Government Contracts Manager Jobs

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.

Job Duties

• 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).
• 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.
• 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.
• Develops, maintains and updates regulatory work plans, including state regulatory guidance documents and state rules. Educates internal staff on changes to regulatory contracts.
• Serves as primary internal contact for informational requests and contract interpretations.
• Develops and maintains consistent processes for all lines of business within the Government Contracts department.
• Develops responses to state agencies as required for MyCare, Medicaid and Marketplace product lines and coordinates filing process for the Marketplace line of business.

Job Qualifications

REQUIRED EDUCATION:

Bachelor’s Degree or equivalent experience

Required Experience/Knowledge, Skills & Abilities

• Knowledge of Medicare compliance requirements.
• Min. 5 – 7 years experience in a managed care environment (including Medicare, Medicaid and other State governed plans).

Preferred Education

Bachelor's Degree in Business Administration, Healthcare or related field.

Physical Demands

Working environment is generally favorable and lighting and temperature are adequate. Work is generally performed in an office environment in which there is only minimal exposure to unpleasant and/or hazardous working conditions. Must have the ability to sit for long periods. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential function.

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.