(Sales) Compliance Analyst

Molina Healthcare • Iowa, Iowa • 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

(Sales) Compliance Analyst

Molina Healthcare • Iowa City, IA • 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

Search Engine Marketing Specialist

Sanford Health • Iowa, Iowa • 2d ago

Sales & Marketing

Careers With Purpose Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We're proud to offer many development and advancement opportunities to our nearly 50,000 m...

2d ago

Go to Apply

Sales

Menards, Inc. • Iowa City, IA • 2d ago

Sales & Marketing

Sales Job#:398244 Location:IOWA CITY, IA Department:Store Opportunities Category:FT Sales Salary:Hourly Apply To This Job Return To List Job Description Full-time Make BIG Money at Menards! E xtra $3 per hour on Sat/Sun...

2d ago

Go to Apply

Part-Time Sales

Menards, Inc. • Iowa, Iowa • 4d ago

Sales & Marketing

Part-Time Sales Job#:398170 Location:CEDAR RAPIDS SOUTH, IA Department:Store Opportunities Category:PT Sales Salary:Hourly Apply To This Job Return To List Job Description Part-Time Make BIG Money at Menards! Extra $3 pe...

4d ago

Go to Apply

Marketing Coordinator

Allen County Community College • Iola, KS • 1w ago

Sales & Marketing

This job was posted by https://www.kansasworks.com : For more information, please see: https://www.kansasworks.com/jobs/13342119 12 Month Contract Full-time Position RESPONSIBILITIES:The Marketing Coordinator is responsi...

1w ago

Go to Apply

*Supervisor (Part-time) - Iowa Book - Weekdays 11 AM - 3 PM Ship/Rec

Barnes & Noble Education • Iowa City, IA • 14h ago

Introduction Barnes & Noble College is a retail partner for nearly 800 colleges and universities nationwide. We offer a retail environment like no other - uniquely focused on delivering essential educational content,...

14h ago

Go to Apply

Program Operations Manager

Molina Healthcare • Iowa, Iowa • 23h ago

Management & Administrative

Job Description Job Summary The In-Home Assessment Program Manager is part of our innovative Risk Adjustment department to assist our diverse team of data leaders, risk adjustment experts, and developers in the developme...

23h ago

Go to Apply

Program Operations Manager

Molina Healthcare • Iowa City, IA • 23h ago

Management & Administrative

23h ago

Go to Apply

Manager, Customer Supply Chain

Mondelez International • Iowa, Iowa • 1d ago

Management & Administrative

Job Description Are You Ready to Make It Happen at Mondelez International? Join our Mission to Lead the Future of Snacking. Make It Possible. You will manage the customer collaboration agenda for your market or set of cu...

1d ago

Go to Apply

It Specialist

Deputy Assistant Secretary for Information and Technology • Iowa City, IA • 1d ago

IT & Engineering

Summary Join the Infrastructure Operations (IO) service line under OIT and be part of VA's digital transformation. IO serves as an operational service provider of foundational compute, storage, physical database, cloud p...

1d ago

Go to Apply

Subscribe to get new jobs sent directly to you
(no charge, cancel anytime)

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.