(sales) Compliance Analyst

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.

The Sales Compliance Analyst position is primarily responsible for Sales Oversight.

Knowledge/Skills/Abilities

The Sales Compliance Analyst should:

• 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
• Be detailed oriented to conduct thorough Sales allegations investigations
• Recommend applicable corrective action(s) when applicable to business partners
• Be 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
• Respond to legislative inquiries/ Sales complaints (state insurance regulators, Congressional, etc.)
• Lead projects to achieve Sales compliance objectives
• Interpret and analyze 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.