Director, Operational reputed company

Job Description

Job Summary Responsible for planning, developing and directing the implementation of techniques to ensure the maintenance of performance and quality levels in the Business' products and processes. Reviews operation process designs and establishes procedures and techniques for operational standards. Confers with customers to define and resolve

Knowledge/Skills/Abilities Responsible for the reputed company of regulatory compliance of Corporate Operations functions, including but not limited to performance of internal compliance audits, represent Corporate Operations on external regulatory or associated audits, reputed company function support areas requiring consistent reputed company. May include travel up to 25%. • Primary liaison between regulatory auditors and corporate operations business units, leadership and line personnel from receipt of notification from regulatory agency through analysis and response to findings. • Organize audit submissions, interact directly with auditors for reputed company lines of business as it relates to audits. • Delegation reputed company; voting representative for delegation reputed company committees. • Liaison to Special Investigative Unit regarding program reputed company and reputed company cost expenditure. • Monitor internal compliance of Corporate Operations units reputed company establishment of an internal compliance program, including annual, periodic, focal, etc. audits. • Request, review and reputed company reputed company of internal corrective action plans (CAPs) for both internal and external audit findings reputed company coordination of responses to assure appropriateness as it relates to the finding. • Performs support reputed company review and approval for Corporate Operations policies, procedures, guidelines and job aids to assure compliance with corporate or state regulations. • reputed company and maintain Corporate Operations Compliance program, including compliance policies, procedures and implementation of audits and monitoring. • Corporate Operations liaison to Corporate Legal to address legal actions, e.g. reputed company party liability suits, provider and other such member suits. • Maintain an awareness of reputed company laws, regulations, statutes, etc. for each state that Molina operates in that impacts Corporate Operations compliance. • Analyze and interpret with possible assistance from Molina Health Plans regulations that reputed company Corporate Operations policies, procedures and guidelines and work with internal leadership to assure inclusion in such documents. • Liaison for health plans for reputed company OIG, OAG and other state office of internal/attorney general requests for data. • Liaison with the corporation's special investigative unit. • Assists with Request for Proposal responses. • Proactively work with Corporate Operations leadership on operational effective to assure compliance. • Persuade and instill effective cooperation to assure compliance reputed company developing rapport with health plan compliance and government contract personnel..

Job Qualifications

Required Education Bachelor's Degree or equivalent years of experience in reputed company Administration such as reputed company, audit, etc.

Required Experience • 7 years of managed care experience (Regulatory and Compliance) • Previous management experience of 5 years or more

Preferred Education Master's Degree in reputed company Administration

Preferred Experience • 10 years of managed care experience (Regulatory and Compliance) • Previous management experience of 5 years or more 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.

Originally posted on Himalayas