The Role
Supports compliance audits by evaluating adherence to regulatory requirements, internal policies, and healthcare standards. Defines audit scope, analyzes evidence, documents findings, recommends corrective actions, advises departments on compliance risks, supports risk assessments and audit planning, and monitors corrective actions required by regulatory agencies.
Summary Generated by Built In
JOB DESCRIPTION
Provides support for compliance auditing activities. Responsible for evaluating Molina's adherence to regulatory requirements, internal policies, and health care industry standards by identifying compliance gaps and recommending improvements to mitigate risk related to fraudulent or abusive practices. Essential Job Duties
• Performs on-going compliance audits utilizing as necessary, state evaluation tools relating to audit/monitoring activities.
• Identifies and defines audit scope and criteria, reviews and analyzes evidence, and documents audit finds, including making recommendations for improvement and correction where identified.
• Provides comprehensive advice to assigned departments regarding compliance risks with respect to federal and state regulations and contract provisions.
• Provides input and support during the annual risk assessment and audit planning processes.
• Assists with monitoring activities involving the effective execution of corrective action requirements imposed by state or federal regulatory agencies for contract deficiencies. Job Requirements
• At least 2 years experience in in audit and/or compliance, or equivalent combination of relevant education and experience.
• Knowledge of relevant regulatory frameworks and compliance standards.
• Understanding of internal control concepts and risk assessment methodologies.
• Strong analytical and problem-solving abilities.
• Attention to detail, and ability to manage multiple projects simultaneously.
• Effective verbal and written communication skills.
• Microsoft Office suite and applicable software program(s) proficiency. Preferred Qualifications
• Experience in the health care industry.
To all current Molina employees. If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
Provides support for compliance auditing activities. Responsible for evaluating Molina's adherence to regulatory requirements, internal policies, and health care industry standards by identifying compliance gaps and recommending improvements to mitigate risk related to fraudulent or abusive practices. Essential Job Duties
• Performs on-going compliance audits utilizing as necessary, state evaluation tools relating to audit/monitoring activities.
• Identifies and defines audit scope and criteria, reviews and analyzes evidence, and documents audit finds, including making recommendations for improvement and correction where identified.
• Provides comprehensive advice to assigned departments regarding compliance risks with respect to federal and state regulations and contract provisions.
• Provides input and support during the annual risk assessment and audit planning processes.
• Assists with monitoring activities involving the effective execution of corrective action requirements imposed by state or federal regulatory agencies for contract deficiencies. Job Requirements
• At least 2 years experience in in audit and/or compliance, or equivalent combination of relevant education and experience.
• Knowledge of relevant regulatory frameworks and compliance standards.
• Understanding of internal control concepts and risk assessment methodologies.
• Strong analytical and problem-solving abilities.
• Attention to detail, and ability to manage multiple projects simultaneously.
• Effective verbal and written communication skills.
• Microsoft Office suite and applicable software program(s) proficiency. Preferred Qualifications
• Experience in the health care industry.
To all current Molina employees. If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
Skills Required
- At least 2 years of experience in audit and/or compliance, or an equivalent combination of relevant education and experience.
- Knowledge of relevant regulatory frameworks and compliance standards.
- Understanding of internal control concepts and risk assessment methodologies.
- Strong analytical and problem-solving abilities.
- Attention to detail and ability to manage multiple projects simultaneously.
- Effective verbal and written communication skills.
- Proficiency with Microsoft Office Suite and applicable software programs.
- Experience in the healthcare industry.
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The Company
What We Do
Molina Healthcare Inc. is dedicated to delivering effective, reliable, and affordable health care to those who need it most. The company focuses on improving the health and well-being of its members and positively impacting the communities it serves. Recognized as a leader in the health insurance category, it provides essential healthcare services to ensure accessible and quality care for its members.
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