Job Description
**Job Description**
**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, policy and procedure maintenance and review, 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.
**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.
\#PJHPO
\#LI-AC1
Pay Range: $18.04 - $35.17 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Job Tags
Hourly pay, Work experience placement, Remote work,
Similar Jobs
University of Miami
...Department of Pharmacy has an exciting opportunity for a Per Diem Pharmacist to work in Sylvester Comprehensive Cancer Center - Hollywood.... ...leading-edge patient care powered by the ground breaking research and medical education at the Miller School of Medicine. As an...
Vulcan
Since Vulcan was founded in 1995, we have become Australasias highest performing metals distributor and processor. Our sustained growth is the product of superior service and dedication to continuously improving to every facet of our business. At Vulcan, we believe...
GreatAuPair LLC
Will be resuming international business travel once I get help with the kids and the house, while my wife is away convalescing from a serious illness. PA and nanny positions could possibly be filled by the same candidate, if interested and qualified, but I'm likely looking...
Unified empire logistics
...Unified Empire Logistics is looking for reliable Delivery Driver to assist our drivers with delivering packages to customers. We are... ...Saturday for full time hours only every week. Full-time and weekend availability are required No set schedules must be flexible...
C&S Wholesale Grocers
...works to help feed local families, neighbors and communities. As a Warehouse Selector, youll pick, gather &; organize product and prepare... ...shape? Continually Standing, bending, pulling, lifting, pivoting up to 90% of shift Walking between 6-12 miles per day on various...