Sr Specialist, Delegation Oversight
Company: Molina Healthcare
Posted on: May 8, 2022
Responsible for continuous quality improvements within the
Delegation Oversight Department. Oversees delegated activities to
ensure compliance primarily with DMHC and DHCS requirements
including delegation standards and requirements contained in the
Molina Medical Compliance and Fraud, Waste and Abuse Program.
- Coordinates, conducts, and documents delegation assessments as
necessary to comply with state, federal, NCQA, and any other
- Prepares status reports from Delegated Entities. Develops
corrective action plans when deficiencies are identified, and
documents follow-up to completion. Ensures compliance with
reporting requirements by tracking the receipt and completeness of
- Develops corrective action plans when compliance issues are
identified, and document follow-up to completion.
- Assists with meetings of the Delegation Oversight Committee,
including the preparation of documents for committee oversight of
- Works with Network Management team to develop and maintain
delegation agreements and assessment tools.
- Prepares delegation oversight document evidence for state
monitoring visits and NCQA accreditation surveys and participates
on Molina's work team.
Bachelor's Degree or equivalent combination of education and
- 3+ years managed care experience.
- Min. 1 year experience completing delegation oversight
- Data analysis experience.
Required License, Certification, Association
Valid State Driver's License
Bachelor's Degree in Business or Health Care related field.
- 5 years managed care experience.
- 2 years' experience completing delegation oversight
- Quality management/regulatory experience with increasing
To all current Molina employees: If you are interested in applying
for this position, please apply through the intranet job
Molina Healthcare offers a competitive benefits and compensation
package. Molina Healthcare is an Equal Opportunity Employer (EOE)
Keywords: Molina Healthcare, Inglewood , Sr Specialist, Delegation Oversight, Other , Inglewood, California
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