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.