Reporting Analyst, SIU-(Remote)

Molina Healthcare; Long Beach (CA); Remote; USD 50,000 - 90,000; Full time

Job summary

An established industry player in healthcare is seeking a dedicated professional to join their Special Investigation Unit. This role offers a unique opportunity to advance your career while making a significant impact on regulatory compliance and fraud prevention. You will be responsible for creating regulatory reports, analyzing compliance with state and federal laws, and conducting oversight audits. With a supportive environment and competitive benefits, this position is perfect for those looking to grow within a dynamic organization. Join a team that values collaboration and aims to foster a fair and secure hiring process.

Benefits

Competitive benefits

Career advancement opportunities

Supportive work environment

Qualifications

• Minimum 2 years of experience in SIU, law enforcement, or healthcare.
• Proficiency in Excel and regulatory reporting is essential.

Responsibilities

• Create regulatory reports for the Special Investigation Unit.
• Analyze regulatory rules to ensure compliance and support audits.

Skills

Regulatory Reporting

Excel Proficiency

Healthcare Experience

Education

Associate Degree

Tools

Healthcare Fraud Shield

Job description

Employer Industry: Healthcare Compliance and Fraud Investigation

Why consider this job opportunity:
- Opportunity for career advancement and growth within the organization
- Competitive benefits and compensation package
- Work in a supportive and collaborative environment
- Chance to make a positive impact on regulatory compliance and fraud prevention
- Regular oversight and validation activities to ensure operational regulatory compliance
- Flexibility to work in a generally favorable office environment with reasonable accommodations available

What to Expect (Job Responsibilities):
- Create regulatory reports specific to the Special Investigation Unit (SIU) to support contractual requirements
- Analyze state and federal regulatory rules to assess compliance and support audit procedures
- Perform oversight audits and validation activities to ensure compliance with laws and regulations
- Manage and produce an inventory of regulatory reports while supporting audit requests from health plans
- Conduct peer reviews to ensure reporting activities are timely and accurate

What is Required (Qualifications):
- Associate Degree or equivalent combination of education and experience
- Minimum 2 years of experience in SIU, law enforcement, healthcare field, or regulatory field
- Minimum 1 year of experience with regulatory reporting
- Proficiency in Excel
- Healthcare experience

How to Stand Out (Preferred Qualifications):
- 2-4 years of experience working for a managed care organization
- 3-5 years of experience in the healthcare industry in a related field (Regulatory, Compliance, and Auditing)
- Familiarity with Healthcare Fraud Shield

#HealthcareCompliance #FraudInvestigation #CareerOpportunity #RegulatoryReporting #HealthcareIndustry

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