Analyst, Compliance

Job Summary

Provides analyst support for compliance activities. Seeks to ensure the organization adheres to regulatory requirements, industry standards, and Molina internal policies, and prevent and/or detect violation of applicable laws and regulations, and protect the business from liability, fraudulent or abusive practices.

Essential Job Duties

• Manage each Corrective action as assigned.
• Supports day-to-day compliance operations, including managing compliance incidents and assigned corrective action plans (CAPs) from initiation through timely, accurate completion.
• Reviews and analyzes CAP root causes, regulatory requirements, and Medicare/Medicaid/MMP reporting to ensure accuracy and alignment with federal and state guidelines.
• Collaborates with business areas, compliance officers, regulators, and other stakeholders to support remediation and broader compliance activities.
• Facilitates required compliance reporting, maintains KPI reports, and supports distribution of regulatory memoranda and related documentation.
• Interprets and analyzes federal and state regulatory manuals, rules, and proposed rulemaking; assists with revisions and coordinates organizational comments.
• Leads or supports complex compliance projects, coordinates regulator site visits, and manages compliance systems such as Compliance Central and CMS user access.

Job Requirements

• At least 2 years of compliance and/or audit-related experience, or equivalent combination of relevant education and experience.
• Knowledge of health care regulatory frameworks.
• Detail-oriented; skilled in documentation review.
• Data analysis skills, and ability to generate reports.
• Ability to work independently and set/manage priorities.
• Ability to collaborate in a cross-functional highly matrixed organization, and interact with internal/external stakeholders, including regulators.
• Effective verbal and written communication skills.
• Microsoft Office suite and applicable software program(s) proficiency.

Preferred Qualifications

• Certified in Healthcare Compliance (CHC).
• Experience with risk assessment methodologies.
• Knowledge of internal control frameworks.

About Us

Molina Healthcare is a nationwide Fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

Pay Range

$40,851.44 - $88,511.46 / ANNUAL

Benefits

Molina Healthcare offers a competitive benefits and compensation package.

Equal Opportunity Employer

Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.