Director of Compliance - NY Only
Company: Molina Healthcare
Posted on: November 26, 2022
The Director (NYS MLTC and Sales/ Marketing/ Retention Oversight)
is responsible for establishing a specifically designed compliance
program that effectively prevents and/or detects violation of
applicable laws and regulations, which will protect the Business
from liability of fraudulent or abusive practices. Ensures that the
Business understands and complies with applicable laws and
regulations pertaining to the Health Care environment. Ensures the
Business' accountability for compliance by overseeing, follow-up
and resolution of investigations.
--- Responsible for oversight and management of Health Plan
Compliance Directors for all compliance activities and serves as a
resource on compliance issues. Provides leadership and expertise to
help facilitate compliance with applicable statutes and
--- Provides leadership to Health Plan Compliance Directors on
training and education of compliance requirements. Provides
specialized compliance education and training when necessary.
--- Enforces, as a representative of management, the Compliance
Plan, Code of Conduct and Anti-Fraud Plan.
--- Establishes, at the direction of the AVP of Compliance or the
AVP of the Corporate SIU an active relationship with third parties
who have specific experience in conducting fraud and abuse
--- Prepares written reports to inform the AVP of Compliance, no
less than quarterly, the status of activities pertaining to overall
Health Plan compliance
Graduate Degree or equivalent combination of education and
To all current Molina employees: If you are interested in applying
for this position, please apply through the intranet job
Molina Healthcare offers a competitive benefits and compensation
package. Molina Healthcare is an Equal Opportunity Employer (EOE)
Pay Range: $88,453.23 - $172,483.80 a year
Actual compensation may vary from posting based on geographic
location, work experience, education and/or skill level.
Keywords: Molina Healthcare, New York , Director of Compliance - NY Only, Executive , Brooklyn, New York
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