Job Description
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 • Directs and oversees compliance activities and serves as a resource on compliance issues • Demonstrates leadership and expertise to ensure compliance with applicable state/federal statutes and internal policies • Facilitates training and education, and subject matter expertise related to compliance requirements • Ensures business accountability for compliance investigations - ensuring oversight, follow-up, and resolution • Enforces the compliance plan, code of conduct and anti-fraud plan • 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 • Prepares written quarterly reports to inform compliance leadership on the status of activities pertaining to overall compliance for area(s) of responsibility • Oversees team of compliance professionals; responsible for hiring, performance management, recognition, and staff development Skills • At least 8 years of experience in compliance, risk management, and/or auditing, or equivalent combination of relevant education and experience • At least 3 years management/leadership experience • Extensive knowledge of relevant regulatory frameworks and industry standards • Experience developing and implementing compliance programs and controls • Strong leadership, strategic thinking, and decision-making capabilities • Ability to thrive in a cross-functional highly matrixed environment • Strong analytical and problem-solving skills • Project management experience • Ability to build rapport and gain the respect and collaboration of internal/external stakeholders • Knowledge and ability to think creatively, proactively, and independently • Ability to prepare reports and presentations and manage data • Self-motivated and results oriented • Strong organizational skills and the ability to meet delivery targets • Disciplined and ability to effectively track, document and report on projects/activities • Strong verbal and written communication skills • Microsoft Office suite and applicable software program(s) proficiency • Previous experience in a health plan or government programs setting (Medicaid, Medicare, Marketplace) • Certificate in Healthcare Compliance (CHC), or other compliance-related certification Benefits • Competitive benefits and compensation package Company Overview • 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 Apply tot his job
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