Specialist, Government Contracts (Remote in UT)

Job Title

Job Summary : Responsible for the strategic 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.

Knowledge / Skills / Abilities :

• Performs government contracts activities including maintenance of state correspondence and regulatory databases, communication of deliverables / submission between staff and governmental agencies, policy and procedure maintenance and review, and contract review.
• Maintains calendar and databases documenting regulatory filings, approvals of member materials, member / provider inquires and ad hoc regulatory requests.
• Responds to inquiries from government agencies regarding plan issues and requirements. Coordinates with other departments in resolution process. Maintains log to ensure prompt and timely resolution.
• Conducts research on government program and state requirements as needed.
• Helps maintain Government Contracts SharePoint site to store regulatory correspondence / reports / materials and ensure accessibility of information to staff.
• Participates in review of contract and regulatory requirements.
• Coordinates the maintenance, review, and dissemination of company policies and procedures.
• Assists in development and deployment of training programs related to government contract requirements.

Job Qualifications :

Required Education : High School diploma or equivalent

Required Experience :

Required License, Certification, Association : N / A

Preferred Education : Bachelor's Degree in Business Administration, Healthcare or related field.

Preferred Experience :

Preferred License, Certification, Association : N / A