(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.