Molina Healthcare
Specialist, Government Contracts (Remote in UT)
Molina Healthcare, Salt Lake City, Utah, United States, 84193
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
Performs government contracts activities including maintenance of state correspondence and regulatory databases, communication of deliverables/submission between staff and governmental agencies, policy and procedure maintenance and review, and contract review.
Maintains calendar and databases documenting regulatory filings, approvals of member materials, member/provider inquires and ad hoc regulatory requests.
Responds to inquiries from government agencies regarding plan issues and requirements. Coordinates with other departments in resolution process. Maintains log to ensure prompt and timely resolution.
Conducts research on government program and state requirements as needed.
Helps maintain Government Contracts SharePoint site to store regulatory correspondence/reports/materials and ensure accessibility of information to staff.
Job Qualifications
Required Education
High School diploma or equivalent
Required Experience
2+ years experience in a managed care environment, preferably in Medicaid environment.
Knowledge of state Medicaid Policies and Programs.
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.
#PJHPO
#LI-AC1
Pay Range: $18.04 - $35.17 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
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
Performs government contracts activities including maintenance of state correspondence and regulatory databases, communication of deliverables/submission between staff and governmental agencies, policy and procedure maintenance and review, and contract review.
Maintains calendar and databases documenting regulatory filings, approvals of member materials, member/provider inquires and ad hoc regulatory requests.
Responds to inquiries from government agencies regarding plan issues and requirements. Coordinates with other departments in resolution process. Maintains log to ensure prompt and timely resolution.
Conducts research on government program and state requirements as needed.
Helps maintain Government Contracts SharePoint site to store regulatory correspondence/reports/materials and ensure accessibility of information to staff.
Job Qualifications
Required Education
High School diploma or equivalent
Required Experience
2+ years experience in a managed care environment, preferably in Medicaid environment.
Knowledge of state Medicaid Policies and Programs.
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.
#PJHPO
#LI-AC1
Pay Range: $18.04 - $35.17 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.