Senior Government Contracts & Compliance Lead

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

Job summary

Molina Healthcare in Boston is seeking a senior government contracts specialist to develop and administer contracts with state and federal government programs, including Medicaid, Medicare, and Marketplace, ensuring services reach eligible populations.

The role involves coordinating regulatory research, submitting reports and audits, reviewing contracts for compliance, and collaborating with state agencies and Molina teams to implement required changes, while maintaining thorough documentation.

Qualifications

• 3+ years in Medicaid/Medicare/Marketplace programs.
• 1+ year in government contracts or equivalent.
• Knowledge of Medicaid/Medicare programs and compliance.
• Strong organizational and time-management skills.
• Detail oriented with analytical reasoning.
• Proficient in data analysis, reporting and presentation.
• Ability to work cross-functionally in a matrixed environment.
• Effective verbal, written, and interpersonal communication.

Responsibilities

• Supports regulatory government contracts activities including coordinating, conducting and/or responding to research requests.
• Prepares and submits regulatory reports, audits, and plan submissions for quality and timeliness.
• Reviews provider agreements, EOC, member handbook, provider directory, marketing materials for compliance.
• Assesses information from government agencies and disseminates to impacted staff.
• Participates in meetings with state agencies and Molina departments and shares updates.
• Maintains documentation and archive system for reports and audits.
• Conducts structured evidence reviews of new mandates and contract amendments; verifies implementation.

Skills

Medicaid experience

Medicare experience

Marketplace experience

Regulatory compliance

Analytical thinking

Data analysis

Report writing

Cross-functional collaboration

Time management

Communication skills

Tools

Microsoft Office

SharePoint

Job description

Molina Healthcare in Boston is seeking a senior government contracts specialist to develop and administer contracts with state and federal government programs, including Medicaid, Medicare, and Marketplace, ensuring services reach eligible populations.

The role involves coordinating regulatory research, submitting reports and audits, reviewing contracts for compliance, and collaborating with state agencies and Molina teams to implement required changes, while maintaining thorough documentation.