Lead, Government Contracts (Managed Care Required) - MA ONLY

**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** + Leads the day-to-day oversight and monitoring of regulatory and contractual requirements related to government programs including, but not limited to, Medicaid, duals (MMP) and Marketplace + Acts as the lead internal contact for informational requests and contract research + Leads daily government contracts activities to ensure contractual compliance with regulatory agencies for all lines of business (Medicaid, MMP and Marketplace) + Secures timely submission of all required reports + Works with the health plan's departments on state requirements and inquiries + Ensures accuracy, timeliness and completion of ad hoc regulatory inquiries/requests, marketing material submissions, policies, and procedures, etc. + Assists with audits in coordination with the compliance department + Maintains and updates regulatory work plans, including state regulatory guidance documents and state rules + Maintains consistent processes for all lines of business within the Government Contracts department + Maintains calendar and databases documenting regulatory filings + Coordinates with other departments in resolution process. Maintains log to ensure prompt and timely resolution + Conducts research on government programs and state requirements as needed + Maintains Government Contracts SharePoint site to store regulatory correspondence/reports/materials and ensure accessibility of information to staff + Participates in review of contract and regulatory requirements + Coordinates the maintenance, review, and dissemination of company policies and procedures + Leads the development and deployment of training programs related to government contract requirements + Some travel may be required. **JOB QUALIFICATIONS** **Required Education** Bachelor's degree or equivalent combination of education and experience **Required Experience** + Minimum of five (5) years' experience in a managed care environment (including Medicare, Medicaid and other State governed plans) + Minimum of four (4) years of health insurance experience + Minimum of two (2) years of Government Contracts experience + Knowledge of Medicare compliance requirements **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 - $128,519 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.