(Sales) Compliance Analyst

Molina Healthcare • Albuquerque, NM • 1d ago

JOB DESCRIPTION

Job Summary

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.

JOB QUALIFICATIONS

REQUIRED QUALIFICATIONS:

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

PREFERRED QUALIFICATIONS:

BA/BS and/or CHC (Certified in Healthcare Compliance)

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 - $116,835 / ANNUAL

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

Similar Jobs

Institutional Account Representative

Cengage Group • Albuquerque, NM • 1d ago

Sales & Marketing

We believe in the power and joy of learning At Cengage Group, our employees have a direct impact in helping students around the world discover the power and joy of learning. We are bonded by our shared purpose - driving...

1d ago

Go to Apply

(Sales) Compliance Analyst

Molina Healthcare • Rio Rancho, NM • 1d ago

Sales & Marketing

JOB DESCRIPTION Job Summary 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...

1d ago

Go to Apply

Outside Sales Rep

United Rentals • Albuquerque, NM • 2d ago

Sales & Marketing

Great company. Great people. Great opportunities. If you'd like the chance to make your mark with the world's largest equipment rental provider, come build your future with United Rentals! As an Outside Sales Rep at Unit...

2d ago

Go to Apply

Route Sales Representative

Farmer Brothers • Albuquerque, NM • 5d ago

Sales & Marketing

The Route Sales Representative (RSR) is responsible for providing optimal levels of service to our customers by ensuring they are stocked with product and serviced as scheduled. This role sells and delivers coffee, tea,...

5d ago

Go to Apply

Red Bull Presales

Admiral Beverage Corporation • Albuquerque, NM • 1w ago

Sales & Marketing

Admiral Beverage believes in investing in its people, business partners, and communities, to continually grow and offer the best products and services in the region. With the strength of a large company combined with a s...

1w ago

Go to Apply