Nevada, Ohio, and Beyond: Molina Healthcare Seeks Compliance Leader Amid Expansion
Molina Healthcare, a Fortune 500 organization providing healthcare services to individuals receiving government assistance, is seeking a leader to direct its compliance activities. The position, advertised on , reflects the company’s continued expansion across multiple states and its commitment to navigating a complex regulatory landscape.
The role, based in Nevada but with responsibilities extending to locations including Ohio, Iowa, New York, Florida, Idaho, Arizona, Wisconsin, and Texas, requires at least eight years of experience in compliance, risk management, or auditing. Candidates must also possess a minimum of three years of management or leadership experience. The advertised salary range for the position is $102,163 to $227,679 annually, with actual compensation potentially varying based on location, experience, and skill level.
The compliance director will be responsible for ensuring the organization adheres to both federal and state regulations, as well as internal policies. This includes preventing and detecting violations of applicable laws and protecting the business from liability, fraudulent, or abusive practices. The position demands a deep understanding of relevant regulatory frameworks and industry standards, particularly within the context of Medicaid and Medicare programs.
Molina Healthcare’s focus on compliance comes at a time of heightened scrutiny for healthcare providers and insurers. The industry faces ongoing challenges related to fraud, waste, and abuse, as well as evolving regulations concerning data privacy and security. A recent notice posted on the Molina Healthcare of Ohio website () warns Medicaid recipients about scams targeting those enrolled in the program, highlighting the need for vigilance and robust compliance measures.
The job description emphasizes the importance of leadership and expertise in navigating these challenges. The director will facilitate training and education on compliance requirements, oversee investigations, and enforce the company’s compliance plan and code of conduct. A key aspect of the role involves building relationships with third parties specializing in fraud, waste, and abuse investigations.
The position also requires strong analytical and problem-solving skills, as well as the ability to thrive in a “cross-functional, highly matrixed environment.” Molina Healthcare’s extensive geographic footprint – with job locations listed across more than 30 cities in 16 states – suggests a complex organizational structure requiring effective collaboration and communication.
Molina Healthcare’s commitment to compliance extends to addressing data security concerns. The Ohio website also references a data breach experienced by Conduent Business Services, LLC, a vendor providing credit balance auditing services for Molina providers. The breach involved protected health information of some Molina members, underscoring the importance of vendor management and data protection protocols.
The company’s stated mission is to provide quality healthcare to individuals receiving government assistance. This mission is particularly relevant given the increasing number of Americans relying on Medicaid and other public health programs. Molina Healthcare currently operates in Nevada, offering Medicaid and Nevada Check Up benefits in Clark and Washoe counties, according to its website. The expansion into multiple states suggests a growing role in providing affordable healthcare options to vulnerable populations.
The job posting also highlights Molina Healthcare’s commitment to employee development, offering a competitive benefits and compensation package and emphasizing opportunities for career advancement. The company describes itself as a team-oriented environment where employees can “make a difference in the lives of others.”
Preferred qualifications for the compliance director position include previous experience in a health plan or government programs setting, as well as a Certificate in Healthcare Compliance (CHC) or other relevant certification. These qualifications demonstrate the company’s desire to attract candidates with specialized knowledge and expertise in the healthcare industry.
The search for a compliance leader reflects a broader trend within the healthcare industry towards increased regulatory oversight and a greater emphasis on ethical conduct. As Molina Healthcare continues to expand its operations and serve a growing number of beneficiaries, maintaining a robust compliance program will be critical to its long-term success and its ability to fulfill its mission.
Molina Healthcare encourages current employees interested in the position to apply through the Internal Job Board. The company is an Equal Opportunity Employer.
