Auditor, Compliance - Remote ( Must have LPN or RN License)

Lensa; Albuquerque (NM); Remote; USD 44,000 - 98,000; Full time

Job summary

A leading career site seeks a Compliance Auditor to establish a robust compliance program for Molina Healthcare. The role involves conducting audits, ensuring adherence to regulations, and providing guidance on compliance risks. Ideal candidates will have relevant education and experience in healthcare compliance.

Qualifications

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

Responsibilities

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

Skills

Compliance Audits

Risk Assessment

Regulatory Compliance

Education

Associate Degree

Bachelor's Degree in Healthcare

Job description

Auditor, Compliance - Remote (Must have LPN or RN License)

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Lensa is the leading career site for job seekers at every stage of their career. Our client, Molina Healthcare, is seeking professionals. Apply via Lensa today!

Job Description

Job Summary

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

Knowledge/Skills/Abilities

• Perform ongoing compliance audits utilizing necessary tools related to audit/monitoring activities.
• Identify and define audit scope and criteria, review and analyze evidence, and document audit findings, including recommendations for improvement and correction.
• Provide comprehensive advice to the assigned department regarding compliance risks related to Federal and State regulations and contract provisions.
• Contribute significantly during the annual risk assessment and audit planning processes.
• Assist with monitoring activities to ensure effective execution of corrective actions imposed by state or federal 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 area.

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. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

Pay Range: $44,936.59 - $97,362.61 / ANNUAL

• Actual compensation may vary based on location, experience, education, and skill level.

Additional Information

• Seniority level: Entry level
• Employment type: Full-time
• Job function: Finance and Sales
• Industries: IT Services and IT Consulting

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