Analyst, Compliance

JOB DESCRIPTION

Job Summary

Molina Healthcare's HIPAA Compliance team supports privacy compliance operations for all Molina product lines enterprise wide. It is a centralized corporate function supporting HIPAA compliance activities at individual state health plans.

KNOWLEDGE/SKILLS/ABILITIES

The Compliance Analyst-HIPAA position is primarily responsibility for supporting the day to day operations and initiatives of the HIPAA Department.

• Provides technical expertise to Molina interdepartmental regulatory & legislative interpretation inquiries.
• Performs Plan Required Reporting.
• Interpret and analyzes HIPAA, state privacy laws, and Medicare, Medicaid and MMP contractually Required Reporting Technical Specifications.
• Create and maintain monthly and quarterly Key Performance Indicator (KPI) reports.
• Support the management of the regulatory memo distribution process Ability to work independently and set priorities.
• Manages compliance incidents management and related processes, including associated corrective action plans.
• Provides technical expertise to Molina interdepartmental regulatory & legislative interpretation inquiries.
• Responds to legislative and member inquiries/complaints (members, state insurance regulators, Congressional, etc.).
• Assists with the regulatory memo distribution process.
• Reviews, revises and manages Molina Privacy policies and procedures
• Review and responds to member requests to access PHI and other HIPAA individual right.
• Supports internal and external audit and readiness reviews.
• Maintains business associate agreeements.
• Coordinates site visits for federal & state regulators.
• Leads large, complex projects to achieve compliance objectives.
• Interprets and analyzes state and federal regulatory manuals and revisions.
• Interprets and analyzes federal and state rules and requirements for proposed & final rules.
• Coordinates comments relating to federal notices of proposed rulemaking.
• Ability to work independently and set priorities.

JOB QUALIFICATIONS

Required Education

BA/BS/BC degree Healthcare Administration, Business Administration or Information Technology or minimum equivalent employment experience of 4+ years, Health Care, Privacy/Security or related field required

Required Experience

4 years’ experience in health care industry in related field desired

Preferred Education

BA/BS/BC Healthcare Administration or Business Administration

Preferred Experience

4 years’ experience in health care or financial services industry in related field desired

Preferred License, Certification, Association

CIPP/US or Certified in Healthcare Compliance

 

To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.