Specialist, Government Cntrcts

7 days 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

prioritizing regulatory and leadership communications

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

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.



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