Nampa, ID, 83687, USA
1 day ago
(Sales) Compliance Analyst
**JOB DESCRIPTION** **Job Summary** Molina Healthcare's Medicare Compliance team supports sales operations for the Molina Medicare product lines. It is a centralized corporate function supporting compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Sales Compliance Analyst position is primarily responsible for Sales Oversight. + Provide regulatory expertise to the Sales Organization: both State and Federal + Have working knowledge of federal and state guidelines pertaining to Sales and Marketing. + Perform internal Sales/Marketing Compliance Reporting. + Perform internal Sales/Marketing monitoring. + Detailed oriented to conduct thorough Sales allegations investigations. + Recommend applicable corrective action(s) when applicable to business partners. + Process improvement driven. + Create, update, and retire P&Ps, Standard Operating Procedures and Training documents. + Lead regularly scheduled Sales & Compliance leadership meetings. + Interpret and analyze Medicare, Medicaid, and MMP Required Sales & Marketing Reporting Technical Specifications. + Create and maintain monthly and quarterly Sales Complaint Key Performance Indicator (KPI) reports. + Review and interpret internal Sales dashboards for outliers and deeper dive research. + Manage compliance Sales Allegations, Secret Shops, and recommend corrective action plans for deficiencies found. + Responds to legislative inquiries/ Sales complaints (state insurance regulators, Congressional, etc.). + Leads projects to achieve Sales compliance objectives. + Interprets and analyzes state and federal regulatory manuals and revisions. + Interpret and analyze federal and state rules and requirements for proposed & final rules for Sales Oversight. + Interact with Molina external customers, via verbal and written communication. + Ability to work independently and set priorities. **JOB QUALIFICATIONS** **REQUIRED QUALIFICATIONS:** + 2-4 years’ related compliance work experience + Exceptional communication skills, including presentation capabilities, both written and verbal. + Excellent interpersonal communication and oral and written communication skills. + High level Interaction with Leadership. + Sales Allegation Investigations + Policy & Procedures **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.
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