Medicare Compliance Analyst
•Today
| Hours | Full-time |
|---|---|
| Location | Bellevue, Nebraska |
About this job
**JOB DESCRIPTION**
**Job Summary**
Molina Healthcare's Medicare Compliance team supports Medicare operations for the Molina Medicare product lines. It is a centralized corporate function supporting compliance activities.
**KNOWLEDGE/SKILLS/ABILITIES**
The Compliance Analyst position is primarily responsible for Medicare Oversight.
+ Provide regulatory expertise to the Organization: both State and Federal
+ Have working knowledge of federal and state guidelines pertaining to Medicare Advantage (MA) products.
+ Perform internal MA Compliance Reporting.
+ Perform internal monitoring.
+ Detailed oriented to conduct thorough research.
+ Recommend applicable corrective action(s) to business partners.
+ Process improvement driven.
+ Create, update, and retire P&Ps, Standard Operating Procedures and Training documents.
+ Lead regularly scheduled business meetings.
+ Interpret and analyze Medicare and Medicaid communications.
+ Review and interpret internal dashboards for outliers and deeper dive research when applicable.
+ Lead projects to achieve compliance objectives.
+ Interpret and analyze State and Federal Regulatory rules, manuals and revisions.
+ Interact with internal stakeholders via verbal and written communication.
+ Ability to work independently and set priorities.
+ Foster an environment of open communication with business partners.
**EXPERIENCE**
+ 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.
+ Writing Policy & Procedures
+ Project Management experience is highly preferred.
**REQUIRED EDUCATION** :
+ Bachelor’s degree and/or equivalent combination of relevant education and experience
**REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES** :
+ 2- 4 years’ experience in compliance related work
**REQUIRED LICENSE, CERTIFICATION, ASSOCIATION** :
**PREFERRED EDUCATION** :
**PREFERRED EXPERIENCE** :
+ 1-3 years’ experience in the health care industry
+ Managed Care Experience
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.
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Full-time Jobs Part-time Jobs Gig Jobs Posting ID: 1189370788 Posted: 2025-11-28 Job Title: Compliance Analyst