Molina Healthcare logo
Molina Healthcare

Molina Healthcare is a Fortune 500 managed care company with a storied history that dates back to 1980 and the opening of a medical clinic by Dr. C. David Molina. As an employer, M

Auditor, Compliance

Location

United States

Posted

9 hours ago

Salary

$49.4K - $107.1K / year

Seniority

Mid Level

No structured requirement data.

Job Description

Auditor, Compliance

Molina Healthcare

Role Description Provides support for compliance auditing activities. Responsible for evaluating Molina's adherence to regulatory requirements, internal policies, and health care industry standards by identifying compliance gaps and recommending improvements to mitigate risk related to fraudulent or abusive practices. - Performs on-going compliance audits utilizing as necessary, state evaluation tools relating to audit/monitoring activities. - Identifies and defines audit scope and criteria, reviews and analyzes evidence, and documents audit finds, including making recommendations for improvement and correction where identified. - Provides comprehensive advice to assigned departments regarding compliance risks with respect to federal and state regulations and contract provisions. - Provides input and support during the annual risk assessment and audit planning processes. - Assists with monitoring activities involving the effective execution of corrective action requirements imposed by state or federal regulatory agencies for contract deficiencies. Qualifications - At least 2 years experience in audit and/or compliance, or equivalent combination of relevant education and experience. - Knowledge of relevant regulatory frameworks and compliance standards. - Understanding of internal control concepts and risk assessment methodologies. - Strong analytical and problem-solving abilities. - Attention to detail, and ability to manage multiple projects simultaneously. - Effective verbal and written communication skills. - Microsoft Office suite and applicable software program(s) proficiency. Requirements - Experience in the health care industry (preferred). Benefits - Molina Healthcare offers a competitive benefits and compensation package. Company Description Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

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