(Sales) Compliance Analyst

Molina Healthcare • Bowling Green, KY • 2d 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 Lead

the Vitamin Shoppe • Bowling Green, KY • 1d ago

Sales & Marketing

Overview Is health and wellness important to you? Do you like to take on leadership roles and want to align yourself to a company with like-minded individuals who strive to be their best-self (however they define it)? Th...

1d ago

Go to Apply

Sr Digital Marketing Specialist (Remote)

Molina Healthcare • Bowling Green, KY • 2w ago

Sales & Marketing

Molina Healthcare is in search of an experienced Sr Digital Marketing Specialist. The Sr. Specialist, Digital Marketing will be responsible for analyzing and recommending improvements for digital marketing strategies, ex...

2w ago

Go to Apply

Outside Sales Representative

Rush Enterprises • Bowling Green, KY • 4w ago

Sales & Marketing

The Aftermarket Sales Representative solicit parts and service business from accounts through personal and phone contacts. The representative will develop new accounts, recover lost accounts, and manage established accou...

4w ago

Go to Apply

MEDICAL RECEPTIONIST--DERMATOLOGY

Graves Gilbert Clinic, PLLC • Bowling Green, KY • 21h ago

Hospital & Medical

Position Title: MEDICAL RECEPTIONIST--DERMATOLOGY Requisition Number: MEDIC003091 Location: Bowling Green, KY 42103, USA Job Category: Dermatology Position Type: Full-Time description: Job DetailsDescriptionGreeting pati...

21h ago

Go to Apply

Academic Coordinator, Student Success and Outreach

Western Kentucky University • Bowling Green, KY • 1d ago

Location: Bowling Green, KY Category: Staff Posted On: Thu Aug 28 2025 Job Description: The Academic Coordinator plays a vital role in advancing student success and engagement through academic support services, outreach...

1d ago

Go to Apply

Operations Management Trainee

Ryder System • Bowling Green, KY • 1d ago

Management & Administrative

Job Seekers can review the Job Applicant Privacy Policy by clicking here ( http://ryder.com/job-applicant-privacy-policy ) . Job Description : IGNITE the leader within you At Ryder , our most important competitive advant...

1d ago

Go to Apply

Program Operations Manager

Molina Healthcare • Bowling Green, KY • 1d 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...

1d ago

Go to Apply

Housekeeper

Drury Hotels • Bowling Green, KY • 1d ago

Retail & Hospitality

Property Location:3250 Scottsville Road - Bowling Green, Kentucky 42104You belong at Drury Hotels.Getting a job is just the beginning. Finding a place where you belong is what truly matters. Who you are and what you do m...

1d ago

Go to Apply

Retail Stocking Supervisor

Harbor Freight Tools • Bowling Green, KY • 1d ago

Retail & Hospitality

168180BRPosting Title:Retail Stocking SupervisorJob Description: A Supervisor (full-time) is a valued member of a high performing team who is empowered & equipped to do their job. You will know why your work matters...

1d ago

Go to Apply

DeNovo Personal Banker I - Bowling Green, KY (Scottsville Road)

Fifth Third Bank, N.A. • Bowling Green, KY • 2d ago

Finance, Accounting & Banking

Make banking a Fifth Third better® We connect great people to great opportunities. Are you ready to take the next step? Discover a career in banking at Fifth Third Bank. GENERAL FUNCTION: The Personal Banker I position w...

2d 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.