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Director, Government Contracts (Medicaid/Medicare) - Remote

Posted 14 weeks ago
All others
Full Time
Worldwide

Overview

The Director of Government Contracts is responsible for the strategic development and administration of contracts with State and Federal governments for healthcare services, focusing on Medicaid, Medicare, and other government-sponsored programs.

In Short

  • Manage State healthcare contracts and compliance requirements.
  • Lead project teams to implement new standards.
  • Chair committees and lead workgroups.
  • Assess proposed State laws and regulations.
  • Supervise department staff and develop SMEs.
  • Act as a liaison with State healthcare agencies.
  • Coordinate Plan responses to regulatory issues.
  • Identify new business and bid opportunities.
  • Ensure quality deliverables for reporting requirements.
  • Maintain knowledge of Medicaid, Medicare, and Marketplace policies.

Requirements

  • Bachelor's degree in a related field or equivalent experience.
  • 3-5 years in a managed care environment.
  • 2 years of supervisory or management experience.
  • Knowledge of State Health Department laws.
  • Experience in compliance for Medicaid & Medicare.
  • Contract management experience.
  • Master's degree preferred in Business Administration or related field.

Benefits

  • Competitive benefits and compensation package.
  • Equal Opportunity Employer (EOE) commitment.

M.T.A

Molina Talent Acquisition

Molina Healthcare is a leading provider of managed healthcare services, dedicated to improving the health of its members through high-quality, cost-effective care. The company focuses on network strategy and development, ensuring compliance with federal, state, and local regulations while aligning with its core values and strategic goals. Molina Healthcare emphasizes the importance of building strong relationships with complex providers, including hospitals and physician groups, to enhance network adequacy and financial performance. With a commitment to value-based care, Molina Healthcare actively engages in contract negotiations and innovative reimbursement models to meet the diverse needs of its members.

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