Director, Government Contracts (Marketplace Regulatory)

JOB DESCRIPTION 

Job Summary
Responsible for facilitating all regulatory requirements to become certified in the Federally Facilitated Exchange and State Based Exchanges, and to support the Marketplace line of business in maintaining state and federal regulatory compliance.

Knowledge/Skills/Abilities

• Responsible for leading a team that supports the regulatory function for the Marketplace line of business. 
• Serves as the lead for Federal and State regulatory filings and submissions, including performing the initial assessment of requirements and ensuring the Plan meets all filing requirements and ad hoc reporting requests, in a timely manner and with quality deliverables.
• Supports the annual Qualified Health Plan (QHP) certification application and related activities for new and existing markets.  
• Leads project teams, involving staff from across the organization, to implement new standards/processes for which the Government Contracts department is accountable or otherwise involved.
• Leads workgroups to carryout assigned responsibilities.
• Supervises department staff in meeting assigned goals and job duties.
• Develops department staff to serve as filing and reporting SMEs to drive quality submissions as well as accurate and complete objection responses.
• Establishes internal tracking and reporting strategies for Marketplace Government Programs.
• Coordinates the execution of contracts, amendments and attestations of compliance.
• Collaborates with department leaders for process improvements and to resolve issues effectively. 
• Manages applicable Marketplace Government Contracts policies and procedures to ensure they are current and up to date. 
• Assigns work to team based on priority, manages resources and communicates obstacles to leadership. 
  

Job Qualifications

• Demonstrates a deep knowledge of QHP certification requirements and plan management activities in both the Federally Facilitated Exchange and State Based Exchanges.
• Ability to convey information on regulatory issues that require detailed explanation and interpretation.
• Demonstrates strong leadership, interpersonal skills and ability to develop new team members.
• Demonstrates the ability to accomplish the team’s goals while ensuring that key stakeholders are engaged and ready to contribute to the task.
• Ability to establish strategic processes that are scalable, repeatable and drive quality throughout.

Required Education
Bachelor's Degree or equivalent combination of education and experience.

Required Experience

• 3-5 years experience in a role that facilitated QHP certification and/or implemented regulatory requirements for commercial individual plans.
• At least 2 years supervisory or management experience.
• Knowledge of Federal and State laws and regulations governing plans sold on and off exchange.
• Comprehensive knowledge of Marketplace policies and operations.
  
  

Required License, Certification, Association
N/A

Preferred Education
Bachelor's Degree in Business Administration, Healthcare or related field.

Preferred Experience

• Knowledge of Affordable Care Act, State insurance laws and regulations in Connecticut, Kentucky, Idaho, Michigan, South Carolina and Utah.

Preferred License, Certification, Association
N/A

Preferred License, Certification, Association
N/A

To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

Pay Range: $96,325.57 - $208,705.4 / ANNUAL
*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.