Medicare Compliance Analyst

Job Summary

Molina Healthcare's Medicare Compliance team supports Medicare operations for the Molina Medicare product lines. It is a centralized corporate function supporting compliance activities.

Knowledge / Skills / Abilities

The Compliance Analyst position is primarily responsible for Medicare Oversight.

• Provide regulatory expertise to the organization : both State and Federal.
• Have working knowledge of federal and state guidelines pertaining to Medicare Advantage (MA) products.
• Perform internal MA Compliance Reporting.
• Perform internal monitoring.
• Detailed oriented to conduct thorough research.
• Recommend applicable corrective action(s) to business partners.
• Process improvement driven.
• Create, update, and retire P&Ps, Standard Operating Procedures and Training documents.
• Lead regularly scheduled business meetings.
• Interpret and analyze Medicare and Medicaid communications.
• Review and interpret internal dashboards for outliers and deeper dive research when applicable.
• Lead projects to achieve compliance objectives.
• Interpret and analyze State and Federal Regulatory rules, manuals and revisions.
• Interact with internal stakeholders via verbal and written communication.
• Ability to work independently and set priorities.
• Foster an environment of open communication with business partners.

Experience

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.

Writing Policy & Procedures.

Project Management experience is highly preferred.

Required Education

Bachelor's degree and / or equivalent combination of relevant education and experience.

Required Experience / Knowledge, Skills & Abilities

2-4 years' experience in compliance related work.

Preferred Education

Not specified.

Preferred Experience

1-3 years' experience in the health care industry.

Managed Care Experience.

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.