(Sales) Compliance Analyst
Molina Healthcare
**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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