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Compliance Analyst (TX Health Plan) - REMOTE Central Time
Molina Healthcare
This job is no longer accepting applications
See open jobs at Molina Healthcare.See open jobs similar to "Compliance Analyst (TX Health Plan) - REMOTE Central Time" This is CNY.IT, Compliance / Regulatory
USD 77,969-95k / year
Posted on Aug 1, 2025
JOB DESCRIPTION
Job Summary
Molina Healthcare's Compliance team supports compliance operations for all Molina product lines enterprise wide. It is a centralized corporate function supporting compliance activities at individual state health plans. This position is supporting compliance operations for Molina's Texas Health Plan.
KNOWLEDGE/SKILLS/ABILITIES
The Compliance Analyst position is primarily responsibility for supporting the day to day operations and initiatives of the Texas Compliance function.
- Provides technical expertise to regulatory & legislative interpretation inquiries.
- Performs Plan Required Reporting as needed
- Interpret and analyze Medicare, Medicaid and MMP Required Reporting Specifications.
- Create and maintain monthly and quarterly Key Performance Indicator (KPI) reports.
- Manages compliance incidents management and related processes, including associated corrective action plans.
- Provides technical expertise with Molina interdepartmental regulatory & legislative interpretation inquiries.
- Responds to legislative inquiries/complaints (state insurance regulators, Congressional, etc.).
- Assists with the regulatory memo distribution process.
- Leads large, complex projects to achieve compliance objectives.
- Interprets and analyzes state and federal regulatory manuals and revisions.
- Interprets and analyzes federal and state rules and requirements for proposed & final rules.
- Ensure completion and delivery of audit deliverables, including tracking, reporting and review of audit items to meet regulatory requests.
- Enter, track, manage and report on Corrective Action Plans, both internal and regulatory.
- Ability to work independently and set priorities.
JOB QUALIFICATIONS
REQUIRED QUALIFICATIONS:
- 3-4 years’ related compliance work experience and/or credentials
- Exceptional communication skills, including presentation capabilities, interpersonal skills and conflict resolution.
- Excellent negotiation skills with exceptional interpersonal communication and oral and written communication skills.
- Ability to maintain an independent and objective perspective.
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 - $95,000 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
About Us
Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Job Type Full Time Posting Date 07/15/2025This job is no longer accepting applications
See open jobs at Molina Healthcare.See open jobs similar to "Compliance Analyst (TX Health Plan) - REMOTE Central Time" This is CNY.