Large

Molina Healthcare is a FORTUNE 500 company that is focused exclusively on government-sponsored health care programs for families and individuals who qualify for government sponsored health care. 

Molina Healthcare contracts with state governments and serves as a health plan providing a wide range of quality health care services to families and individuals. Molina Healthcare offers health plans in Arizona, California, Florida, Idaho, Illinois, Kentucky, Massachusetts, Michigan, Mississippi, Nevada, New Mexico, New York, Ohio, South Carolina, Texas, Utah, Virginia, Washington and Wisconsin. Molina also offers a Medicare product and has been selected in several states to participate in duals demonstration projects to manage the care for those eligible for both Medicaid and Medicare.

Science & Healthcare

Molina Healthcare

You need a high school diploma, 2+ years in healthcare admin/support, strong communication, 1+ years supervisory experience, and strong Excel skills. An associate's or bachelor's degree is preferred.

You will supervise the operations team, resolve issues, analyze workflows, conduct quality checks, provide feedback, and develop procedures while ensuring positive relationships with stakeholders.

People, HR & Administration

Healthcare

Long Beach

JOB DESCRIPTION Job Summary Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of illness and the site of service. KNOWLEDGE/SKILLS/ABILITIES Supervises operations support team members within Molina's Healthcare Services function, which may include Care Review, Case Management, and/or Correspondence Processors, as well as Member Location staff. Works closely with members, providers, regulators, and Molina departments to resolve issues and concerns. Researches and analyzes the workflow of the department and offers suggestions for improvement and/or changes to management; assists with the implementation of changes. Conducts employee and team productivity/quality assurance checks and documents results for accuracy and time compliance. Provides regular verbal and written feedback to staff regarding work well done and opportunities for improvement. Assists in the development and implementation of internal desktop processes and procedures. Establishes and maintains positive and effective work relationships with coworkers, clients, members, providers, and customers. JOB QUALIFICATIONS Required Education High School Diploma or equivalent GED Required Experience 2+ years’ experience in an administrative support role in healthcare, Medical Assistant Strong communication skills Strong analytic and problem-solving abilities Preferred Education Associate's or bachelor’s degree Preferred Experience 1+ years of supervisory experience 3+ years’ experience in an administrative support role in healthcare, Medical Assistant preferred. Strong Excel knowledge 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: $40,851.44 - $88,511.46 / ANNUAL 
<ul>
 <li>Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.</li>
</ul>

JOB DESCRIPTION  Job Summary  Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of illness and the site of service.  KNOWLEDGE/SKILLS/ABILITIES  Supervises operations support team members within Molina's Healthcare Services function, which may include Care Review, Case Management, and/or Correspondence Processors, as well as Member Location staff.  Works closely with members, providers, regulators, and Molina departments to resolve issues and concerns.  Researches and analyzes the workflow of the department and offers suggestions for improvement and/or changes to management; assists with the implementation of changes.  Conducts employee and team productivity/quality assurance checks and documents results for accuracy and time compliance.  Provides regular verbal and written feedback to staff regarding work well done and opportunities for improvement.  Assists in the development and implementation of internal desktop processes and procedures.  Establishes and maintains positive and effective work relationships with coworkers, clients, members, providers, and customers.  JOB QUALIFICATIONS  Required Education  High School Diploma or equivalent GED  Required Experience  2+ years’ experience in an administrative support role in healthcare, Medical Assistant  Strong communication skills  Strong analytic and problem-solving abilities  Preferred Education  Associate's or bachelor’s degree  Preferred Experience  1+ years of supervisory experience  3+ years’ experience in an administrative support role in healthcare, Medical Assistant preferred.  Strong Excel knowledge  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: $40,851.44 - $88,511.46 / ANNUAL 

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


Supv, HCS Operations Support - Molina Healthcare

Supv, HCS Operations Support

You must have a Bachelor's degree, 5-7 years in HR or related fields, strong communication skills, conflict resolution experience, and the ability to conduct investigations and analyze trends.

You will navigate complex employee issues, manage investigations, ensure policy adherence, promote a positive work environment, and mentor team members while providing strategic guidance to leadership.

