Job Title

JOB DESCRIPTION Job Summary Ideal candidates will have experience working with Washington State managed care programs. This position requires residency in the state of Washington. Provides executive level strategy and leadership for team responsible for government contracts activities. Responsible for 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 u2022 Supports executive strategy development, vision and direction for government contracts activities. Demonstrates accountability for performance and financial results, and keeps executive leadership apprised. u2022 Oversees the strategic development and administration of contracts with the state and/or federal government for Medicaid, Medicare, Marketplace, and other government-sponsored programs to provide health care services to low-income, uninsured, and other populations. u2022 Serves as lead for contract knowledge and assists health plan leadership with various advocacy efforts in support of plan business operations. u2022 Hires, onboards, trains, develops, mentors and performance manages reporting team of government contracts professionals and demonstrates accountability for team goals/deliverables. u2022 Provides leadership on emerging health care issues, new business implementation, and strategic planning for the health plan. u2022 Provides contracts and relationship management for state and federal partners (Medicaid, Medicare, insurance commission) and key state elected officials (governoru2019s office, state legislators, and local government officials). u2022 Leads and supervises regulatory submissions and filings. u2022 Represents Molina at state and local meetings including those with leadership of the respective departments of health services, Department of Insurance, and other agencies. u2022 Develops strategies to advocate for best practices that demonstratively improve contract terms or facilitate business objectives. u2022 Leads efforts with health plan leadership to expand managed care and other health plan business opportunities such as Medicare-Medicaid duals (MMP), seniors and persons with disabilities (SPDs), Accountable Care Act (ACA) Marketplace participation, and Accountable Care Organization (ACO) delivery models. u2022 Improves coordination/integration of acute and long-term services and supports (LTSS) for dual eligible and SPDs, and influences the stateu2019s implementation of ACA provisions. u2022 Represents Molina with key industry groups such as the state's Association of Health Plans, America's Health Insurance Plans (AHIP), Medicaid Health Plans of America (MHPA), and National Association of Insurance Commissioners (NAIC). Also works with key advocacy groups and provider trade associations to advocate Molinau2019s position and business objectives and develop strategic partnerships. u2022 Works with legal affairs to assess and provide analyses for proposed changes to Medicaid, Medicare, Marketplace, and other government-sponsored health care program contracts, governing regulations and new legislation and policy requirements. u2022 Oversees and monitors the implementation of new Medicaid and Medicare contractual and policy requirements, new legislation and regulations. u2022 Coordinates request for information (RFI) responses, as well as request for application (RFA) and request for proposal (RFP) bid efforts, in collaboration with the corporate development team. Required Qualifications u2022 At least 12 years of experience in Medicaid, Medicare, and/or Marketplace health insurance/government programs, and 8 years of experience in government contracts, or equivalent combination of relevant education and experience. u2022 At least 7 years management/leadership experience. u2022 Deep knowledge of Medicaid, Medicare, Marketplace and/or other government-sponsored programs and program compliance. u2022 Ability to work cross-functionally in a highly matrixed environment. u2022 Excellent interpersonal skills. u2022 Strong organizational and time-management skills, and ability to manage simultaneous projects and tasks to meet internal deadlines. u2022 Analytical reasoning ability and detail orientation. u2022 Proficient in compiling data, creating reports, and presenting information. u2022 Excellent verbal and written communication skills, including ability to communicate and present to internal and external stakeholders. u2022 Microsoft Office suite and applicable software programs proficiency. Preferred Qualifications u2022 Legal/compliance-related experience. u2022 Deep Medicaid-specific experience. u2022 Experience with state/federal government relations and relationship building with key governmental representatives. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $161,914.25 - $315,733 / ANNUAL Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.