[Remote] Director, Compliance (Nevada Health Plan) - Remote in Nevada
Note: The job is a remote job and is open to candidates in USA. Molina Healthcare is a leading organization in the healthcare sector, and they are seeking a Director of Compliance to lead and direct compliance activities. The role involves ensuring adherence to regulatory requirements and internal policies, overseeing compliance investigations, and managing a team of compliance professionals.
Responsibilities
ā¢ Directs and oversees compliance activities and serves as a resource on compliance issues
ā¢ Demonstrates leadership and expertise to ensure compliance with applicable state/federal statutes and internal policies
ā¢ Facilitates training and education, and subject matter expertise related to compliance requirements
ā¢ Ensures business accountability for compliance investigations - ensuring oversight, follow-up, and resolution
ā¢ Enforces the compliance plan, code of conduct and anti-fraud plan
ā¢ In conjunction with compliance leadership and the special investigative unit (SIU) team, develops an active relationship with third parties who have specific experience in conducting fraud, waste and abuse (FWA) investigations
ā¢ Prepares written quarterly reports to inform compliance leadership on the status of activities pertaining to overall compliance for area(s) of responsibility
ā¢ Oversees team of compliance professionals; responsible for hiring, performance management, recognition, and staff development
Skills
ā¢ At least 8 years of experience in compliance, risk management, and/or auditing, or equivalent combination of relevant education and experience
ā¢ At least 3 years management/leadership experience
ā¢ Extensive knowledge of relevant regulatory frameworks and industry standards
ā¢ Experience developing and implementing compliance programs and controls
ā¢ Strong leadership, strategic thinking, and decision-making capabilities
ā¢ Ability to thrive in a cross-functional highly matrixed environment
ā¢ Strong analytical and problem-solving skills
ā¢ Project management experience
ā¢ Ability to build rapport and gain the respect and collaboration of internal/external stakeholders
ā¢ Knowledge and ability to think creatively, proactively, and independently
ā¢ Ability to prepare reports and presentations and manage data
ā¢ Self-motivated and results oriented
ā¢ Strong organizational skills and the ability to meet delivery targets
ā¢ Disciplined and ability to effectively track, document and report on projects/activities
ā¢ Strong verbal and written communication skills
ā¢ Microsoft Office suite and applicable software program(s) proficiency
ā¢ Previous experience in a health plan or government programs setting (Medicaid, Medicare, Marketplace)
ā¢ Certificate in Healthcare Compliance (CHC), or other compliance-related certification
Benefits
ā¢ Competitive benefits and compensation package
Company Overview
ā¢ Molina Healthcare is a healthcare company that specializes in government-sponsored healthcare programs for families and individuals. It was founded in 1980, and is headquartered in Long Beach, California, USA, with a workforce of 10001+ employees. Its website is https://investors.molinahealthcare.com/.
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Responsibilities
ā¢ Directs and oversees compliance activities and serves as a resource on compliance issues
ā¢ Demonstrates leadership and expertise to ensure compliance with applicable state/federal statutes and internal policies
ā¢ Facilitates training and education, and subject matter expertise related to compliance requirements
ā¢ Ensures business accountability for compliance investigations - ensuring oversight, follow-up, and resolution
ā¢ Enforces the compliance plan, code of conduct and anti-fraud plan
ā¢ In conjunction with compliance leadership and the special investigative unit (SIU) team, develops an active relationship with third parties who have specific experience in conducting fraud, waste and abuse (FWA) investigations
ā¢ Prepares written quarterly reports to inform compliance leadership on the status of activities pertaining to overall compliance for area(s) of responsibility
ā¢ Oversees team of compliance professionals; responsible for hiring, performance management, recognition, and staff development
Skills
ā¢ At least 8 years of experience in compliance, risk management, and/or auditing, or equivalent combination of relevant education and experience
ā¢ At least 3 years management/leadership experience
ā¢ Extensive knowledge of relevant regulatory frameworks and industry standards
ā¢ Experience developing and implementing compliance programs and controls
ā¢ Strong leadership, strategic thinking, and decision-making capabilities
ā¢ Ability to thrive in a cross-functional highly matrixed environment
ā¢ Strong analytical and problem-solving skills
ā¢ Project management experience
ā¢ Ability to build rapport and gain the respect and collaboration of internal/external stakeholders
ā¢ Knowledge and ability to think creatively, proactively, and independently
ā¢ Ability to prepare reports and presentations and manage data
ā¢ Self-motivated and results oriented
ā¢ Strong organizational skills and the ability to meet delivery targets
ā¢ Disciplined and ability to effectively track, document and report on projects/activities
ā¢ Strong verbal and written communication skills
ā¢ Microsoft Office suite and applicable software program(s) proficiency
ā¢ Previous experience in a health plan or government programs setting (Medicaid, Medicare, Marketplace)
ā¢ Certificate in Healthcare Compliance (CHC), or other compliance-related certification
Benefits
ā¢ Competitive benefits and compensation package
Company Overview
ā¢ Molina Healthcare is a healthcare company that specializes in government-sponsored healthcare programs for families and individuals. It was founded in 1980, and is headquartered in Long Beach, California, USA, with a workforce of 10001+ employees. Its website is https://investors.molinahealthcare.com/.
Apply tot his job
Apply To this Job