2025-05-15
Molina Healthcare (https://careers.molinahealthcare.com/)
Other
/yr
full-time
employee
Albany
New York
United States
JOB DESCRIPTION
Job Summary
Responsible for resolving compliance issues related to provider data and systems dependent on provider data. Work across Molina departments to resolve Corrective Action Plans (CAPs). Identify potential compliance issues while discussing business processes. Lead cross departmental work efforts to create and implement corrective actions and/or new business processes for Molina’s Network Solutions and Operations team (NS&O). Create executive level communications including Visio workflows and presentations and present to executives.
KNOWLEDGE/SKILLS/ABILITIES
• Understand the complexities of the regulatory environment Molina operates in.
• Strong research skills and ability to interpret regulations and contract language.
• Identify risks within the business unit and proactively work to mitigate the risk.
• Ability to create corporate policy and procedure documents.
• Ability to lead executive level meetings, manage cross departmental work efforts,
• Confident user of Microsoft office products including Excel/Visio/PowerPoint
• Ability to be self-directed and meet deadlines
JOB QUALIFICATIONS
Required Education
Bachelor's Degree or equivalent combination of education and experience
Required Experience
7-9 years
Preferred Education
Graduate Degree or equivalent experience
Preferred Experience
10+ years
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $77,969 - $155,508 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.