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

Lensa; Augusta (GA); Remote; USD 44,000 - 98,000; Full time

Job summary

A leading company is seeking a Compliance Auditor to establish and oversee compliance programs in the healthcare sector. This role involves conducting audits, advising on compliance risks, and ensuring adherence to laws and regulations. The ideal candidate will have an associate degree and relevant experience, with opportunities for growth in a supportive environment.

Qualifications

• 1-3 years of relevant experience required.
• Preferred 3-5 years of experience in a healthcare-related field.

Responsibilities

• Establish compliance programs to prevent violations of laws.
• 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 a healthcare-related field

Job description

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

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Job Description

Job Summary

Establish a compliance program designed to prevent and detect violations of applicable laws and regulations, protecting the Business from liability related to fraudulent or abusive practices. Ensure the Business understands and complies with laws and regulations in the healthcare environment. Oversee investigations and follow-up to ensure accountability for compliance.

Knowledge/Skills/Abilities

• Perform ongoing compliance audits using relevant evaluation tools.
• Define audit scope and criteria, review evidence, document findings, and recommend improvements.
• Advise departments on compliance risks related to federal and state regulations and contracts.
• Contribute to annual risk assessments and audit planning.
• Monitor corrective actions imposed by regulatory agencies for contract deficiencies.

Job Qualifications

Required Education

Associate degree or equivalent experience.

Required Experience

1-3 years.

Preferred Education

Bachelor's degree in a healthcare-related field.

Preferred Experience

3-5 years.

Current Molina employees interested in this position should apply through the intranet.

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

Pay Range: $44,936.59 - $97,362.61 annually.

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

Additional Details

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

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