit items to meet regulatory requests.
• Enter, track, manage and report on Corrective Action Plans, both internal and regulatory.
• Ability to work independently and set priorities.

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 - $95,000 / ANNUAL

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

ABOUT US

Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Job Type: Full Time
Posting Date: 07/15/202

Please refer the Job description for details