69 applicantsPosted by Agency

Company

Molina Healthcare · 1 day ago

Program Manager (Remote in MA)

Massachusetts, United States

Full-time

Remote

Mid Level

$84K/yr - $164K/yr

3+ years exp

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Responsibilities

Responsible for day-to-day oversight, monitoring, and management of regulatory and contractual requirements related to government programs including, but not limited to, Medicaid, duals (MMP) and Marketplace.

Serves as primary internal contact for informational requests and contract interpretations.

Monitors daily Government Contracts activities to ensure contractual compliance with state and federal requirements for all lines of business (Medicaid, MMP and Marketplace) and ensures timely submission of all required reporting.

Works with functional area owners on state requirements and deliverables to ensure accuracy, timeliness and completion (e.g. regarding required submissions, member and provider inquiries, ad hoc regulatory inquiries/requests, marketing material submissions, changes to contract requirements, and scorecards for state inquiries, submissions and deliverables).

Develops responses to state agencies as required for MyCare, Medicaid and Marketplace product lines and coordinates filing process for the Marketplace line of business.

Develops, maintains and updates regulatory work plans, including state regulatory guidance documents and state rules. Educates internal staff on changes to regulatory contracts.

Develops and maintains consistent processes for all lines of business within the Government Contracts department.

Qualification

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Managed care experienceMedicare compliance knowledgeContract managementRegulatory oversightHealthcare knowledge

Required

High School diploma or equivalent

Min. 3 years experience in a managed care environment (including Medicare, Medicaid and other State governed plans)

Knowledge of Medicare compliance requirements

Preferred

Bachelor's Degree in Business Administration, Healthcare or related field

Benefits

Competitive benefits and compensation package

Company

Molina Healthcare

Glassdoor

3.4

Molina Healthcare is a healthcare company that specializes in government-sponsored healthcare programs for families and individuals.

Founded in 1980

Long Beach, California, USA

10001+ employees

https://careers.molinahealthcare.com

H1B Sponsorship

Molina Healthcare has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)

Distribution of Different Job Fields Receiving Sponsorship

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Trends of Total Sponsorships

2023 (33)

2022 (36)

2021 (33)

2020 (60)