Molina Healthcare
Director, Government Contracts (Remote in IL)
Molina Healthcare, Long Beach, California, us, 90899
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.
Responsibilities
Manage the plan's State healthcare contracts, reviewing and implementing new program requirements and ensuring the plan complies with all health plan contractual and regulatory reporting requirements. Serve as the Plan's lead for State healthcare program contractual and regulatory requirements, including performing the initial assessment and overseeing the implementation of all proposed and new contractual and regulatory standards, ensuring the Plan meets all filing requirements and ad hoc reporting requests, in a timely manner and with quality deliverables. Manage the plan's State and plan partner contract renewal activities Lead project teams involving staff from across the Plan to implement new standards for which the Government Contracts department is accountable or otherwise involved. Chair committees and lead workgroups to carry out assigned responsibilities. Assess proposed State laws and regulations to determine potential impact, and provide written reports of findings to requesting Plan and or MHI corporate staff. Supervise department staff in meeting assigned goals and job duties. Develop department staff to serve as product line SMEs in order to research standards and clarify program requirements for requesting staff. Serve as a key liaison with State healthcare agencies and regulators. Coordinate Plan responses/reports to State healthcare agencies, regulators and partners regarding contractual and regulatory issues. Identify potential new business and bid opportunities for the Plan. Qualifications
Required Education : Bachelor's Degree in related field or equivalent combination of education and experience. 3-5 years experience in a managed care environment, with at least 2 years supervisory or management experience. Knowledge of State Health Department mandated laws and rulings. Comprehensive knowledge of Medicaid policies and programs. Preferred Education : Bachelor's Degree in Business Administration, Healthcare or related field. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
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Manage the plan's State healthcare contracts, reviewing and implementing new program requirements and ensuring the plan complies with all health plan contractual and regulatory reporting requirements. Serve as the Plan's lead for State healthcare program contractual and regulatory requirements, including performing the initial assessment and overseeing the implementation of all proposed and new contractual and regulatory standards, ensuring the Plan meets all filing requirements and ad hoc reporting requests, in a timely manner and with quality deliverables. Manage the plan's State and plan partner contract renewal activities Lead project teams involving staff from across the Plan to implement new standards for which the Government Contracts department is accountable or otherwise involved. Chair committees and lead workgroups to carry out assigned responsibilities. Assess proposed State laws and regulations to determine potential impact, and provide written reports of findings to requesting Plan and or MHI corporate staff. Supervise department staff in meeting assigned goals and job duties. Develop department staff to serve as product line SMEs in order to research standards and clarify program requirements for requesting staff. Serve as a key liaison with State healthcare agencies and regulators. Coordinate Plan responses/reports to State healthcare agencies, regulators and partners regarding contractual and regulatory issues. Identify potential new business and bid opportunities for the Plan. Qualifications
Required Education : Bachelor's Degree in related field or equivalent combination of education and experience. 3-5 years experience in a managed care environment, with at least 2 years supervisory or management experience. Knowledge of State Health Department mandated laws and rulings. Comprehensive knowledge of Medicaid policies and programs. Preferred Education : Bachelor's Degree in Business Administration, Healthcare or related field. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
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