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Sr Specialist, Govt Contracts (Remote in NM) - Albuquerque New Mexico
Company: Molina Healthcare Location: Albuquerque, New Mexico
Posted On: 05/03/2024
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 |
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