Manager, Government Contracts (Marketplace) - REMOTE

Remote Full-time
Job Description Job Description Job Summary Responsible for the strategic development and administration of contracts with State and/or Federal governments for Commercial, Marketplace, and other government-sponsored programs to provide health care services to low income, uninsured, and other populations. Knowledge/Skills/Abilities • Responsible for day-to-day oversight, monitoring, and management of regulatory and contractual requirements related to government programs including, but not limited to, Medicaid, duals (MMP) and Marketplace. • Serves as primary internal contact for informational requests and contract interpretations. • Monitors daily Government Contracts activities to ensure contractual compliance with state and federal requirements for all lines of business (Medicaid, MMP and Marketplace) and ensures timely submission of all required reporting. • Works with functional area owners on state requirements and deliverables to ensure accuracy, timeliness and completion (e.g. regarding required submissions, member and provider inquiries, ad hoc regulatory inquiries/requests, marketing material submissions, changes to contract requirements, and scorecards for state inquiries, submissions and deliverables). • Develops responses to state agencies as required for MyCare, Medicaid and Marketplace product lines and coordinates filing process for the Marketplace line of business. • Develops, maintains and updates regulatory work plans, including state regulatory guidance documents and state rules. Educates internal staff on changes to regulatory contracts. • Develops and maintains consistent processes for all lines of business within the Government Contracts department. Required Education High School diploma or equivalent Required Experience • Min. 3 years' experience in a managed care environment, State Governed Plans, or Commercial. • MS Office, Excel, Word, and SharePoint. Preferred Education Bachelor's degree in Business Administration, Healthcare or related field. Preferred Experience Commercial, Marketplace and or Regulatory experience in any healthcare environment. 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. Apply tot his job
Apply Now →

Similar Jobs

Experienced Registered Behavior Technician for In-Home ABA Therapy - Atlanta, GA

Remote

Immediate Hiring: Experienced Registered Behavioral Technician (RBT) for Clinic-Based ABA Therapy Services

Remote

Experienced Registered Behavioral Technician (RBT) - ABA Therapy for Children with Autism Spectrum Disorder

Remote

Experienced Registered Nurse - Telehealth: Providing Remote Care Coordination and Patient Support

Remote

Experienced Substitute Teacher for Riverside County Schools - Join Scoot Education's Innovative Team

Remote

Experienced Substitute Teacher for San Bernardino County - Flexible Schedules & Competitive Pay

Remote

Experienced School Year Instructional Coach for High-Dosage Tutoring Programs in Edgewater Park, NJ

Remote

Experienced School Year Tutor for K-8 Students in Math and Literacy - Mickleton, NJ

Remote

Experienced Secondary Social Studies Teacher for Kansas - Flexible Hybrid Remote Arrangement

Remote

USPS Office Helper

Remote

Greenwood, Indiana Territory Account Executive

Remote

**Experienced Part-Time Remote Data Entry Specialist – Aviation Industry – Join Delta Airlines Team**

Remote

Experienced Full Stack Data Scientist – Advanced Analytics, Machine Learning, and Cloud Computing for Walgreens Healthcare and Retail Solutions

Remote

**Lead Pharmacy Technician, Customer Service/Data Entry in arenaflex**

Remote

Senior Back end Engineer (Poland, Remote)

Remote

Remote Principal Digital Marketing Manager – Affiliate Partnerships & Marketing Technology Leadership for Global FinTech Innovation

Remote

Clinical Budget Analyst - Remote USA

Remote

International Sales Director

Remote

Experienced Data Entry Associate - Remote Opportunity with blithequark

Remote

Experienced Remote Customer Service Representative – Delivering Exceptional Support and Driving Customer Satisfaction for arenaflex

Remote
← Back