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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

• · Day to Day Management (both Molina and Senior Whole Health Plans):

• Member and provider complaints responses

• For Bureau of Consumer Services, Department of Health, and Department of Financial Services

• Updating relevant trackers

• Regulatory Member Materials

• Maintenance, Submission and Tracking

• GC tracker requests

• Library management

• Subcontracts-preparation, filing, storing

• Maintenance of (6) shared GC email boxes

• prioritizing regulatory and leadership communications

• backing up relevant emails

• OMIG Audit Responses

• Attendance and minutes for regulatory and advocacy meetings

• Regulatory Guidance Distribution and Tracking

• Assist with facilitation of internal approval process through GC Center of Excellence

• Document preparation and tracking

Job Qualifications

Required Education

High School diploma or equivalent

Required Experience

• GC Specialist Position 1:

• Experience with member and provider complaint responses to NYS

• Materials Management

• Strong document editing skills

• GC Specialist Position 2:

• Experience with OMIG Audit responses

• Reviewing and interpreting regulator guidance

Required License, Certification, Association

N/A

Preferred Education

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

Preferred Experience

• 2+ years compliance related experience.

• 1+ years in Medicare

Preferred License, Certification, Association

N/A

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: $16.23 - $35.17 / HOURLY

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