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.

Pay Range: $18.04 - $35.17 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

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