Manager, Government Contracts (Marketplace) - REMOTE

Remote, USA 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

Marketing Development Manager - Southeast

Remote, USA Full-time

Marketplace Channel Sales ManagerAtlanta, Georgia - USA; Remote - US

Remote, USA Full-time

Market Manager

Remote, USA Full-time

Marketplace Manager- Energy Trading /m/f/d/

Remote, USA Full-time

Math Tutor (all subjects)

Remote, USA Full-time

Online 1:1 Math Tutor - US market

Remote, USA Full-time

Online Math Tutor - Full-time

Remote, USA Full-time

Remote Direct Instruction - Middle School Math Specialist

Remote, USA Full-time

Math Tutor

Remote, USA Full-time

Math Tutor (High School Math)

Remote, USA Full-time

Ecommerce & Marketing Data Analyst for GA4, HubSpot, Salesforce, bolthires Ads – Contract to Hire

Remote, USA Full-time

Experienced Customer Service Representative – Remote Customer Support and Technical Assistance Specialist

Remote, USA Full-time

**Experienced Healthcare Customer Service Representative – English & Bilingual – Remote Opportunity in Tennessee**

Remote, USA Full-time

OFAC & Sanctions Compliance Director

Remote, USA Full-time

PACS Administrator - Remote - Nationwide

Remote, USA Full-time

Federal Employee Program Service Representative

Remote, USA Full-time

Warehouse Worker – Amazon Store

Remote, USA Full-time

Experienced Remote Travel Data Entry Specialist – Ensuring Accuracy and Efficiency in Travel Data Systems for arenaflex

Remote, USA Full-time

**Experienced Customer Experience Representative III (Remote) – Healthcare Industry**

Remote, USA Full-time

Experienced Customer Care Specialist for Travel Industry – Remote Work Opportunity with Comprehensive Training and Unlimited Earnings Potential

Remote, USA Full-time
Back to Home