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

Lensa; Bellevue (WA); Remote; USD 44,000 - 98,000; Full time

Job summary

A leading career site is seeking a Compliance Auditor to establish a compliance program, conduct audits, and ensure adherence to healthcare regulations. The role requires an Associate degree and 1-3 years of experience, with a preference for a Bachelor's degree. This position offers a competitive salary and benefits.

Qualifications

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

Responsibilities

• Establish compliance program to prevent violations.
• Conduct ongoing compliance audits and monitor activities.
• Provide advice 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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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, protecting the Business from liability due to fraudulent or abusive practices. Ensure that the Business understands and complies with applicable laws and regulations in the healthcare environment. Oversee, follow up on, and resolve investigations to ensure accountability for compliance.

Knowledge/Skills/Abilities

• Perform ongoing compliance audits using state evaluation tools related to audit and monitoring activities.
• Identify and define audit scope and criteria, review and analyze evidence, document findings, and recommend improvements and corrections as needed.
• Provide comprehensive advice to assigned departments 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 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 applying, please do so 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: $44,936.59 - $97,362.61 annually.

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

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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