Senior Specialist, Government Contracts

Molina Healthcare; Belleville (IL); On-site; USD 48,000 - 89,000; Full time

Job summary

Molina Healthcare in Illinois seeks a senior government contracts professional to develop and administer contracts for Medicaid, Medicare, Marketplace, and other government programs to provide health care services to eligible populations.

The role involves coordinating research, preparing regulatory reports, and ensuring compliance with contractual obligations while collaborating with plan staff and leadership across Molina markets.

Qualifications

• At least 3 years of Medicaid/Medicare/Marketplace experience and 1 year in government contracts.
• Knowledge of government-sponsored programs and program compliance.
• Organizational and time-management skills to handle multiple projects.
• Detail oriented with analytical reasoning and data reporting abilities.
• Ability to work cross-functionally in a matrixed environment.
• Excellent verbal, written, and interpersonal communication skills.
• Proficiency with Microsoft Office and related software.

Responsibilities

• Supports government contracts activities including coordinating, researching and responding to requests, and regulatory reporting.
• Assesses information from contracting agencies and disseminates to staff.
• Participates in meetings with state agencies and Molina departments and shares updates.
• Maintains the department’s documentation and archive system for audits.
• Conducts reviews of new regulatory mandates and verifies implementation across units.

Skills

Strong analytical skills

Time management

Cross-functional collaboration

Verbal and written communication

Data analysis & reporting

Tools

Microsoft Office Suite

Job description

JOB DESCRIPTION

Employee for this role must reside in Illinois

Job Summary

Provides senior level support for government contracts activities. Responsible for the 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

• Supports government contracts activities including coordinating, conducting and/or responding to research requests pertaining to government health care programs, preparing and submitting regulatory reports for filings, reviewing plan submissions for quality, accuracy and timeliness, and ensuring plan meets contractual and regulatory requirements.
• Assesses information received from government contracting agencies and regulators and disseminates to impacted plan staff.
• Participates in meetings related to Molina government run programs with state agencies and Molina corporate departments and disseminates relevant information to staff and leadership.
• Oversees/maintains the department’s documentation and archive system - ensuring submitted reports are archived for historical and audit purposes; ensures system is updated and complete.
• Conducts structured evidence reviews/audits of new regulatory mandates contract amendments and other operational implementations, and verifies that Molina business units have implemented required changes.

Required Qualifications

• At least 3 years of experience in Medicaid, Medicare, and/or Marketplace health insurance/government programs, and at least 1 year of experience in government contracts, or equivalent combination of relevant education and experience.
• Knowledge of Medicaid, Medicare, Marketplace and/or other government-sponsored programs and program compliance.
• Organizational and time-management skills, and ability to manage simultaneous projects and tasks to meet internal deadlines.
• Detail oriented and analytical reasoning abilities.
• Proficient in analyzing and compiling data, creating reports, and presenting information.
• Ability to work cross-functionally in a highly matrixed environment.
• Effective verbal, written, and interpersonal communication skills, including ability to communicate and present to internal and external stakeholders.
• Microsoft Office suite and applicable software programs proficiency.

Preferred Qualifications

• Compliance-related experience.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

Pay Range: $47,660 - $88,511.46 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.