Reporting Analyst, SIU

Responsibilities

• Ensure FWA referrals are logged, documented, assigned for investigation, and reported to regulators.
• Create regulatory reports specific to the SIU in support of contractual requirements.
• Interpret and analyze state and federal regulatory rules and contracts for compliance assessment.
• Perform oversight audits and validation activities to ensure operational regulatory compliance.
• Support the SIU Manager and Director in developing the Operational Oversight Program.
• Manage and produce an inventory of regulatory reports.
• Assist health plans and MHI Business Owners with external regulatory audit requests.
• Develop and communicate audit scope, objectives, and timelines in collaboration with stakeholders.
• Analyze trend reports to ensure compliance and identify training needs.
• Ensure compliance with all Molina Health Plans through report creation and execution.

Skills

• Associate Degree or equivalent combination of education and experience
• Minimum 2 years experience in SIU, law enforcement, healthcare field, or regulatory field
• Minimum 1 year experience with regulatory reporting
• 2-4 years experience working for a managed care organization
• 3-5 years experience in the healthcare industry in a related field (Regulatory, Compliance, and Auditing)

Benefits

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