Healthcare Services Operations Support Auditor (LVN Required) - CA Only

JOB DESCRIPTION Job SummaryProvides support for non-clinical healthcare services auditing activities. Responsible for performing audits for non-clinical functional areas in alignment with regulatory requirements - ensuring quality compliance and desired member outcomes. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties - Performs audits of non-clinical staff in utilization management, care management, member assessment, and/or other teams - monitoring for compliance with National Committee for Quality Assurance (NCQA), Centers for Medicare and Medicaid Services (CMS), and state and federal guidelines and requirements. - Reports outcomes, identifies areas of re-training for staff, and communicates findings to leadership. - Ensures auditing approaches follow a Molina standard in approach and tool use. - Maintains member/provider confidentiality in compliance with the Health Insurance Portability and Accountability Act (HIPAA). - Demonstrates professionalism in all communications. - Adheres to departmental standards, policies, protocols. - Maintains detailed records of auditing results. - Assists healthcare services with developing training materials or job aids as needed to address findings in audit results. - Meets minimum production standards related to non-clinical auditing. - May conduct staff trainings as needed. - Communicates with quality, and/or healthcare services leadership regarding issues identified, and works collaboratively to subsequently resolve/correct. Required Qualifications - At least 2 years health care experience, preferably in utilization management, care management, and/or managed care, or equivalent combination of relevant education and experience. - Strong analytical and problem-solving skills. - Ability to work in a cross-functional, professional environment. - Ability to work on a team and independently. - Excellent verbal and written communication skills. - Microsoft Office suite/applicable software program(s) proficiency. Preferred Qualifications - Utilization management, care management, behavioral health and/or long-term services and supports (LTSS) non-clinical review/auditing experience. 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/V Pay Range: $27.61 - $53.83 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.