Senior Specialist, Government Contracts - REMOTE

Molina Healthcare; Long Beach (CA); Remote; USD 50,000 - 70,000; Full time

Job summary

A leading healthcare organization in Long Beach, CA, is looking for a qualified candidate to coordinate responses for government healthcare programs. Responsibilities include ensuring compliance with regulatory reports and maintaining documentation for audits. The ideal candidate will have a high school diploma, at least 3 years of managed care experience, and strong organizational skills. This role offers competitive benefits and opportunities for career advancement.

Benefits

Competitive benefits and compensation

Career advancement opportunities

Collaborative work environment

Qualifications

• Minimum of 3 years’ experience in a managed care environment.
• Strong communication and presentation skills.
• Analytical and reasoning abilities are essential.

Responsibilities

• Coordinate and respond to research requests related to government healthcare programs.
• Prepare and submit regulatory reports ensuring quality and accuracy.
• Review Provider Agreements and ensure compliance.

Skills

Strong communication skills

Analytical skills

Detail-oriented

Organizational skills

Interpersonal skills

Proficient in data compilation

Education

High School diploma or equivalent

Bachelor's Degree in Business Administration or related field

Tools

Crystal Reports

SQL

MS Access

MS Excel

Job description

Employer Industry: Healthcare Services

Why consider this job opportunity:
- Competitive benefits and compensation package
- Opportunity for career advancement and growth within the organization
- Engage in meaningful work that supports low-income and uninsured populations
- Collaborative environment with opportunities to participate in government programs
- Chance to work with diverse teams and contribute to impactful healthcare initiatives

What to Expect (Job Responsibilities):
- Coordinate and respond to research requests related to government healthcare programs
- Prepare and submit regulatory reports and ensure quality, accuracy, and timeliness of Plan submissions
- Review Provider Agreements, Member Handbooks, and other deliverables for compliance
- Disseminate information from government contracting agencies to affected Plan staff
- Maintain the department's documentation and archive system for reports and audits

What is Required (Qualifications):
- High School diploma or equivalent
- Minimum of 3 years’ experience in a managed care environment
- Strong communication and presentation skills, along with analytical and reasoning abilities
- Detail-oriented with excellent organizational and interpersonal skills
- Proficient in data compilation, report creation, and use of reporting tools such as Crystal Reports, SQL, MS Access, and MS Excel

How to Stand Out (Preferred Qualifications):
- Bachelor's Degree in Business Administration, Healthcare, or a related field

#HealthcareServices #GovernmentPrograms #ManagedCare #CareerGrowth #CompetitiveBenefits

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