Specialist, Government Cntrcts
Molina Healthcare Job ID 2025632Job 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
- · Day to Day Management (both Molina and Senior Whole Health Plans):
- Member and provider complaints responses
- For Bureau of Consumer Services, Department of Health, and Department of Financial Services
- Updating relevant trackers
- Regulatory Member Materials
- Maintenance, Submission and Tracking
- GC tracker requests
- Library management
- Subcontracts-preparation, filing, storing
- Maintenance of (6) shared GC email boxes
- prioritizing regulatory and leadership communications
- backing up relevant emails
- OMIG Audit Responses
- Member and provider complaints responses
- Attendance and minutes for regulatory and advocacy meetings
- Regulatory Guidance Distribution and Tracking
- Assist with facilitation of internal approval process through GC Center of Excellence
- Document preparation and tracking
Job Qualifications
Required Education
High School diploma or equivalent
Required Experience
- GC Specialist Position 1:
- Experience with member and provider complaint responses to NYS
- Materials Management
- Strong document editing skills
- GC Specialist Position 2:
- Experience with OMIG Audit responses
- Reviewing and interpreting regulator guidance
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.
Pay Range: $16.23 - $35.17 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
About Us
Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Job Type: Full Time Posting Date: 05/01/2024ABOUT OUR LOCATION
View Map- Cyber Response Manager United States, Louisville Kentucky, Lexington-Fayette Kentucky, Bowling Green Kentucky, Owensboro Kentucky, Covington Kentucky, Georgetown Kentucky, Richmond Kentucky, Florence Kentucky, Nicholasville Kentucky 04/05/2024
- Care Review Clinician, Inpatient Review (RN) CALIFORNIA Long Beach California, California, San Francisco California, Sacramento California, Riverside California, San Diego California 03/05/2024
- Remote Family Nurse Practitioner (field visits required) Fairfield California 02/08/2024
- Remote Family Nurse Practitioner (Field visits required) Oakland California 02/08/2024
No recently viewed jobs.
View All JobsNo saved jobs.
View All Jobs