Specialist, Government Cntrcts

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.

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.