QA Auditor/Trainer

• Works with assigned managers, supervisors, or other team members to identify training needs.
• Delivers training as applicable to assigned teams, including job specific training for new hires.
• Stays abreast of changes in the organization and new requirements. Performs training as necessary.
• Classifies quality audit criteria based upon contractual requirements.
• Conducts quality audits based upon criteria on contractual requirements.
• Monitors operations processes and contracted requirements for adherence to policy and service level agreements.
• Confirms that operational service level agreements are met via monitoring and reporting, report discrepancies and conduct follow up.
• Works with supervisors/managers to enhance DLP’s from quality findings.
• Meets regularly with assigned team management to determine best practices and possible procedure changes within the department.

Assesses training needs and conducts training for assigned teams or units in the MMIS environment. Performs auditing activities in the Medicaid environment to ensure work is performed in accordance with internal and client expectations. Works with cross functional teams to identify and implement business process improvement opportunities. • Ability to organize work, set priorities, meet critical deadlines and manage multiple projects

• Detail oriented and organized
• Demonstrates the ability to cooperate with a variety of people and achieve results
• Strong process related analytical skills
• Ability to provide performance feedback in a professional manner
• Excellent verbal and written communication skills
• Ability to abide by Molina’s policies
• Ability to maintain attendance to support required quality and quantity of work
• Maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA)
• Ability to establish and maintain positive and effective work relationships with coworkers, clients, members, providers and customers

Job Qualifications

Required Education

Associate’s Degree or equivalent experience
Required Experience

Experience conducting training sessions for internal and external groups.

Preferred Education
Bachelor’s Degree or equivalent experience
Preferred Experience
Experience with claims processing and provider relations in a Medicaid environment.
Experience tracking and maintaining quality metrics.

To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.