Specialist, Government Contracts - Remote in EST

Remote Full-time
Job Description Ideal Candidate will have excellent critical thinking skills and attention to detail. Job Summary Responsible for the strategic development and administration of contracts with State and/or Federal governments for Medicaid, Medicare, Marketplace, and other government-sponsored programs to provide health care services to low income, uninsured, and other populations. Knowledge/Skills/Abilities • Performs government contracts activities including maintenance of state correspondence and regulatory databases, communication of deliverables/submission between staff and governmental agencies and contract review. • Maintains calendar and databases documenting regulatory filings, approvals of member materials, member/provider inquires and ad hoc regulatory requests. • Responds to inquiries from government agencies regarding plan issues and requirements. Coordinates with other departments in resolution process. Maintains log to ensure prompt and timely resolution. • Conducts research on government program and state requirements as needed. • Helps maintain Government Contracts SharePoint site to store regulatory correspondence/reports/materials and ensure accessibility of information to staff. • Participates in review of contract and regulatory requirements. • Assists in development and deployment of training programs related to government contract requirements. Job Qualifications Required Education High School diploma or equivalent Required Experience • 2+ years experience in a managed care environment, preferably in Medicaid environment. • Knowledge of state Medicaid Policies and Programs. Required License, Certification, Association N/A Preferred Education Bachelor's Degree in Business Administration, Healthcare or related field. Preferred Experience • 2+ years compliance related experience. • 1+ years in Medicare. Preferred License, Certification, Association N/A 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. Originally posted on Himalayas
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