Molina Healthcare · 3 weeks ago
Analyst, Compliance (Sales)
Arizona, United States
Full-time
Onsite
Entry, Mid Level
$78K/yr - $117K/yr
2+ years expMolina Healthcare is a company that supports sales operations for its Medicare product lines through its Medicare Compliance team. The Sales Compliance Analyst is responsible for ensuring compliance in sales operations by providing regulatory expertise, performing compliance reporting, and leading investigations into sales allegations.
Health CareHospitalMedical
Responsibilities
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
Detailed oriented to conduct thorough Sales allegations investigations
Recommend applicable corrective action(s) when applicable to business partners
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
Responds to legislative inquiries/ Sales complaints (state insurance regulators, Congressional, etc.)
Leads projects to achieve Sales compliance objectives
Interprets and analyzes 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
Qualification
Required
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
Detailed oriented to conduct thorough Sales allegations investigations
Recommend applicable corrective action(s) when applicable to business partners
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
Responds to legislative inquiries/ Sales complaints (state insurance regulators, Congressional, etc.)
Leads projects to achieve Sales compliance objectives
Interprets and analyzes 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
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
Company
Molina Healthcare
Molina Healthcare is a healthcare company that specializes in government-sponsored healthcare programs for families and individuals.
10001+ employees
Funding
Current Stage
Public CompanyTotal Funding
$2.35B2025-11-17Post Ipo Debt· $850M
2024-11-13Post Ipo Debt· $750M
2021-11-16Post Ipo Debt· $750M
Leadership Team
Dave Reynolds
Executive Vice President, Health Plans & Medicaid Chief Operating Officer
Debbie Simkins
Vice President, Office of the CIO
Recent News
2026-01-17
2026-01-16
Hartford Business Journal
2026-01-14
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