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Manager, Government Contracts (Marketplace) - REMOTE

Lensa

Saint Petersburg (FL)

Remote

USD 77,000 - 143,000

Full time

2 days ago

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Job summary

A leading organization is seeking a Manager for Government Contracts to oversee compliance with state and federal programs in healthcare services. The ideal candidate will manage contractual obligations effectively while ensuring regulatory adherence and developing extensive work plans. Candidates should have experience in managed care or similar fields, ideally holding a relevant bachelor's degree. This role is critical in supporting low-income populations through compliance and strategic oversight.

Qualifications

3 years experience in a managed care environment preferred.
Experience with State Governed Plans or Commercial healthcare desired.
Strong skills in contract development and management.

Responsibilities

Oversee and manage regulatory and contractual requirements for government programs.
Ensure compliance with state and federal requirements.
Develop and maintain regulatory work plans and compliance processes.

Skills

Contractual compliance

Regulatory management

Monitoring and oversight

Education

High School diploma or equivalent

Bachelor's degree in Business Administration or related field

Tools

MS Office

Excel

SharePoint

Manager, Government Contracts (Marketplace) - REMOTE

2 days ago Be among the first 25 applicants

Lensa is a career site that helps job seekers find great jobs in the US. We are not a staffing firm or agency. Lensa does not hire directly for these jobs, but promotes jobs on LinkedIn on behalf of its direct clients, recruitment ad agencies, and marketing partners. Lensa partners with DirectEmployers to promote this job for Molina Healthcare.

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.

Pay Range: $77,969 - $142,549 / ANNUAL

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

If you have questions about this posting, please contact support@lensa.com

Seniority level

Seniority level
Mid-Senior level

Employment type

Employment type
Contract

Job function

Job function
Legal
Industries
IT Services and IT Consulting

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