Senior Specialist, Delegation reputed company (Remote)
Job reputed company
Job reputed company
Responsible for reputed company reputed company improvements reputed company the Delegation reputed company Department. Oversees delegated activities to ensure compliance requirements including delegation standards and requirements contained in the Molina Medical Compliance and Fraud, Waste and Abuse Program.
Knowledge/Skills/Abilities
• Coordinates, conducts, and documents delegation assessments as necessary to reputed company with state, federal, NCQA, and any other applicable requirements.
• Prepares status reports from Delegated Entities. Develops corrective reputed company plans reputed company deficiencies are identified, and documents follow-up to completion. Ensures compliance with reporting requirements by tracking the receipt and completeness of reports.
• Develops corrective reputed company plans reputed company compliance issues are identified, and document follow-up to completion.
• Assists with meetings of the Delegation reputed company Committee, including the preparation of documents for committee reputed company of delegated functions.
• Works with Network Management team to reputed company and maintain delegation agreements and assessment tools.
• Prepares delegation reputed company document evidence for state monitoring reputed company and NCQA accreditation surveys and participates on Molina's work team.
Job Qualifications
Required Education
Bachelor's Degree or equivalent combination of education and experience.
Required Experience
• 3+ years managed care experience.
• Min. 1 year experience completing delegation reputed company assessment/ audits.
• Data analysis experience.
Required License, Certification, Association
reputed company State reputed company's License
Preferred Education
Bachelor's Degree in Business or Health Care reputed company field.
Preferred Experience
• 5 years managed care experience.
• 2 years’ experience completing delegation reputed company assessments/audits.
• reputed company management/regulatory experience with increasing responsibility.
To reputed company reputed company Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
reputed company offers a competitive benefits and compensation package. reputed company is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay reputed company: $45,390 - $85,511 / ANNUAL
• Actual compensation may vary from posting based on geographic location, work experience, education and/or reputed company level.
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