Govt Contracts Specialist: Medicaid & Medicare Compliance

Molina Healthcare, Inc.; Boston (MA); On-site; USD 29,000 - 56,000; Full time

Job summary

Molina Healthcare, Inc. seeks a Specialist, Government Contracts to support MA State Health Plan operations.

You will help develop and administer contracts with state and federal governments for Medicaid and related programs, ensuring compliance and timely deliverables. You will coordinate regulatory filings, respond to government inquiries, maintain policy databases, and assist in training on government contract requirements across Molina markets.

Qualifications

• At least 1 year in a managed care environment, preferably government Medicaid setting.
• Knowledge of Medicaid, Medicare, Marketplace and/or government programs.
• Organizational and time-management skills for multiple projects.
• Detail oriented and analytical reasoning abilities.
• Proficient in analyzing data, creating reports, and presenting information.
• Ability to work cross-functionally in a matrixed environment.
• Strong verbal, written, and interpersonal communication skills.
• Proficiency with Microsoft Office and related software.

Responsibilities

• Supports 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 inquiries and ad hoc regulatory requests.
• Responds to inquiries from government agencies regarding plan issues and requirements, coordinates with other departments, and maintains log for timely resolution.
• Conducts research on government-specific programs and state requirements.
• Assists in maintenance of 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 on government contracts requirements.
• Conducts structured evidence reviews/audits of new regulatory mandates, contract amendments, and other implementations, ensuring changes are implemented.

Skills

Managed care

Medicaid experience

Medicare programs

Data analysis

Cross-functional work

Tools

Microsoft Office

Job description

Molina Healthcare, Inc. seeks a Specialist, Government Contracts to support MA State Health Plan operations.

You will help develop and administer contracts with state and federal governments for Medicaid and related programs, ensuring compliance and timely deliverables. You will coordinate regulatory filings, respond to government inquiries, maintain policy databases, and assist in training on government contract requirements across Molina markets.