Sioux City, IA, 51101, USA
4 days ago
Analyst, Compliance (Remote)
**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 Education** BA/BS/BC degree Healthcare Administration or minimum equivalent employment experience of 4+ years, Health Care or related field required **Required Experience** 4 years’ experience in health care industry in related field desired **Preferred Education** BA/BS/BC Healthcare Administration **Preferred Experience** 4 years’ experience in health care industry in related field desired **Preferred License, Certification, Association** 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 - $106,214 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
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