Consulting

Job Description Job Summary The Sr. ER Consultant is generally responsible for the following: Mitigating risk for the organization and creating capacity for people leaders in counseling and guiding them through complex employee issues; and Balancing both the need to mitigate risk and to positively impact the employee experience in addressing employee concerns and reaching fair and equitable solutions. Areas of primary responsibility include investigations, corrective action, coaching &amp; counseling for people leaders, leaves of absence, accommodations, with responsibility to support and have the capability to handle reductions in force, EEOC responses and policy interpretation. Core competencies include ability to write and speak concisely, compassionately, and persuasively, strong listening skills, as well as conflict resolution, negotiation and mediation skills. Knowledge/Skills/Abilities 
<ul>
 <li>Identify and mitigate risk for the organization by managing employee relations issues and ensuring adherence to policies, practices as well as Molina's mission, vision and values.</li>
 <li>Utilize exceptional written communication skills to prepare appropriate documentation for each matter with discoverability in mind.</li>
 <li>Assess risk and resolve conflict through mediation.</li>
 <li>Track appropriate level of detail by case to ensure ability to identify trends through reporting and address recurring risk.</li>
 <li>Promote positive work environment &amp; employee experience by yielding fair and equitable solutions for employees.</li>
 <li>Conduct investigations into alleged misconduct and workplace incivility, applying the appropriate amount of time and diligence based on the nature of the case and facts presented.</li>
 <li>Utilize the Employee Engagement Survey results to create solutions and a better employee experience within client group(s).</li>
 <li>Assist management in addressing employee issues, including but not limited to, corrective action, employee coaching, leaves of absence, accommodations, HR policy adherence.</li>
 <li>Assist management in preparing for difficult employee conversations, including creating talking points.</li>
 <li>Provides an overall strategic view of the employee relations issues facing management and conducts trend analysis and creates training to get in front of issues.</li>
 <li>Provide efficient, consistent and prompt consultative services, thereby creating capacity for people leaders.</li>
 <li>Mentors and leads Employee Relations Consultants by providing expertise and guidance on employee relations issues.</li>
 <li>Takes the lead on complex employee relations projects or initiatives. Partners with HRBP's, Legal, Compliance and other key stakeholders as appropriate.</li>
</ul> Job Qualifications Required Education Bachelor's Degree or equivalent experience Required Experience 5-7 years in Human Resources, counseling, social work, law, or reasonably comparable field. Preferred Education Master's Degree or J.D. 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: $59,810.6 - $129,589.63 / ANNUAL 
<ul>
 <li>Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.</li>
</ul>

Job Description  Job Summary The Sr. ER Consultant is generally responsible for the following: Mitigating risk for the organization and creating capacity for people leaders in counseling and guiding them through complex employee issues; and Balancing both the need to mitigate risk and to positively impact the employee experience in addressing employee concerns and reaching fair and equitable solutions. Areas of primary responsibility include investigations, corrective action, coaching & counseling for people leaders, leaves of absence, accommodations, with responsibility to support and have the capability to handle reductions in force, EEOC responses and policy interpretation. Core competencies include ability to write and speak concisely, compassionately, and persuasively, strong listening skills, as well as conflict resolution, negotiation and mediation skills.  Knowledge/Skills/Abilities 

 Identify and mitigate risk for the organization by managing employee relations issues and ensuring adherence to policies, practices as well as Molina's mission, vision and values.
 Utilize exceptional written communication skills to prepare appropriate documentation for each matter with discoverability in mind.
 Assess risk and resolve conflict through mediation.
 Track appropriate level of detail by case to ensure ability to identify trends through reporting and address recurring risk.
 Promote positive work environment & employee experience by yielding fair and equitable solutions for employees.
 Conduct investigations into alleged misconduct and workplace incivility, applying the appropriate amount of time and diligence based on the nature of the case and facts presented.
 Utilize the Employee Engagement Survey results to create solutions and a better employee experience within client group(s).
 Assist management in addressing employee issues, including but not limited to, corrective action, employee coaching, leaves of absence, accommodations, HR policy adherence.
 Assist management in preparing for difficult employee conversations, including creating talking points.
 Provides an overall strategic view of the employee relations issues facing management and conducts trend analysis and creates training to get in front of issues.
 Provide efficient, consistent and prompt consultative services, thereby creating capacity for people leaders.
 Mentors and leads Employee Relations Consultants by providing expertise and guidance on employee relations issues.
 Takes the lead on complex employee relations projects or initiatives. Partners with HRBP's, Legal, Compliance and other key stakeholders as appropriate.
 Job Qualifications  Required Education Bachelor's Degree or equivalent experience  Required Experience 5-7 years in Human Resources, counseling, social work, law, or reasonably comparable field.  Preferred Education Master's Degree or J.D.  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: $59,810.6 - $129,589.63 / ANNUAL 

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


Sr. Employee Relations Consultant - REMOTE - Molina Healthcare

United States

Sr. Employee Relations Consultant - REMOTE

You need an associate degree or equivalent experience, plus 1-3 years in fast-paced sales or customer service, or a bachelor's degree with 3-5 years in a similar role.

