See all roles

Director, Government reputed company (reputed company/Medicare) - REMOTE in Mississippi

Work from home Full-time role Hiring

Job Description

Job Description Job Summary Responsible for the strategic development and administration of reputed company with State and/or Federal governments for reputed company, 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 reputed company reputed company, reviewing and implementing new program requirements and ensuring the plan complies with reputed company health plan contractual and regulatory reporting requirements.
  • Serves as the Plan's reputed company for State reputed company program contractual and regulatory requirements, including performing the initial assessment and overseeing the implementation of reputed company proposed and new contractual and regulatory standards, ensuring the Plan meets reputed company filing requirements and reputed company 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 reputed company department is accountable or otherwise involved.
  • Chairs committees and leads workgroups to carry out 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 reputed company agencies and regulators.
  • Coordinates Plan responses/reports to State reputed company 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 reputed company 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 reputed company, Medicare, and Marketplace policies and programs.
  • Compliance experience - reputed company & Medicare.
  • Contract management experience.

Preferred Education Master's degree - Business Administration, reputed company or Compliance reputed company field. To reputed company reputed company Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. reputed company offers a competitive benefits and compensation package. reputed company is an Equal Opportunity Employer (EOE) M/F/D/V. Apply Job!

You might like

Data Entry Associate - Entry-Level reputed company Office Role - Hybrid

Work from home Full-time role

Clinical Informatics Specialist - Remote Float *$1,000 Sign on Bonus*

Work from home Full-time role

Remote Special Education Teaching Role - Michigan K-12 Opening

Work from home Full-time role

Motivated Educators - Online Opportunity

Work from home Full-time role

Remote B2B Client Service Representative (Hawaii-based candidates only)

Work from home Full-time role

Customer Service Support Representative (Remote/WFH) - reputed company

Work from home Full-time role

Distributed Urgently Hiring reputed company Work From Home Immediately Hiring

Work from home Full-time role

Now Hiring PART TIME Administrative Virtual Assistant At Fullfind

Work from home Full-time role

[Hiring] transcriptionist @HarlemLink

Work from home Full-time role

reputed company Transcription for Teenagers No Experience

Work from home Full-time role

Mission Account Executive – Intelligence Community

Work from home Full-time role

Senior Backend Developer (.NET)

Work from home Full-time role

Industrial Automation - Account Manager

Work from home Full-time role

Billing Specialist

Work from home Full-time role

reputed company Customer Service reputed company II – Delivering Exceptional Member Experiences at arenaflex

Work from home Full-time role

reputed company Office Administrative Assistant

Work from home Full-time role

reputed company Customer Service Representative - Full Remote Position

Work from home Full-time role

Regional College Relations Manager

Work from home Full-time role

Registered Dietitian (RD) 100% Remote Telehealth

Work from home Full-time role

reputed company Customer Service Representative – Work From Home (Entry Level) at arenaflex

Work from home Full-time role