Compliance Manager - REMOTE (Ohio Plan)

Molina Healthcare; Vancouver (WA); Remote; USD 77,000 - 156,000; Full time

Job summary

A leading healthcare organization in Vancouver, WA, seeks a Compliance Manager to establish and oversee a compliance program that detects and prevents violations of laws. The ideal candidate has 5-7 years of compliance experience, preferably in health plans, and a Bachelor's degree. The role includes developing compliance policies and conducting regulatory audits, offering a salary range of $77,969 - $155,508 yearly.

Benefits

Competitive benefits package

Qualifications

• Bachelor's Degree or equivalent combination of education and experience.
• 5-7 years of experience in compliance.
• Experience in health plan setting is preferred.

Responsibilities

• Establish compliance program to prevent violations of laws.
• Develop and implement compliance policies and training programs.
• Oversee regulatory audits and corrective action plans.

Skills

Compliance program development

Regulatory audit coordination

Investigation and resolution of compliance issues

Knowledge of health care regulations

Education

Bachelor's Degree

Master's Degree preferred

Job description

Job Description

Job Summary

Establish a specifically designed compliance program that effectively prevents and/or detects violation of applicable laws and regulations, which will protect the Business from liability of fraudulent or abusive practices. Ensures that the Business understands and complies with applicable laws and regulations pertaining to the Health Care environment. Ensures the Business' accountability for compliance by overseeing, follow-up and resolution of investigations.

Knowledge/Skills/Abilities

• Assists with implementation and day-to-day operations of the Compliance Program, Compliance Plan, Code of Conduct, and Fraud, Waste and Abuse Plan across the enterprise while ensuring compliance with governmental requirements.

• Spearheads development and implementation of compliance policies and procedures and training programs for the Molina enterprise.

• Oversees and provides direction of site visits for regulatory audits and coordinates corrective action plan, as needed.

• Investigates and resolves compliance problems, questions, or complaints received internally or from customers/agencies.

• Provides input and representation on key compliance initiatives, meetings, and committees. Stays abreast of industry and compliance trends; recommends and implements changes to internal company processes as needed..

Job Qualifications

Required Education

Bachelor's Degree or equivalent combination of education and experience

Required Experience

5-7 years

Preferred Education

Masters Degree preferred; will consider previous experience in health plan setting in government programs management (Contract Manager)

Preferred Experience

7-9 years

To all current Molina employees: If you are interested in applying for 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: $77,969 - $155,508 / ANNUAL

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.