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Director, Compliance

Company: Molina Healthcare
Location: Albuquerque
Posted on: September 13, 2020

Job Description:

We're looking for a candidate to fill this position in an exciting company.

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 policies.

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 investigations.

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 experience

Required Experience 7-9 years

Keywords: Molina Healthcare, Albuquerque , Director, Compliance, Other , Albuquerque, New Mexico

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