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.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. 

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 - $116,835 / 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: 05/13/2025