Auditor, Compliance - Remote

Molina Healthcare; Augusta (GA); Remote; USD 77,000 - 117,000; Full time

Job summary

Molina Healthcare is seeking a compliance specialist with LPN or RN license to oversee compliance audits, ensure adherence to healthcare regulations, and manage investigations. The role requires strong analytical skills and a background in healthcare compliance. Join a leading company offering competitive benefits and a commitment to equal opportunity.

Benefits

Competitive benefits and compensation package

Qualifications

• 1-3 years of experience required.
• 3-5 years of preferred experience.

Responsibilities

• Establish compliance program to prevent violations.
• Perform ongoing compliance audits and document findings.
• Provide advice on compliance risks related to regulations.

Skills

Compliance Audits

Risk Assessment

Regulatory Compliance

Education

Associate Degree

Bachelor's Degree in Healthcare

Job description

JOB DESCRIPTION

Job Summary

(Must have LPN or RN License)

Establish a specifically designed compliance program that effectively prevents and/or detects violations of applicable laws and regulations, protecting the Business from liability related to fraudulent or abusive practices. Ensure that the Business understands and complies with laws and regulations relevant to the Healthcare environment. Oversee, follow-up, and resolve investigations to ensure accountability for compliance.

KNOWLEDGE/SKILLS/ABILITIES

• Perform ongoing compliance audits using necessary tools related to audit/monitoring activities.
• Identify and define audit scope and criteria, review and analyze evidence, document findings, and recommend improvements and corrections.
• Provide comprehensive advice to departments regarding compliance risks related to Federal and State regulations and contract provisions.
• Contribute significantly to annual risk assessments and audit planning processes.
• Assist with monitoring activities to ensure effective execution of corrective actions imposed by regulatory agencies for contract deficiencies.

JOB QUALIFICATIONS

Required Education

Associate degree or equivalent combination of education and experience.

Required Experience

1-3 years.

Preferred Education

Bachelor's degree in a healthcare-related field.

Preferred Experience

3-5 years.

To all current Molina employees: If interested in this position, please apply through the intranet job listing.

Molina Healthcare offers a competitive benefits and compensation package. We are an Equal Opportunity Employer (EOE) M/F/D/V.

Pay Range: $77,969 - $116,835 / ANNUAL
*Actual compensation may vary based on geographic location, experience, education, and skill level.