Analyst, Delegation Oversight (Remote)

About the role

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.

Responsibilities

• Monitors delegated activities to ensure compliance with state health plan and National Committee for Quality Assurance (NCQA) requirements to include: tracking receipts of monthly reports from delegated entities, monitoring monthly reports for continued compliance with delegated responsibilities, meeting with delegation oversight auditors monthly to review reports and identify need for corrective action measures, and producing summary reports presented at delegation oversight committee meetings.
• Reports on delegated entity performance using web-based compliance tool, including performance metrics and remediation efforts when performance falls below acceptable standards.
• Participates in planning meetings and communicates to delegation oversight team and provider network team, delegate needs during development of new software platforms.
• Develops new and maintains existing department reporting tools to ensure reporting of performance and compliance with all NCQA, Centers for Medicare and Medicaid Services (CMS), and applicable state standards.
• Supports the delegation oversight committee meeting, including agenda and document preparation, distribution of meeting materials, minute taking and scheduling of follow-up meetings as necessary.
• Maintains list of delegated entities including functions delegated, auditors responsible, and delegation exceptions.
• Provides administrative delegation oversight-related support including training, department SharePoint site maintenance, and updates to the monthly sanction list tracking tool.
• Maintains member/provider confidentiality and professionalism in all communications.

Requirements

• At least 2 years of experience data management experience in a professional setting, preferably in health care, or equivalent combination of relevant education and experience.
• Data processing/analysis experience.
• Ability to interpret error reports and identify remediation steps.
• Ability to function independently and autonomously.
• Attention to detail, critical-thinking and problem-solving/analytical abilities.
• Experience with SharePoint and PowerBI.
• Ability to maintain attendance to support required quality and quantity of work.
• Ability to maintain confidentiality and comply with the Health Insurance Portability and Accountability Act (HIPAA).
• Ability to establish and maintain positive and effective work relationships with coworkers, clients, members, providers and customers.
• Effective interpersonal and verbal/written communication skills.
• Microsoft Office suite proficiency (including Excel), and ability to learn/navigate new software programs.

Qualifications

• Delegation oversight experience preferred.

Skills

• Data management experience.
• Data processing/analysis skills.
• Interpretation of error reports.
• Remediation steps identification.
• Independent and autonomous functioning.
• Attention to detail.
• Critical thinking and problem-solving/analytical abilities.
• SharePoint and PowerBI experience.
• Attendance and work quality maintenance.
• Confidentiality and HIPAA compliance.
• Positive and effective work relationships.
• Interpersonal and communication skills.
• Office suite proficiency (Excel).
• New software program learning and navigation.

Benefits

Molina Healthcare offers a competitive benefits and compensation package.

Pay

Pay Range: $22.81 - $44.49 / HOUR

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Contact Information

To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.