You will assist potential members with Medicaid applications, answer inquiries about Molina services, and provide eligibility assessments, completing online applications or transferring calls as needed.

Customer Relations

Sales & Business Development

Washington

Job Description Job Summary Answers telephonic calls from potential members who are interested in applying for Medicaid benefits. Assists by assessing the federal guidelines to see if the potential member qualifies for Medicaid benefits in the state of residence. Makes outbound calls to potential members who have submitted a request for information on how to subscribe to Molina healthcare as their Medical Care Organization (MCO). Provides product and service information for potential members to make an educated choice for Molina healthcare as their MCO. Resolves member inquiries regarding providers affiliated with Molina Healthcare under the Medicaid line of business. Based on the state the potential member lives in, the representative may assist by completing an online application, or transfer the member to the Medicaid enrollment agency for the completion of the subscription into the plan. Knowledge/Skills/Abilities * Responds to incoming calls from prospective members. * Places outbound calls to prospective members. * Assists with formal training needs of new employees as needed. * Assists with identifying which federal health program a prospective member may qualify for. * Guides the prospective member on what steps to take to apply for health coverage. * Assists prospective members who already have Medicaid benefits enroll with Molina Healthcare. Job Qualifications Required Education Associate degree or equivalent combination of education and experience Required Experience 1-3 years Sales or customer service in a fast-paced, high volume environment Preferred Education Bachelor's Degree or equivalent combination of education and experience Preferred Experience 3-5 years Sales or customer service in a fast-paced, high volume environment 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: $12.19 - $26.42 / HOURLY * Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Job DescriptionJob SummaryAnswers telephonic calls from potential members who are interested in applying for Medicaid benefits. Assists by assessing the federal guidelines to see if the potential member qualifies for Medicaid benefits in the state of residence. Makes outbound calls to potential members who have submitted a request for information on how to subscribe to Molina healthcare as their Medical Care Organization (MCO). Provides product and service information for potential members to make an educated choice for Molina healthcare as their MCO. Resolves member inquiries regarding providers affiliated with Molina Healthcare under the Medicaid line of business. Based on the state the potential member lives in, the representative may assist by completing an online application, or transfer the member to the Medicaid enrollment agency for the completion of the subscription into the plan.Knowledge/Skills/Abilities * Responds to incoming calls from prospective members. * Places outbound calls to prospective members. * Assists with formal training needs of new employees as needed. * Assists with identifying which federal health program a prospective member may qualify for. * Guides the prospective member on what steps to take to apply for health coverage. * Assists prospective members who already have Medicaid benefits enroll with Molina Healthcare.      Job QualificationsRequired EducationAssociate degree or equivalent combination of education and experienceRequired Experience1-3 years Sales or customer service in a fast-paced, high volume environmentPreferred EducationBachelor's Degree or equivalent combination of education and experiencePreferred Experience3-5 years Sales or customer service in a fast-paced, high volume environmentTo 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/VPay Range: $12.19 - $26.42 / HOURLY * Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Rep, Enrollment Services 1 (Remote) - Molina Healthcare

Rep, Enrollment Services 1 (Remote)

You need a Bachelor's degree, 3-7 years in program/project management, healthcare experience, process improvement skills, and proficiency in Microsoft Project/Visio. Certifications are a plus.

You will collaborate on projects, manage schedules and budgets, monitor progress, oversee vendors, lead process improvements, gather requirements, and create necessary documentation and reports.

