Lead Analyst, Provider Configuration Compliance

Molina Healthcare; City of Albany (NY); On-site; USD 77,000 - 156,000; Full time

Job summary

Molina Healthcare seeks a compliance expert responsible for addressing provider data issues. The role involves developing corrective actions, producing executive communications, and collaborating across departments to enhance Molina’s operational efficiency. Applicants should have considerable experience and a degree to manage complex regulatory landscapes effectively.

Benefits

Competitive benefits package

Qualifications

• 7-9 years of experience in compliance or regulatory roles.
• Ability to create corporate policy and documents.
• Experience leading executive level meetings.

Responsibilities

• Resolve compliance issues related to provider data.
• Lead cross-departmental efforts for corrective actions.
• Create impactful executive communications.

Skills

Research Skills

Understanding Regulatory Environment

Risk Mitigation

Policy Creation

Leadership

Microsoft Office Suite

Education

Bachelor's Degree

Graduate Degree

Job description

JOB DESCRIPTION

Job Summary

Responsible for resolving compliance issues related to provider data and systems dependent on provider data. Work across Molina departments to resolve Corrective Action Plans (CAPs). Identify potential compliance issues while discussing business processes. Lead cross departmental work efforts to create and implement corrective actions and/or new business processes for Molina’s Network Solutions and Operations team (NS&O). Create executive level communications including Visio workflows and presentations and present to executives.

KNOWLEDGE/SKILLS/ABILITIES

•Understand the complexities of the regulatory environment Molina operates in.
•Strong research skills and ability to interpret regulations and contract language.
•Identify risks within the business unit and proactively work to mitigate the risk.
•Ability to create corporate policy and procedure documents.
•Ability to lead executive level meetings, manage cross departmental work efforts,
•Confident user of Microsoft office products including Excel/Visio/PowerPoint
•Ability to be self-directed and meet deadlines

JOB QUALIFICATIONS

Required Education

Bachelor's Degree or equivalent combination of education and experience

Required Experience

7-9 years

Preferred Education

Graduate Degree or equivalent experience

Preferred Experience

10+ 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.