AVP, Compliance (Remote in Florida)

Job description

JOB DESCRIPTION Job Summary Provides strategy and leadership to 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 of fraudulent or abusive practices. Plays a crucial role in developing and implementing compliance programs/initiatives, and advising executives on regulatory matters. Essential Job Duties: - Demonstrates leadership and provides strategic support for the compliance function for area(s) of responsibility; demonstrates accountability for performance and keeps executive leadership apprised. - Oversees day-to-day compliance operations for areas(s) of responsibility; ensures the compliance program, compliance plan, and code of conduct are adhered to, and mitigates fraud, waste and abuse (FWA) and risk, and ensures compliance with governmental and contractual requirements. - Leads Compliance in facilitating external Center for Medicaid Services (CMS) or state Medicaid agency audits, including inbound and outbound communications with the auditor, monitor...