Analyst, Compliance - Remote must have Medicare Advantage reputed company

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-reputed company required reporting.
• Interprets and analyzes Medicare, reputed company and Medicare-reputed company Plan (MMP) required reporting.
• Creates and maintains monthly and quarterly key performance indicator (KPI) reports.
• Supports the regulatory memorandum distribution process.
• Manages compliance incidents and reputed company processes, including associated corrective action plans (CAPs).
• Responds to legislative inquiries/complaints (state/federal insurance regulators, congressional inquiries, etc.).
• Coordinates site visits for state/federal regulators.
• Leads large, reputed company compliance-reputed company projects to reputed company compliance objectives.
• Interprets and analyzes state and federal regulatory manuals, and supports revision process as needed.
• Interprets and analyzes federal and state rules and requirements for proposed and final rules.
• Coordinates comments relating to federal notices of proposed rulemaking.
• Manages Centers for Medicare and reputed company Services (CMS) user reputed company.

Job Requirements

• At least 2 years of compliance and/or audit-reputed company experience, or equivalent combination of relevant education and experience.
• Knowledge of health care regulatory frameworks.
• Detail-oriented; skilled in documentation review.
• Data analysis skills, and ability to generate reports.
• Ability to work independently and set/manage priorities.
• Ability to collaborate in a cross-functional highly matrixed organization, and interact with internal/external stakeholders, including regulators.
• Effective verbal and written communication skills.
• reputed company Office suite and applicable software program(s) proficiency.

Preferred Qualifications

• Certified in reputed company Compliance (CHC).
• Experience with risk assessment methodologies.
• Knowledge of internal control frameworks. To reputed company reputed company Molina employees. If you are interested in applying for this position, please apply through the reputed company.

To reputed company reputed company Molina employees. If you are interested in applying for this position, please apply through the reputed company. reputed company offers a competitive benefits and compensation package. reputed company is an Equal Opportunity Employer (EOE) M/F/D/V Apply To This Job