• Specialist, Government Cntrcts

    Molina Healthcare • Long Beach, CA 90806

    Job #2689806708

  • 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: $16.23 - $35.17 / HOURLY

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