Be an early applicantLess than 25 applicantsPosted by Agency

Company

Molina Healthcare · 4 hours ago

Compliance Specialist (REMOTE - NY ONLY - Travel Required)

New York, NY

Full-time

Remote

Mid Level

$62K/yr - $106K/yr

4+ years exp

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Health CareHospital

H1B Sponsor Likely

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Responsibilities

Performs Plan Required Reporting.

Interpret and analyzes Medicare, Medicaid and Medicare Medicaid Plan Required Reporting Technical Specifications.

Create and maintain monthly and quarterly Key Performance Indicator (KPI) reports.

Support management with New York State Assistor Concerns (Tracking/Action/Reporting)

Conduct secret shop visits of Molina’s Sales team and sites to determine compliance with applicable rules and regulations and assess customer service.

Assess Facilitated Enrollers, Managed Long Term Care and Medicaid Advantage Plus Representatives’ product knowledge.

Document and submit detailed reports about the visits, including time, date, and staff interactions.

Conduct telephonic audits of Molina’s Facilitated Enrollers.

Conduct enrollment application audits.

Ability to work independently and set priorities

Excellent communication, observation and written skills.

Strong analytical and reporting skills

Must have a valid driver’s license and reliable transportation.

Qualification

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Medicare ReportingMedicaid ReportingKPI ReportingTelephonic AuditsEnrollment Application AuditsHealthcare AdministrationHealth Care Experience

Required

BA/BS/BC degree Healthcare Administration or minimum equivalent employment experience of 4+ years, Health Care or related field required

4 years’ experience in health care industry in related field desired

Ability to work independently and set priorities

Excellent communication, observation and written skills

Strong analytical and reporting skills

Must have a valid driver’s license and reliable transportation

Preferred

BA/BS/BC Healthcare Administration

4 years’ experience in health care industry in related field desired

Company

Molina Healthcare

Glassdoor

3.4

Molina Healthcare is a healthcare company that specializes in government-sponsored healthcare programs for families and individuals.

Founded in 1980

Long Beach, California, USA

10,001+ employees

https://careers.molinahealthcare.com

H1B Sponsorship

Molina Healthcare has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)

Distribution of Different Job Fields Receiving Sponsorship

Represents job field similar to this job

Trends of Total Sponsorships

2023 (33)

2022 (36)

2021 (33)

2020 (60)