Auditor, Compliance - Remote - #1405842
Lensa
Date: 2 weeks ago
City: Sterling Heights, MI
Contract type: Full time
Remote
Lensa is the leading career site for job seekers at every stage of their career. Our client, Molina Healthcare, is seeking professionals. Apply via Lensa today!
Job Description
Job Summary
( Must have LPN or RN License)
Establish a specifically designed compliance program that effectively prevents and/or detects violation of applicable laws and regulations, which will protect the Business from liability of fraudulent or abusive practices. Ensures that the Business understands and complies with applicable laws and regulations pertaining to the Health Care environment. Ensures the Business' accountability for compliance by overseeing, follow-up and resolution of investigations.
Knowledge/Skills/Abilities
Required Education
Associate degree or equivalent combination of education and experience
Required Experience
1-3 years
Preferred Education
Bachelor's degree in health care related area.
Preferred Experience
3-5 years
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
Job Description
Job Summary
( Must have LPN or RN License)
Establish a specifically designed compliance program that effectively prevents and/or detects violation of applicable laws and regulations, which will protect the Business from liability of fraudulent or abusive practices. Ensures that the Business understands and complies with applicable laws and regulations pertaining to the Health Care environment. Ensures the Business' accountability for compliance by overseeing, follow-up and resolution of investigations.
Knowledge/Skills/Abilities
- 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 department regarding compliance risks with respect to Federal and State regulations and contract provisions.
- Provides significant input 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.
Required Education
Associate degree or equivalent combination of education and experience
Required Experience
1-3 years
Preferred Education
Bachelor's degree in health care related area.
Preferred Experience
3-5 years
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.
How to apply
To apply for this job you need to authorize on our website. If you don't have an account yet, please register.
Post a resumeSimilar jobs
Office Administrator
Access,
Sterling Heights, MI
1 day ago
Job Title: Office Administrator Job Status: Full time Job Summary Under limited supervision, the Office Administrator uses specialized knowledge in office administration and skills obtained through experience, specialized training or certification to coordinate and/or perform the full range of administrative duties in support of an assigned functional unit. Typically performs tasks related to customer service functions, some or all of...
Specialist, Employee Relations
Ford Motor Company,
Sterling Heights, MI
5 days ago
Job Description In this position... The Plant HR Generalist position at a manufacturing plant requires a capable individual with a strong foundation in employee relations and a good understanding of business operations. The role encompasses a variety of responsibilities, including supporting talent management, implementing employee engagement programs, assisting with labor relations, ensuring compliance with regulations, and participating in community outreach...
Manager, Medical Economics (Medicare) - REMOTE
Lensa,
Sterling Heights, MI
4 weeks ago
Lensa is the leading career site for job seekers at every stage of their career. Our client, Molina Healthcare, is seeking professionals. Apply via Lensa today! Job Description Job Summary Collects, validates, analyzes, and organizes data into meaningful reports for management decision making as well as designing, developing, testing, and deploying reports to other end users for operational and strategic...