Director, Government Contracts (Texas) - Military Veterans
at Molina Healthcare
Job Description
Job Summary
Work Location - Remote within the state of Texas
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
Responsible for managing the plan's State healthcare contracts, reviewing and implementing new program requirements and ensuring the plan complies with all health plan contractual and regulatory reporting requirements.
Serves as the Plan's lead for State healthcare program contractual and regulatory requirements, including performing the initial assessment and overseeing the implementation of all proposed and new contractual and regulatory standards, ensuring the Plan meets all filing requirements and ad hoc reporting requests, in a timely manner and with quality deliverables.
Manages the plan's State and plan partner contract renewal activities
Leads project teams involving staff from across the Plan to implement new standards for which the Government Contracts department is accountable or otherwise involved.
Chairs committees and leads workgroups to carryout assigned responsibilities.
Assesses proposed State laws and regulations to determine potential impact, and provides written reports of findings to requesting Plan and or MHI corporate staff.
Supervises department staff in meeting assigned goals and job duties.
Develops department staff to serve as product line SMEs in order to research standards and clarify program requirements for requesting staff.
Serves as a key liaison with State healthcare agencies and regulators.
Coordinates Plan responses/reports to State healthcare agencies, regulators and partners regarding contractual and regulatory issues.
Identifies potential new business and bid opportunities for the Plan..
Job Qualifications
Required Education
Bachelor's Degree in related field or equivalent combination of education and experience.
Required Experience
3-5 years experience in a managed care environment, with at least 2 years supervisory or management experience.
Knowledge of State Health Department mandated laws and rulings.
Comprehensive knowledge of Medicaid policies and programs.
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: $107,028 - $208,705.4 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
TX
Molina believes every person, family and community deserves access to high-quality health care regardless of their situation. Our mission is to deliver effective, reliable and affordable health care to those who need it most. We strive to meet the physical, social and emotional needs of each member and to strengthen the communities we serve.
We do this by offering a holistic, community-based approach designed specifically to meet the individual needs of our members.
What started in 1980 as one clinic in Long Beach, aimed at addressing the disparities in access to quality health care, has grown into 19 health plans across the country. For over 40-years we’ve been improving the lives of our 5.1 million members across the country by pioneering health care services exclusively for those with government-sponsored health care.
As our membership has grown over the years, so has our commitment to the communities we serve. In 2020, we launched the MolinaCares Accord, which makes substantial investments to improve members’ access to health care.