Analyst, Compliance (Sales)

Molina Healthcare • Rio Rancho, NM • 8h ago

(Sales) Compliance Analyst

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.

Experience

· 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

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

Analyst, Compliance (Sales)

Molina Healthcare • Albuquerque, NM • 8h ago

Sales & Marketing

(Sales) Compliance Analyst 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/...

8h ago

Go to Apply

Sales Engineer 2

Comcast • Albuquerque, NM • 4d ago

Sales & Marketing

Comcast brings together the best in media and technology. We drive innovation to create the world's best entertainment and online experiences. As a Fortune 50 leader, we set the pace in a variety of innovative and fascin...

4d ago

Go to Apply

Senior Business Account Executive, SMB

Comcast • Albuquerque, NM • 1w ago

Sales & Marketing

1w ago

Go to Apply

Aaron's Inc • Albuquerque, NM • 3w ago

Sales & Marketing

Sales Associate The salary range for this role is $13.25 to $14.00 per hour.* This position is also eligible for incentive pay based on performance. Sales Associates keep people smiling at Aaron's . On our team, you'll b...

3w 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.