Auditor, Risk Adjustment (Remote)

JOB DESCRIPTION Job Summary Provides audit support for Molina enterprise risk adjustment activities. Responsible for developing, recommending and implementing controls and cost-effective approaches to minimize the organization's risks effects. Identifies and analyzes potential sources of loss to minimize risk, and estimates the potential financial consequences of an occurring loss. Through the proper combination of casualty and liability insurance, ensures that the provider organization is adequately protected against financial loss. Essential Job Duties • Facilitates daily operations of all aspects of risk adjustment data validation and audit-related activities, including but not limited to: progress tracking, chart retrieval, file transmissions, and adherence to applicable timelines. • Represents as a risk adjustment audit liaison with functional departments, health plans, and external vendors. • Evaluates results from audit activities to address barriers, gaps, opportuni...