Senior Specialist, Government Contracts (Remote in EST/CST)

Molina Healthcare; Miami (FL); Remote; USD 64,000 - 107,000; Full time

Job summary

A healthcare provider in Miami is seeking an individual responsible for the strategic development and administration of government contracts for healthcare services. The ideal candidate will have at least 3 years of experience in managed care, strong communication skills, and proficiency in reporting tools. This role involves ensuring compliance with regulatory requirements and overseeing documentation for contracts. Competitive compensation is offered.

Benefits

Competitive benefits and compensation package

Qualifications

• 3 years’ experience in a managed care environment.
• Strong communication and presentation skills.
• Proficient in compiling data and creating reports.

Responsibilities

• Develop and administer contracts with governmental bodies.
• Coordinate research requests related to healthcare programs.
• Ensure compliance with contractual and regulatory requirements.

Skills

Communication skills

Analytical skills

Detail orientation

Organizational skills

Interpersonal skills

Education

High School diploma or equivalent

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

Tools

Crystal Reports

SQL

MS Access

MS Excel

Job description

Job Summary

Responsible for the strategic 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.

Knowledge/Skills/Abilities

• Responsible for coordinating, conducting and/or responding to research requests pertaining to government healthcare programs; preparing and submitting regulatory reports for filings; reviewing Plan submissions for quality, accuracy, and timeliness; and ensuring Plan meets contractual and regulatory requirements.
• Reviews Provider Agreement, EOC/ Member Handbook, Provider Directory, marketing materials, and other contract reporting deliverables for compliance with contractual and regulatory requirements prior to submission.
• Assesses information received from government contracting agencies and regulators and disseminates to impacted Plan staff.
• Participates in meetings related to Molina government run programs with State agencies and Molina Corporate departments and disseminates relevant information to staff and management.
• Oversees/maintains the department's documentation and archive system, ensuring submitted reports are archived for historical and audit purposes. Ensures system is updated and complete.

Job Qualifications

Required Education

High School diploma or equivalent

Required Experience

• 3 years’ experience in a managed care environment.
• Experience demonstrating strong: communication and presentation skills; analytical/reasoning ability; detail orientation; organizational and interpersonal skills.
• Proficient in compiling data, creating reports, and presenting information, using Crystal Reports (or similar reporting tools), SQL query, MS Access, and MS Excel.

Preferred Education

Bachelor's Degree in Business Administration, Healthcare, or related field.

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: $64,350 - $106,214 / ANNUAL

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