Specialist, Government Cntrcts - Long Beach, United States - Molina Healthcare

Description

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:
$ $35.17 / HOURLY

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.