Molina Healthcare
(Sales) Compliance Analyst
Molina Healthcare's Medicare Compliance team supports sales operations for the Molina Medicare product lines. It is a centralized corporate function supporting compliance activities.
KNOWLEDGE/SKILLS/ABILITIES The Sales Compliance Analyst position is primarily responsible for Sales Oversight.
Provide regulatory expertise to the Sales Organization: both State and Federal
Have working knowledge of federal and state guidelines pertaining to Sales and Marketing
Perform internal Sales/Marketing Compliance Reporting
Perform internal Sales/Marketing monitoring
Detailed oriented to conduct thorough Sales allegations investigations
Recommend applicable corrective action(s) when applicable to business partners
Process improvement driven
Create, update, and retire P&Ps, Standard Operating Procedures and Training documents
Lead regularly scheduled Sales & Compliance leadership meetings
Interpret and analyze Medicare, Medicaid, and MMP Required Sales & Marketing Reporting Technical Specifications
Create and maintain monthly and quarterly Sales Complaint Key Performance Indicator (KPI) reports
Review and interpret internal Sales dashboards for outliers and deeper dive research
Manage compliance Sales Allegations, Secret Shops, and recommend corrective action plans for deficiencies found
Responds to legislative inquiries/ Sales complaints (state insurance regulators, Congressional, etc.)
Leads projects to achieve Sales compliance objectives
Interprets and analyzes state and federal regulatory manuals and revisions
Interpret and analyze federal and state rules and requirements for proposed & final rules for Sales Oversight
Interact with Molina external customers, via verbal and written communication
Ability to work independently and set priorities
Experience
2-4 years’ related compliance work experience
Exceptional communication skills, including presentation capabilities, both written and verbal
Excellent interpersonal communication and oral and written communication skills
High level Interaction with Leadership
Sales Allegation Investigations
Policy & Procedures
Pay Range: $77,969 - $116,835 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
#J-18808-Ljbffr
KNOWLEDGE/SKILLS/ABILITIES The Sales Compliance Analyst position is primarily responsible for Sales Oversight.
Provide regulatory expertise to the Sales Organization: both State and Federal
Have working knowledge of federal and state guidelines pertaining to Sales and Marketing
Perform internal Sales/Marketing Compliance Reporting
Perform internal Sales/Marketing monitoring
Detailed oriented to conduct thorough Sales allegations investigations
Recommend applicable corrective action(s) when applicable to business partners
Process improvement driven
Create, update, and retire P&Ps, Standard Operating Procedures and Training documents
Lead regularly scheduled Sales & Compliance leadership meetings
Interpret and analyze Medicare, Medicaid, and MMP Required Sales & Marketing Reporting Technical Specifications
Create and maintain monthly and quarterly Sales Complaint Key Performance Indicator (KPI) reports
Review and interpret internal Sales dashboards for outliers and deeper dive research
Manage compliance Sales Allegations, Secret Shops, and recommend corrective action plans for deficiencies found
Responds to legislative inquiries/ Sales complaints (state insurance regulators, Congressional, etc.)
Leads projects to achieve Sales compliance objectives
Interprets and analyzes state and federal regulatory manuals and revisions
Interpret and analyze federal and state rules and requirements for proposed & final rules for Sales Oversight
Interact with Molina external customers, via verbal and written communication
Ability to work independently and set priorities
Experience
2-4 years’ related compliance work experience
Exceptional communication skills, including presentation capabilities, both written and verbal
Excellent interpersonal communication and oral and written communication skills
High level Interaction with Leadership
Sales Allegation Investigations
Policy & Procedures
Pay Range: $77,969 - $116,835 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
#J-18808-Ljbffr