Compliance Specialist (REMOTE - NY ONLY - Travel Required)
: Job Details :

**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 fieldbased 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.