Business, Operations & Strategy

Louisville

Job Description Job Summary Responsible for internal business projects and programs involving department or cross-functional teams of subject matter experts, delivering products through the design process to completion. Plans and directs schedules as well as project budgets. Monitors the project from inception through delivery. May engage and oversee the work of external vendors. Assigns, directs and monitors system analysis and program staff. These positions' primary focus is project/program management. Job Duties * Active collaborator with people who are responsible for internal business projects and programs involving department or cross-functional teams of subject matter experts, delivering products through the design process to completion. * Plans and directs schedules as well as project budgets. * Monitors the project from inception through delivery. * May engage and oversee the work of external vendors. * Focuses on process improvement, organizational change management, program management and other processes relative to the business. * Leads and manages team in planning and executing business programs. * Serves as the subject matter expert in the functional area and leads programs to meet critical needs. * Communicates and collaborates with customers to analyze and transform needs and goals into functional requirements. Delivers the appropriate artifacts as needed. * Works with operational leaders within the business to provide recommendations on opportunities for process improvements. * Creates business requirements documents, test plans, requirements traceability matrix, user training materials and other related documentations. * Generate and distribute standard reports on schedule Job Qualifications REQUIRED EDUCATION: Bachelor's Degree or equivalent combination of education and experience. Required Experience/Knowledge, Skills & Abilities * 3-5 years of Program and/or Project management experience. * Operational Process Improvement experience. * Healthcare experience. * Experience with Microsoft Project and Visio. * Excellent presentation and communication skills. * Experience partnering with different levels of leadership across the organization. Preferred Education Graduate Degree or equivalent combination of education and experience. Preferred Experience * 5-7 years of Program and/or Project management experience. * Managed Care experience. * Experience working in a cross functional highly matrixed organization. Preferred License, Certification, Association * PMP, Six Sigma Green Belt, Six Sigma Black Belt Certification and/or comparable coursework desired. 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: $59,810.6 - $129,589.63 / ANNUAL * Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Job DescriptionJob SummaryResponsible for internal business projects and programs involving department or cross-functional teams of subject matter experts, delivering products through the design process to completion. Plans and directs schedules as well as project budgets. Monitors the project from inception through delivery. May engage and oversee the work of external vendors. Assigns, directs and monitors system analysis and program staff. These positions' primary focus is project/program management.Job Duties * Active collaborator with people who are responsible for internal business projects and programs involving department or cross-functional teams of subject matter experts, delivering products through the design process to completion. * Plans and directs schedules as well as project budgets. * Monitors the project from inception through delivery. * May engage and oversee the work of external vendors. * Focuses on process improvement, organizational change management, program management and other processes relative to the business. * Leads and manages team in planning and executing business programs. * Serves as the subject matter expert in the functional area and leads programs to meet critical needs. * Communicates and collaborates with customers to analyze and transform needs and goals into functional requirements. Delivers the appropriate artifacts as needed. * Works with operational leaders within the business to provide recommendations on opportunities for process improvements. * Creates business requirements documents, test plans, requirements traceability matrix, user training materials and other related documentations. * Generate and distribute standard reports on schedule      Job QualificationsREQUIRED EDUCATION:Bachelor's Degree or equivalent combination of education and experience.Required Experience/Knowledge, Skills & Abilities * 3-5 years of Program and/or Project management experience. * Operational Process Improvement experience. * Healthcare experience. * Experience with Microsoft Project and Visio. * Excellent presentation and communication skills. * Experience partnering with different levels of leadership across the organization.      Preferred EducationGraduate Degree or equivalent combination of education and experience.Preferred Experience * 5-7 years of Program and/or Project management experience. * Managed Care experience. * Experience working in a cross functional highly matrixed organization.      Preferred License, Certification, Association * PMP, Six Sigma Green Belt, Six Sigma Black Belt Certification and/or comparable coursework desired.      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: $59,810.6 - $129,589.63 / ANNUAL * Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Program Manager (Remote) - Molina Healthcare

