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(Sales) Compliance Analyst
JOB DESCRIPTION
Job Summary
Molina Healthcare\'s Medicare Compliance team supports sales operations for the Molina Medicare product lines. It is a centralized corporate function supporting compliance activities.
KNOWLEDGE/SKILLS/ABILITIES
The Sales Compliance Analyst position is primarily responsible for Sales Oversight.
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Provide regulatory expertise to the Sales Organization: both State and Federal
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Have working knowledge of federal and state guidelines pertaining to Sales and Marketing.
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Perform internal Sales/Marketing Compliance Reporting.
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Perform internal Sales/Marketing monitoring.
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Detailed oriented to conduct thorough Sales allegations investigations.
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Recommend applicable corrective action(s) when applicable to business partners.
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Process improvement driven.
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Create, update, and retire P&Ps, Standard Operating Procedures and Training documents.
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Lead regularly scheduled Sales & Compliance leadership meetings.
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Interpret and analyze Medicare, Medicaid, and MMP Required Sales & Marketing Reporting Technical Specifications.
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Create and maintain monthly and quarterly Sales Complaint Key Performance Indicator (KPI) reports.
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Review and interpret internal Sales dashboards for outliers and deeper dive research.
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Manage compliance Sales Allegations, Secret Shops, and recommend corrective action plans for deficiencies found.
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Responds to legislative inquiries/ Sales complaints (state insurance regulators, Congressional, etc.).
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Leads projects to achieve Sales compliance objectives.
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Interprets and analyzes state and federal regulatory manuals and revisions.
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Interpret and analyze federal and state rules and requirements for proposed & final rules for Sales Oversight.
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Interact with Molina external customers, via verbal and written communication.
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Ability to work independently and set priorities.
JOB QUALIFICATIONS
REQUIRED QUALIFICATIONS:
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2-4 years\' related compliance work experience
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Exceptional communication skills, including presentation capabilities, both written and verbal.
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Excellent interpersonal communication and oral and written communication skills.
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High level Interaction with Leadership.
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Sales Allegation Investigations
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Policy & Procedures
PREFERRED QUALIFICATIONS:
- BA/BS and/or CHC (Certified in Healthcare Compliance)
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.
Salary: USD 77969 - 116835 per year Experience: 3 years required