Manager, Government Contracts (Marketplace) - REMOTE

Molina Healthcare; Utah; Remote; USD 77,000 - 143,000; Full time

Job summary

Molina Healthcare is seeking a qualified individual to lead the strategic development and management of contracts with government entities. The role requires overseeing compliance with Medicaid, duals, and Marketplace programs, ensuring alignment with regulatory standards and internal processes. Ideal candidates will have at least three years of experience in a managed care setting, with a strong grasp of healthcare regulations and effective communication skills.

Benefits

Competitive benefits and compensation package

Qualifications

• Minimum 3 years' experience in a managed care environment or related field.
• Experience with Medicaid and regulatory environments preferred.

Responsibilities

• Oversee regulatory and contractual compliance for government programs.
• Manage internal contact for contract interpretations and state agency responses.
• Educate staff on regulatory requirements and maintain compliance processes.

Skills

MS Office

Excel

Word

SharePoint

Education

High School diploma or equivalent

Bachelor's degree in Business Administration, Healthcare or related field

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.

Pay Range: $77,969 - $142,549 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.