Role Description Provides analyst support for compliance activities. Seeks to ensure the organization adheres to regulatory requirements, industry standards, and Molina internal policies, and prevent and/or detect violation of applicable laws and regulations, and protect the business from liability, fraudulent or abusive practices. - Supports day-to-day operations/initiatives of the compliance function. - Provides technical expertise for Molina interdepartmental regulatory and legislative interpretation inquiries. - Facilitates health plan compliance-related required reporting. - Interprets and analyzes Medicare, Medicaid and Medicare-Medicaid Plan (MMP) required reporting. - Creates and maintains monthly and quarterly key performance indicator (KPI) reports. - Supports the regulatory memorandum distribution process. - Manages compliance incidents and related processes, including associated corrective action plans (CAPs). - Responds to legislative inquiries/complaints (state/federal insurance regulators, congressional inquiries, etc.). - Coordinates site visits for state/federal regulators. - Leads large, complex compliance-related projects to achieve compliance objectives. - Interprets and analyzes state and federal regulatory manuals, and supports revision process as needed. - Interprets and analyzes federal and state rules and requirements for proposed and final rules. - Coordinates comments relating to federal notices of proposed rulemaking. - Manages Centers for Medicare and Medicaid Services (CMS) user access. Qualifications - At least 2 years of compliance and/or audit-related experience, or equivalent combination of relevant education and experience. - Knowledge of health care regulatory frameworks. - Detail-oriented; skilled in documentation review. - Data analysis skills, and ability to generate reports. - Ability to work independently and set/manage priorities. - Ability to collaborate in a cross-functional highly matrixed organization, and interact with internal/external stakeholders, including regulators. - Effective verbal and written communication skills. - Microsoft Office suite and applicable software program(s) proficiency. Requirements - Certified in Healthcare Compliance (CHC). - Experience with risk assessment methodologies. - Knowledge of internal control frameworks. Benefits Molina Healthcare offers a competitive benefits and compensation package. Company Description Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

• Lead the company’s accreditation department and various CE Provider Units • Oversee interprofessional instructional design by the team for high-impact education • Ensure regulatory compliance with all accreditation bodies • Execute and streamline accreditation processes for all CE activities planned by the organization • Monitor, track, and fulfill all accreditation criteria and processes • Facilitate, build, and manage relationships with expert faculty • Collaborate with internal staff and external professionals to fulfill accreditation requirements • Coordinate and execute all accreditation processes related to relevant activities

• Maintain and continuously improve the local Quality Management System (QMS). • Manage quality documentation, including SOPs, forms, records, and periodic reviews. • Coordinate employee training, qualification programs, and compliance records. • Lead supplier, customer, and service provider qualification activities. • Plan, conduct, and follow up on internal audits and quality assessments. • Manage deviations, quality events, CAPAs, and process improvement initiatives. • Oversee quality-related interfaces with manufacturers, external service providers, and batch release partners. • Prepare for, coordinate, and support regulatory authority inspections while ensuring ongoing inspection readiness.

• Assume overall responsibility for day-to-day effective and efficient administration of the CE Provider Units and accreditation activities • Provide regularly scheduled, proactive reporting and communications to all relevant CE Provider Units as required • Attend and participate in launch meetings, completing launch meeting preparations and post-launch meeting processes • Coordinate and execute all accreditation processes related to the relevant activities and intended audiences with a goal to maximize efficiency and accountability • Identify and procure relevant and compliant-driven health care professionals to serve as CE planners, peer reviewers, and lead faculty, while understanding the goals of each project in order to appropriately delineate their respective and expected roles in activities • Facilitate, build, and manage relationships with planners, peer reviewers, and faculty so PRIME has positive relationships with the experts that support our projects • Ensure all CE projects developed and delivered by the organization are in compliance with individual accreditation criteria, the Standards for Integrity and Independence, PhRMA Guidelines, other relevant policies, and the company’s Policy and Procedures • Oversee all contracting, documentation, and payment of planners, peer reviewers and faculty to meet internal and external requirements, including review of disclosures • Review activity promotional materials developed by the company to ensure compliance with accreditation criteria as well as accuracy of faculty information, and work with tech and marketing teams to implement timely and accurate changes • Regularly monitor the company’s CE learners’ comments dashboard to identify any reports of perceived bias or conflict of interest and mitigate reports pursuant to the company’s established processes • Track, oversee and perform re-accreditation processes for each Provider Unit, including establishing plans and timelines for resource allocation, such as involving departments in collection of data or documents • Monitor accredited bodies’ requirements and ensure PRIME’s compliance if such requirements change • Proactively research and assess new accreditations and certifications PRIME should consider to support new business opportunities and maintain its position as a leading provider • Facilitate PRIME’s paid CE courses, as well as new and established accreditation partnerships