Specialist, Government Contracts (MA State Health Plan)

JOB DESCRIPTION Job Summary Provides support for government contracts activities. Responsible for the 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 in designated Molina markets. Essential Job Duties • Supports 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 applicable departments in resolution process and maintains log to ensure prompt and timely resolution. • Conducts research on government-specific programs and state requirements. • Assists in maintenance of government contracts SharePoint site to store regulatory correspondence/reports/materials and ensure accessibility of information to staff. • Participates in review of contract and regulatory requirements. • Coordinates the maintenance, review, and dissemination of company policies and procedures. • Assists in development and deployment of training programs related to government contracts requirements. • Conducts structured evidence reviews/audits of new regulatory mandates contract amendments and other operational implementations, and verifies that Molina business units have implemented required changes. Required Qualifications • At least 1 year of experience in a managed care environment - preferably in a government sponsored Medicaid setting, or equivalent combination of relevant education and experience. • Knowledge of Medicaid, Medicare, Marketplace and/or other government-sponsored programs and program compliance. • Organizational and time-management skills, and ability to manage simultaneous projects and tasks to meet internal deadlines. • Detail oriented and analytical reasoning abilities. • Proficient in analyzing and compiling data, creating reports, and presenting information. • Ability to work cross-functionally in a highly matrixed environment. • Effective verbal, written, and interpersonal communication skills, including ability to communicate and present to internal and external stakeholders. • Microsoft Office suite and applicable software programs proficiency. Preferred Qualifications • Medicaid, Medicare, and/or Marketplace government programs experience. • Compliance-related experience. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V