Louisville, Kentucky, United States

&lt;strong&gt;Job Description&lt;br&gt;&lt;br&gt;&lt;/strong&gt;&lt;strong&gt;Job Summary&lt;br&gt;&lt;br&gt;&lt;/strong&gt;Responsible for internal business projects and programs involving department or cross-functional teams of subject matter experts, delivering products through the design process to completion. Plans and directs schedules as well as project budgets. Monitors the project from inception through delivery. May engage and oversee the work of external vendors. Assigns, directs and monitors system analysis and program staff. These positions' primary focus is project/program management.&lt;br&gt;&lt;br&gt;&lt;strong&gt;Job Duties&lt;br&gt;&lt;br&gt;&lt;/strong&gt;&lt;ul&gt;&lt;li&gt;Active collaborator with people who are responsible for internal business projects and programs involving department or cross-functional teams of subject matter experts, delivering products through the design process to completion.&lt;/li&gt;&lt;li&gt;Plans and directs schedules as well as project budgets.&lt;/li&gt;&lt;li&gt;Monitors the project from inception through delivery.&lt;/li&gt;&lt;li&gt;May engage and oversee the work of external vendors.&lt;/li&gt;&lt;li&gt;Focuses on process improvement, organizational change management, program management and other processes relative to the business.&lt;/li&gt;&lt;li&gt;Leads and manages team in planning and executing business programs.&lt;/li&gt;&lt;li&gt;Serves as the subject matter expert in the functional area and leads programs to meet critical needs.&lt;/li&gt;&lt;li&gt;Communicates and collaborates with customers to analyze and transform needs and goals into functional requirements. Delivers the appropriate artifacts as needed.&lt;/li&gt;&lt;li&gt;Works with operational leaders within the business to provide recommendations on opportunities for process improvements.&lt;/li&gt;&lt;li&gt;Creates business requirements documents, test plans, requirements traceability matrix, user training materials and other related documentations.&lt;/li&gt;&lt;li&gt;Generate and distribute standard reports on schedule&lt;br&gt;&lt;br&gt;&lt;/li&gt;&lt;/ul&gt;&lt;strong&gt;Job Qualifications&lt;br&gt;&lt;br&gt;&lt;/strong&gt;&lt;strong&gt;REQUIRED EDUCATION&lt;/strong&gt;:&lt;br&gt;&lt;br&gt;Bachelor's Degree or equivalent combination of education and experience.&lt;br&gt;&lt;br&gt;&lt;strong&gt;Required Experience/Knowledge, Skills &amp;amp; Abilities&lt;br&gt;&lt;br&gt;&lt;/strong&gt;&lt;ul&gt;&lt;li&gt;3-5 years of Program and/or Project management experience.&lt;/li&gt;&lt;li&gt;Operational Process Improvement experience.&lt;/li&gt;&lt;li&gt;Healthcare experience.&lt;/li&gt;&lt;li&gt;Experience with Microsoft Project and Visio. &lt;/li&gt;&lt;li&gt;Excellent presentation and communication skills.&lt;/li&gt;&lt;li&gt;Experience partnering with different levels of leadership across the organization.&lt;br&gt;&lt;br&gt;&lt;/li&gt;&lt;/ul&gt;&lt;strong&gt;Preferred Education&lt;br&gt;&lt;br&gt;&lt;/strong&gt;Graduate Degree or equivalent combination of education and experience.&lt;br&gt;&lt;br&gt;&lt;strong&gt;Preferred Experience&lt;br&gt;&lt;br&gt;&lt;/strong&gt;&lt;ul&gt;&lt;li&gt; 5-7 years of Program and/or Project management experience.&lt;/li&gt;&lt;li&gt; Managed Care experience.&lt;/li&gt;&lt;li&gt; Experience working in a cross functional highly matrixed organization.&lt;br&gt;&lt;br&gt;&lt;/li&gt;&lt;/ul&gt;&lt;strong&gt;Preferred License, Certification, Association&lt;br&gt;&lt;br&gt;&lt;/strong&gt;&lt;ul&gt;&lt;li&gt; PMP, Six Sigma Green Belt, Six Sigma Black Belt Certification and/or comparable coursework desired.&lt;br&gt;&lt;br&gt;&lt;/li&gt;&lt;/ul&gt;To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.&lt;br&gt;&lt;br&gt;Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.&lt;br&gt;&lt;br&gt;Pay Range: $59,810.6 - $129,589.63 / ANNUAL&lt;br&gt;&lt;br&gt;&lt;ul&gt;&lt;li&gt;Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.&lt;/li&gt;&lt;/ul&gt;

Program Manager (Remote)

You must have a diploma, 3 years in managed care, strong communication and analytical skills, proficiency in reporting tools, and experience with Medicaid programs and contracts.

You will coordinate research requests, prepare regulatory reports, review contracts for compliance, disseminate information, and maintain documentation for government healthcare programs.

