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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.