Roswell, NM, 88201, USA
5 days ago
Compliance Analyst (TX Health Plan) - REMOTE Central Time
**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. This position is supporting compliance operations for Molina's Texas Health Plan. **KNOWLEDGE/SKILLS/ABILITIES** The Compliance Analyst position is primarily responsibility for supporting the day to day operations and initiatives of the Texas Compliance function. + Provides technical expertise to regulatory & legislative interpretation inquiries. + Performs Plan Required Reporting as needed + Interpret and analyze Medicare, Medicaid and MMP Required Reporting Specifications. + Create and maintain monthly and quarterly Key Performance Indicator (KPI) reports. + Manages compliance incidents management and related processes, including associated corrective action plans. + Provides technical expertise with Molina interdepartmental regulatory & legislative interpretation inquiries. + Responds to legislative inquiries/complaints (state insurance regulators, Congressional, etc.). + Assists with the regulatory memo distribution process. + 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. + Ensure completion and delivery of audit deliverables, including tracking, reporting and review of audit items to meet regulatory requests. + Enter, track, manage and report on Corrective Action Plans, both internal and regulatory. + 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 - $95,000 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
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