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

Lensa; Phoenix (AZ); 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. This role requires strong analytical skills and a commitment to compliance in the healthcare sector. The ideal candidate will have an associate degree and relevant experience, with opportunities for growth in a supportive environment.

Qualifications

• 1-3 years of experience in compliance.
• Contribute to annual risk assessment and audit planning.

Responsibilities

• Establish a 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

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 relevant laws and regulations in the Healthcare environment. Oversee, follow-up, and resolve investigations to ensure accountability for compliance.

Knowledge/Skills/Abilities

• Perform ongoing compliance audits using state evaluation 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 assigned departments regarding compliance risks related to Federal and State regulations and contract provisions.
• Contribute significantly to 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 area.

Preferred Experience

3-5 years.

Current Molina employees interested in applying should 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 Details

• Seniority Level: Entry level
• Employment Type: Full-time
• Job Function: Finance and Sales
• Industries: IT Services and IT Consulting

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