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

31403 Fort Stewart, Georgia Molina Healthcare

Posted 3 days ago

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Job Description

**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.
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Job Description

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Job Description

For more than 30 years, QTC has been the largest provider of government-outsourced occupational health and disability examination services in the nation. Our goal is to build strong partnerships with our network of providers that support and enhance QTCs commitment to quality, timeliness, and customer service. Our demand is high for qualified independent physicians who can assist with delivering technology-driven examinations solutions to our customers including the Department of Veterans Affairs and much more. As an in-network physician, you will receive: A fully staffed clinic (no overhead) There's no treatment or follow-up required Flexible hours (full or part-time) Nation-wide clinics (opportunity for travelIf you are interested in becoming an esteemed member of our provider network, please email:

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Job Viewed

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Job Description

For more than 30 years, QTC has been the largest provider of government-outsourced occupational health and disability examination services in the nation. Our goal is to build strong partnerships with our network of providers that support and enhance QTCs commitment to quality, timeliness, and customer service. Our demand is high for qualified independent physicians who can assist with delivering technology-driven examinations solutions to our customers including the Department of Veterans Affairs and much more. As an in-network physician, you will receive: A fully staffed clinic (no overhead) There's no treatment or follow-up required Flexible hours (full or part-time) Nation-wide clinics (opportunity for travelIf you are interested in becoming an esteemed member of our provider network, please email:

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Posted today

Job Viewed

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Job Description

For more than 30 years, QTC has been the largest provider of government-outsourced occupational health and disability examination services in the nation. Our goal is to build strong partnerships with our network of providers that support and enhance QTCs commitment to quality, timeliness, and customer service. Our demand is high for qualified independent physicians who can assist with delivering technology-driven examinations solutions to our customers including the Department of Veterans Affairs and much more. As an in-network physician, you will receive: A fully staffed clinic (no overhead) There's no treatment or follow-up required Flexible hours (full or part-time) Nation-wide clinics (opportunity for travelIf you are interested in becoming an esteemed member of our provider network, please email:

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