Compliance Analyst (MI Health Plan) - REMOTE Eastern Time
Molina Healthcare
**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.
+ Analyze data use critical thinking
+ 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.
+ Strong Microsoft Office experience to include intermediate to advanced experience in Excel
**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.
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