Analyst, Compliance (Sales)

Molina Healthcare • Savannah, GA • 1d 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 Associate - Optical

America's Best • Savannah, GA • 6d ago

Sales & Marketing

America's Best is part of National Vision, one of the largest optical retailers in the United States. The America's Best brand continues to grow, with 1000+ stores and counting. Each location combines both parts of the o...

6d ago

Go to Apply

Director of Sales

Marriott • Savannah, GA • 2w ago

Sales & Marketing

Additional Information Job Number 25197130 Job Category Sales & Marketing Location JW Marriott Savannah Plant Riverside District, 400 West River Street, Savannah, Georgia, United States, 31401VIEW ON MAP ( https://ww...

2w ago

Go to Apply

Sales Associate

Mondelez International • Hilton Head Island, SC • 2w ago

Sales & Marketing

Job Description Join our Mission to Lead the Future of Snacking. Are you ready to make it happen at Mondelez International? Sales Associate Become one of our Sales Associates by fulfilling the merchandising needs of our...

2w ago

Go to Apply

Director of Sales

Marriott • Savannah, GA • 2w ago

Sales & Marketing

Additional Information Job Number 25197129 Job Category Sales & Marketing Location The Bohemian Hotel Savannah Riverfront Autograph Collection, 102 West Bay Street, Savannah, Georgia, United States, 31401VIEW ON MAP...

2w ago

Go to Apply

Sales Associate

Mondelez International • Pooler, GA • 2w ago

Sales & Marketing

2w ago

Go to Apply

Sales Associate

Mondelez International • Savannah, GA • 2w ago

Sales & Marketing

2w ago

Go to Apply

Sales Representative - Bluffton

D.R. Horton, Inc. • Bluffton, SC • 2w ago

Sales & Marketing

D.R. Horton, Inc., the largest homebuilder in the U.S.,was founded in 1978 and is a publicly traded company on the New York Stock Exchange. It is engaged in the construction and sale of high-quality homes designed princi...

2w ago

Go to Apply

Sales Associate - Keyholder

America's Best • Bluffton, SC • 3w ago

Sales & Marketing

America's Best is part of National Vision, one of the largest optical retailers in the United States. The America's Best brand continues to grow, with 1000 stores and counting. Each location combines both parts of the op...

3w ago

Go to Apply

barista - Store# 08359, BULL & DRAYTON

Starbucks • Savannah, GA • 58min ago

Retail & Hospitality

Crafting the world's finest coffee, one meaningful moment at a time We believe in creating a warm and welcoming space where every cup of coffee sparks connection. Every shift is a chance to brighten someone's day. Whethe...

58min ago

Go to Apply

Medical Review Nurse (RN)

Molina Healthcare • Savannah, GA • 10h ago

Hospital & Medical

Job Description Job Summary Provides support for medical claim and internal appeals review activities - ensuring alignment with applicable state and federal regulatory requirements, Molina policies and procedures, and me...

10h 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.