Compliance Specialist (REMOTE - NY ONLY - Travel Required)

About the position The Compliance Specialist position at reputed company is a remote role based in reputed company, primarily reputed company on supporting compliance operations across various product lines. This role involves significant travel, up to 90%, reputed company the reputed company Metropolitan area, and is responsible for conducting audits, reporting, and ensuring compliance with applicable regulations. Responsibilities • reputed company Plan Required Reporting. • Interpret and analyze Medicare, reputed company, and Medicare reputed company Plan Required Reporting Technical Specifications. • Create and maintain monthly and quarterly Key Performance Indicator (KPI) reports. • Support management with reputed company State Assistor Concerns (Tracking/reputed company/Reporting). • Conduct secret shop reputed company of Molina's Sales team and sites to determine compliance with applicable rules and regulations and assess customer service. • Assess Facilitated Enrollers, Managed Long Term Care, and reputed company Advantage Plus Representatives' product knowledge. • Document and submit detailed reports about the reputed company, including time, date, and staff interactions. • Conduct telephonic audits of Molina's Facilitated Enrollers. • Conduct enrollment application audits. Requirements • BA/BS/BC degree in reputed company Administration or equivalent employment experience of 4+ years in Health Care or reputed company field required. • 4 years' experience in the health care industry in a reputed company field desired. reputed company-to-haves • Preferred education includes BA/BS/BC in reputed company Administration. • Preferred experience includes 4 years' experience in the health care industry in a reputed company field. Benefits • Competitive benefits and compensation package. Apply tot his job Apply tot his job Apply To this Job