Molina Healthcare

Molina Healthcare

Analyst, Compliance - (Remote) Must have experience with Medicare Advantage and CMS regulatory

United States

Sponsorship not specifiedDetected 2 days ago

About the role

  • JOB DESCRIPTION Job Summary Provides analyst support for compliance activities. Seeks to ensure the organization adheres to regulatory requirements, industry standards, and Molina internal policies, and prevent and/or detect violation of applicable laws and regulations, and protect the business from liability, fraudulent or abusive practices. Essential Job
  • Duties • Supports day-to-day operations/initiatives of the compliance function. • Provides technical expertise for Molina interdepartmental regulatory and legislative interpretation inquiries. • Facilitates health plan compliance-related required reporting. • Interprets and analyzes Medicare, Medicaid and Medicare-Medicaid Plan (MMP) required reporting. •

Responsibilities

  • Supports day-to-day operations/initiatives of the compliance function.
  • Creates and maintains monthly and quarterly key performance indicator (KPI) reports.
  • Supports the regulatory memorandum distribution process.
  • Manages compliance incidents and related processes, including associated corrective action plans (CAPs).

Requirements

  • Interprets and analyzes Medicare, Medicaid and Medicare-Medicaid Plan (MMP) required reporting.

Benefits

  • Facilitates health plan compliance-related required reporting.

This listing is sourced directly from Molina Healthcare's careers page and normalized into a canonical job model.