Analyst, Compliance (Sales)

Molina Healthcare • Buffalo, NY • 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

Sales Operation Specialist I

Upstate Niagara Cooperative, Inc. • Lancaster, NY • 8h ago

Sales & Marketing

Description Join a team that nourishes life from farm to table! Upstate Niagara Cooperative, proudly owned by 200+ local family farms, is one of America's largest and most stable dairy cooperatives. Guided by farmer- and...

8h ago

Go to Apply

Mixed Market Sales Representative

Wright Beverage Distributing Corp. • Buffalo, NY • 1d ago

Sales & Marketing

Salary Range $47,208.00 - $66,092.00 Salary Position Type Full Time Category Sales Description Wright Beverage Distributing is looking for a Mixed Market Sales Representative to join our team! You will receive training a...

1d ago

Go to Apply

Automotive Sales Executive

Transitowne Kia • West Seneca, NY • 3d ago

Sales & Marketing

West Seneca. Transitowne Automotive Group. Automotive Sales Executive. Up to $80,000/year. Automotive Sales Executive Looking to start a new career? Switch positions? Or feel the excitement of a sales position? We are hi...

3d ago

Go to Apply

Outside Sales Representative

AKE Safety Equipment • Buffalo County, NE • 4d ago

Sales & Marketing

$90,816 a year - Commission Only Be sure to read this entire ad before you complete the online application on our website. Company Founded in 1989, AKE Safety Equipment has evolved into a market-leading fire safety equip...

4d ago

Go to Apply

HVAC Sales and Support Representative - Depew, NY

Green Mountain Electric Supply • Depew, NY • 5d ago

Sales & Marketing

HVAC Sales and Support Representative - Depew, NY Depew, NY ( http://maps.google.com/maps?q=3253+Walden+Ave+Depew+NY+USA+14043 ) Description Summary: As an HVAC sales and support representative, you will be part of a tea...

5d ago

Go to Apply

Outside Sales Representative

GoNetspeed ERIE COUNTY • Buffalo, NY • 1w ago

Sales & Marketing

Buffalo. GoNetspeed. Outside Sales Representative. $70,000 - $125,000/year. About GoNetspeed At GoNetspeed, we believe everyone deserves fast, reliable internet without the hassle. Were on a mission to bring fiber intern...

1w ago

Go to Apply

BC Outside Sales Representative-Albany, NY

Fiserv • Buffalo, NY • 1w ago

Sales & Marketing

Calling all innovators - find your future at Fiserv. We're Fiserv, a global leader in Fintech and payments, and we move money and information in a way that moves the world. We connect financial institutions, corporations...

1w ago

Go to Apply

Production/Sales Associate

Integument Technologies, Inc. • Tonawanda, NY • 1w ago

Sales & Marketing

Tonawanda. Integument Technologies, Inc. PRODUCTION/SALES ASSOCIATE. FT. 1st. shift. M-F. 40hrs./wk. $18-$25/hr. WNDOE. About Us: Integument Technologies (www.integument.com) is a very small company that manufactures sur...

1w ago

Go to Apply

Inside Sales Rperesentative

Buffalo BioDiesel, Inc. • Buffalo, NY • 1w ago

Sales & Marketing

Buffalo. Buffalo Biodiesel. Inside Sales Representative. $30 - $100/hour. Buffalo Biodiesel Marketing Services LLC is looking for a highly motivated Inside Sales Representative to join our team. Industry experience is no...

1w ago

Go to Apply

Urban Sales Representative

Buffalo BioDiesel, Inc. • Buffalo, NY • 1w ago

Sales & Marketing

Buffalo. Buffalo Biodiesel. Urban Sales Representative. $30/hour. Buffalo Biodiesel Inc. is in growth mode and currently seeking an Urban Sales Representative to join our team! Buffalo Biodiesel is seeking Outside Urban...

1w 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.