Director, Compliance (Nevada Health Plan) - Remote in Nevada

**JOB DESCRIPTION**Leads and directs team responsible for compliance activities. Seeks to ensure the organization adheres to regulatory requirements, industry standards, and Molina internal policies, and prevents and/or detects violation of applicable laws and regulations, and protect the business from liability, fraudulent or abusive practices.**Essential Job Duties**- Directs and oversees compliance activities and serves as a resource on compliance issues.- Demonstrates leadership and expertise to ensure compliance with applicable state/federal statutes and internal policies.- Facilitates training and education, and subject matter expertise related to compliance requirements.- Ensures business accountability for compliance investigations - ensuring oversight, follow-up, and resolution.- Enforces the compliance plan, code of conduct and anti-fraud plan.- In conjunction with compliance leadership and the special investigative unit (SIU) team, develops an active relationship with third parties who have specific experience in conducting fraud, waste and abuse (FWA) investigations.- Prepares written quarterly reports to inform compliance leadership on the status of activities pertaining to overall compliance for area(s) of responsibility.- Oversees team of compliance professionals; responsible for hiring, performance management, recognition, and staff development. Job Requirements- At least 8 years of experience in compliance, risk management, and/or auditing, or equivalent combination of relevant education and experience.- At least 3 years management/leadership experience.- Extensive knowledge of relevant regulatory frameworks and industry standards.- Experience developing and implementing compliance programs and controls.- Strong leadership, strategic thinking, and decision-making capabilities.- Ability to thrive in a cross-functional highly matrixed environment.- Strong analytical and problem-solving skills.- Project management experience.- Ability to build rapport and gain the respect and collaboration of internal/external stakeholders.- Knowledge and ability to think creatively, proactively, and independently.- Ability to prepare reports and presentations and manage data.- Self-motivated and results oriented.- Strong organizational skills and the ability to meet delivery targets.- Disciplined and ability to effectively track, document and report on projects/activities.- Strong verbal and written communication skills.- Microsoft Office suite and applicable software program(s) proficiency. Preferred Qualifications- Previous experience in a health plan or government programs setting (Medicaid, Medicare, Marketplace).- Certificate in Healthcare Compliance (CHC), or other compliance-related certification.To all current Molina employees. If you are interested in applying for this position, please apply through the Internal Job Board.Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/VPay Range: $102,163 - $199,219 / ANNUAL*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.