Senior Specialist, Government Contracts (MA State Health Plan)

JOB DESCRIPTION Job Summary Provides senior level support for government regulatory contracts activities. Responsible for the 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 in designated Molina markets. Essential Job Duties • Supports regulatory government contracts activities including coordinating, conducting and/or responding to research requests pertaining to government health care programs, preparing and submitting regulatory reports for filings, audiring, reviewing plan submissions for quality, accuracy and timeliness, and ensuring plan meets contractual and regulatory requirements. • Reviews provider agreements, evidence of coverage (EOC), member handbook, provider directory, marketing materials, and other contract reporting deliverables for compliance with contractual and regulat...