Government & Politics

Columbia

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. This is a remote position, but there will be occasional required meetings at the office in Columbia, SC. 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 * 3 years’ experience in a managed care environment. * Experience demonstrating strong: communication and presentation skills; analytical/reasoning ability; detail orientation; organizational and interpersonal skills. * Proficient in compiling data, creating reports, and presenting information, using Crystal Reports (or similar reporting tools), SQL query, MS Access, and MS Excel. Preferred Education * Bachelor's Degree in Business Administration, Healthcare, or related field. Preferred Experience * Experience working with a Medicaid program to include working with external regulators * Experience working with and interpreting contracts 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: $40,851.44 - $88,511.46 / ANNUAL * Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Job DescriptionJob SummaryResponsible 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.This is a remote position, but there will be occasional required meetings at the office in Columbia, SC.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 QualificationsRequired Education * High School diploma or equivalent      Required Experience * 3 years’ experience in a managed care environment. * Experience demonstrating strong: communication and presentation skills; analytical/reasoning ability; detail orientation; organizational and interpersonal skills. * Proficient in compiling data, creating reports, and presenting information, using Crystal Reports (or similar reporting tools), SQL query, MS Access, and MS Excel.      Preferred Education * Bachelor's Degree in Business Administration, Healthcare, or related field.      Preferred Experience * Experience working with a Medicaid program to include working with external regulators * Experience working with and interpreting contracts      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: $40,851.44 - $88,511.46 / ANNUAL * Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Sr Specialist, Govt Contracts (Must Reside in Columbia, SC) - Molina Healthcare

Columbia, South Carolina, United States

&lt;strong&gt;Job Description&lt;br&gt;&lt;br&gt;&lt;/strong&gt;&lt;strong&gt;Job Summary&lt;br&gt;&lt;br&gt;&lt;/strong&gt;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.&lt;br&gt;&lt;br&gt;This is a remote position, but there will be occasional required meetings at the office in Columbia, SC.&lt;br&gt;&lt;br&gt;&lt;strong&gt;Knowledge/Skills/Abilities&lt;br&gt;&lt;br&gt;&lt;/strong&gt;&lt;ul&gt;&lt;li&gt;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.&lt;/li&gt;&lt;li&gt;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.&lt;/li&gt;&lt;li&gt;Assesses information received from government contracting agencies and regulators and disseminates to impacted Plan staff.&lt;/li&gt;&lt;li&gt;Participates in meetings related to Molina government run programs with State agencies and Molina Corporate departments and disseminates relevant information to staff and management.&lt;/li&gt;&lt;li&gt;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.&lt;br&gt;&lt;br&gt;&lt;/li&gt;&lt;/ul&gt;&lt;strong&gt;Job Qualifications&lt;br&gt;&lt;br&gt;&lt;/strong&gt;&lt;strong&gt;Required Education&lt;br&gt;&lt;br&gt;&lt;/strong&gt;&lt;ul&gt;&lt;li&gt;High School diploma or equivalent&lt;br&gt;&lt;br&gt;&lt;/li&gt;&lt;/ul&gt;&lt;strong&gt;Required Experience&lt;br&gt;&lt;br&gt;&lt;/strong&gt;&lt;ul&gt;&lt;li&gt;3 years’ experience in a managed care environment.&lt;/li&gt;&lt;li&gt;Experience demonstrating strong: communication and presentation skills; analytical/reasoning ability; detail orientation; organizational and interpersonal skills.&lt;/li&gt;&lt;li&gt;Proficient in compiling data, creating reports, and presenting information, using Crystal Reports (or similar reporting tools), SQL query, MS Access, and MS Excel.&lt;br&gt;&lt;br&gt;&lt;/li&gt;&lt;/ul&gt;&lt;strong&gt;Preferred Education&lt;br&gt;&lt;br&gt;&lt;/strong&gt;&lt;ul&gt;&lt;li&gt;Bachelor's Degree in Business Administration, Healthcare, or related field.&lt;br&gt;&lt;br&gt;&lt;/li&gt;&lt;/ul&gt;&lt;strong&gt;Preferred Experience&lt;br&gt;&lt;br&gt;&lt;/strong&gt;&lt;ul&gt;&lt;li&gt;Experience working with a Medicaid program to include working with external regulators&lt;/li&gt;&lt;li&gt;Experience working with and interpreting contracts&lt;br&gt;&lt;br&gt;&lt;/li&gt;&lt;/ul&gt;To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.&lt;br&gt;&lt;br&gt;Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.&lt;br&gt;&lt;br&gt;Pay Range: $40,851.44 - $88,511.46 / ANNUAL&lt;br&gt;&lt;br&gt;&lt;ul&gt;&lt;li&gt;Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.&lt;/li&gt;&lt;/ul&gt;

Molina Healthcare

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