Molina Healthcare
Bellevue, NE, USA
Job Summary Are you passionate about ensuring compliance in healthcare? Join our team as a Senior Compliance Auditor, where your expertise will play a crucial role in safeguarding our health plans against regulatory and contractual discrepancies. Your work will be instrumental in identifying and managing compliance risks, ultimately upholding the integrity and safety of Molina Healthcare. Essential Job Duties Lead and execute comprehensive pre-delegation and annual audits to ensure all regulatory and accreditation standards are met. Conduct detailed examinations of delegate policies, procedures, and case files to confirm quality service delivery. Collaborate with delegate leadership to assess risks and develop effective solutions. Utilize your analytical skills to pinpoint systemic issues and work with other departments to address and minimize risks. Analyze audit results to identify root causes and formulate corrective action plans (CAPs). Prepare and oversee...