Location: New York,NY, USA
**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. The Compliance Analyst position is a field based auditor position with up to 90% required travel within the New York Metropolitan area.
**KNOWLEDGE/SKILLS/ABILITIES**
The Compliance Analyst position is primarily responsible for supporting the day to day operations and initiatives of the Compliance Department.
+ Performs Plan Required Reporting.
+ Interpret and analyzes Medicare, Medicaid and Medicare Medicaid Plan Required Reporting Technical Specifications.
+ Create and maintain monthly and quarterly Key Performance Indicator (KPI) reports.
+ Support management with New York State Assistor Concerns (Tracking/Action/Reporting)
+ Conduct secret shop visits of Molina's Sales team and sites to determine compliance with applicable rules and regulations and assess customer service.
+ Assess Facilitated Enrollers, Managed Long Term Care and Medicaid Advantage Plus Representatives' product knowledge.
+ Document and submit detailed reports about the visits, including time, date, and staff interactions.
+ Conduct telephonic audits of Molina's Facilitated Enrollers.
+ Conduct enrollment application audits.
+ Ability to work independently and set priorities
+ Excellent communication, observation and written skills.
+ Strong analytical and reporting skills
+ Must have a valid driver's license and reliable transportation.
**JOB QUALIFICATIONS**
**Required Education**
BA/BS/BC degree Healthcare Administration or minimum equivalent employment experience of 4+ years, Health Care or related field required
**Required Experience**
4 years' experience in health care industry in related field desired
**Preferred Education**
BA/BS/BC Healthcare Administration
**Preferred Experience**
4 years' experience in health care industry in related field desired
**Preferred License, Certification, Association**
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: $62,400 - $106,214 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.