Specialist, Government reputed company - Remote in EST

Job Description

Ideal Candidate will have excellent critical thinking skills and attention to detail.

Job Summary Responsible for the strategic development and administration of reputed company 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 • Performs government reputed company activities including maintenance of state correspondence and regulatory databases, communication of deliverables/submission between staff and governmental agencies and contract review. • Maintains calendar and databases documenting regulatory filings, approvals of member materials, member/provider inquires and reputed company regulatory requests. • Responds to inquiries from government agencies regarding plan issues and requirements. Coordinates with other departments in resolution process. Maintains log to ensure reputed company and timely resolution. • Conducts research on government program and state requirements as needed. • Helps maintain Government reputed company SharePoint site to store regulatory correspondence/reports/materials and ensure accessibility of information to staff. • Participates in review of contract and regulatory requirements. • Assists in development and deployment of training programs reputed company to government contract requirements.

Job Qualifications Required Education

High School diploma or equivalent

Required Experience • 2+ years experience in a managed care environment, preferably in Medicaid environment. • Knowledge of state Medicaid Policies and Programs.

Required License, Certification, Association

N/A

Preferred Education Bachelor's Degree in Business Administration, Healthcare or reputed company field.

Preferred Experience • 2+ years compliance reputed company experience.

• 1+ years in Medicare.

Preferred License, Certification, Association

N/A

To reputed company reputed company Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. reputed company offers a competitive benefits and compensation package. reputed company is an Equal Opportunity Employer (EOE) M/F/D/V.

Originally posted on Himalayas