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Specialist, Government Cntrcts

4 months ago

Long Beach, United States Molina Healthcare Full time

**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**

+ · 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

+ 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.