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

Lensa; Bellevue (NE); 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 environment. The role involves performing audits, advising on compliance risks, and ensuring accountability within the organization. This position offers a competitive compensation package and opportunities for growth.

Qualifications

• 1-3 years of experience in compliance.
• 3-5 years preferred experience in healthcare.

Responsibilities

• Establish a compliance program to prevent violations.
• Perform ongoing compliance audits and monitor corrective actions.

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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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 in the Healthcare environment. Oversee investigations, follow-up, and resolution to ensure accountability.

Knowledge/Skills/Abilities

• Perform ongoing compliance audits using state evaluation tools related to audit/monitoring activities.
• 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 from regulatory agencies for contract issues.

Job Qualifications

Required Education

Associate degree or equivalent experience.

Required Experience

1-3 years.

Preferred Education

Bachelor's degree in healthcare or related field.

Preferred Experience

3-5 years.

Current Molina employees interested in applying should do so via the intranet.

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 Details

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

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