JOB DESCRIPTION This position is responsible for continuous quality improvements within the Delegation Oversight Department. Oversees delegated activities to ensure compliance primarily with NCQA, CMS and State Medicaid requirements including delegation standards and requirements contained in the delegation agreement. Essential Job Duties The Delegation Oversight Nurse is responsible for ensuring that Molina Healthcare's UM delegates are compliant all applicable State, CMS, and NCQA requirements, as well as Molina Healthcare business needs. In addition, the Delegation Oversight Nurse will assist the Delegation Oversight Manager with additional duties of the team. We are looking for LVN's with at least 3 years of UM experience, NCQA accreditation and knowledge of InterQual / MCG guidelines. Excellent computer multi-tasking skills and analytical thought process is important to be successful in this role. Productivity is important with turnaround times. Experience with Appeals, Auditing, Prior Authorization, Compliance and Quality will be a good fit for this position. Further details to be discussed during our interview process. CA located – Remote position - Coordinates, conducts, and documents pre-delegation and annual assessments as necessary to comply with state, federal, NCQA, and any other applicable requirements. - Distributes audit results letters, follow up letters, audit tools, and annual reporting requirement as needed. - Works with Delegation Oversight Analyst on monitoring of performance reports from delegated entities. - Develops corrective action plans when deficiencies are identified, and documents follow up to completion. - Assists with meetings of the Delegation Oversight Committee. - Works with the Delegation Oversight Manager to develop and maintain delegation assessment tools, policies, and reporting templates. - Assists with preparation of delegation summary reports submitted to the EQIC and/or UM Committees. - Participates as needed in Joint Operation Committees (JOC's) for delegated groups. - Assists in preparation of documents for CMS, State Medicaid, NCQA, and/or other regulatory audits as needed. Required Qualifications • At least 3 years experience in health care, including 2 years experience in a managed care environment facilitating utilization reviews, or equivalent combination of relevant education and experience. • Licensed Vocational Nurse (LVN) or Licensed Practical Nurse (LPN). License must be active and unrestricted in state of practice. • Knowledge of audit processes and applicable state and federal regulations. • Ability to work effectively in a fast-paced, high-volume environment, maintain accuracy and meet established deadlines. • Ability to collaborate effectively with team members and internal departments. • Strong attention to detail with a focus on maintaining quality in all tasks. • Strong verbal and written communication skills. • Microsoft Office suite/applicable software program(s) proficiency. Preferred Qualifications • Registered Nurse (RN). License must be active and unrestricted in state of practice. • Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM) or Certified Professional in Healthcare Quality (CPHQ). To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

JOB DESCRIPTION This position is responsible for continuous quality improvements within the Delegation Oversight Department. Oversees delegated activities to ensure compliance primarily with NCQA, CMS and State Medicaid requirements including delegation standards and requirements contained in the delegation agreement. Essential Job Duties The Delegation Oversight Nurse is responsible for ensuring that Molina Healthcare's UM delegates are compliant all applicable State, CMS, and NCQA requirements, as well as Molina Healthcare business needs. In addition, the Delegation Oversight Nurse will assist the Delegation Oversight Manager with additional duties of the team. We are looking for LVN's with at least 3 years of UM experience, NCQA accreditation and knowledge of InterQual / MCG guidelines. Excellent computer multi-tasking skills and analytical thought process is important to be successful in this role. Productivity is important with turnaround times. Experience with Appeals, Auditing, Prior Authorization, Compliance and Quality will be a good fit for this position. Further details to be discussed during our interview process. CA located – Remote position - Coordinates, conducts, and documents pre-delegation and annual assessments as necessary to comply with state, federal, NCQA, and any other applicable requirements. - Distributes audit results letters, follow up letters, audit tools, and annual reporting requirement as needed. - Works with Delegation Oversight Analyst on monitoring of performance reports from delegated entities. - Develops corrective action plans when deficiencies are identified, and documents follow up to completion. - Assists with meetings of the Delegation Oversight Committee. - Works with the Delegation Oversight Manager to develop and maintain delegation assessment tools, policies, and reporting templates. - Assists with preparation of delegation summary reports submitted to the EQIC and/or UM Committees. - Participates as needed in Joint Operation Committees (JOC's) for delegated groups. - Assists in preparation of documents for CMS, State Medicaid, NCQA, and/or other regulatory audits as needed. Required Qualifications • At least 3 years experience in health care, including 2 years experience in a managed care environment facilitating utilization reviews, or equivalent combination of relevant education and experience. • Licensed Vocational Nurse (LVN) or Licensed Practical Nurse (LPN). License must be active and unrestricted in state of practice. • Knowledge of audit processes and applicable state and federal regulations. • Ability to work effectively in a fast-paced, high-volume environment, maintain accuracy and meet established deadlines. • Ability to collaborate effectively with team members and internal departments. • Strong attention to detail with a focus on maintaining quality in all tasks. • Strong verbal and written communication skills. • Microsoft Office suite/applicable software program(s) proficiency. Preferred Qualifications • Registered Nurse (RN). License must be active and unrestricted in state of practice. • Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM) or Certified Professional in Healthcare Quality (CPHQ). To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

• Ensuring compliance with all relevant laws and regulations by developing and implementing the policies and procedures; • Conducting compliance risk assessments and elaborating an annual compliance plan; • Developing and implementing a plan of second-line controls and conducting the tests; • Drafting of compliance points of attention and recommendations to the Board of Directors; • Assessing future business activities to identify potential compliance risks; • Ensuring the firm’s policies and procedures are being communicated effectively to all relevant employees; • Keeping abreast with regulatory changes and maintaining the policies and procedures up to date; • Being responsible for oversight of Keyrock SYC compliance with its AML obligations and acting as a focal point for the firm’s AML activity • Carrying out the duties as per the AML/CTF Framework such as conducting KYC, onboarding customers, ongoing monitoring, reporting of STR/SAR, complaint handling, etc. • Representing the company in all matters of money laundering prevention in the Seychelles • Serving as a subject matter expert on AML/CTF matters, providing guidance and support to the compliance team and other departments; • Conducting regular audits and reviews to ensure compliance with Keyrock’s SYC regulatory obligations; • Serve as a Board Member of Keyrock SYC, with a focus on all compliance related matters. This includes providing strategic guidance on regulatory obligations, overseeing the implementation of compliance frameworks, and ensuring adherence to applicable laws and internal policies across all business activities.

• Perform preparation of document packages for regulatory submissions for new and mature products to ensure alignment and compliance with local and regional registration requirements as well as with company policies from all areas of company as well as internal audits and inspections. • Compile all materials required in submissions, license renewal and annual registrations. • Prepare the necessary copies of international documents, CE Certificates, CFG's and other regulatory documents. • Assist in updating and maintaining Technical files for submission to the Notified Body for changes in manufacturing and/or design. • Maintain the Global RA database for the Corporation. • Provide administrative support to RA Department personnel. • Complete other tasks assigned by management as needed.