Sr. Specialist, Delegation Oversight - Remote

Overview

Responsible for continuous quality improvements within the Delegation Oversight Department. Oversees delegated activities to ensure compliance primarily with DMHC and DHCS requirements including delegation standards and requirements contained in the Molina Medical Compliance and Fraud, Waste and Abuse Program.

In Short

• Coordinates, conducts, and documents delegation assessments.
• Prepares status reports from Delegated Entities.
• Develops corrective action plans for compliance issues.
• Assists with meetings of the Delegation Oversight Committee.
• Works with Network Management team on delegation agreements.
• Prepares documentation for state monitoring visits.

Requirements

• Bachelor's Degree or equivalent education/experience.
• 3+ years managed care experience.
• 1 year experience in delegation oversight assessment/audits.
• Data analysis experience.

Benefits

• Competitive benefits and compensation package.
• Equal Opportunity Employer (EOE) M/F/D/V.