Senior Specialist, Government Contracts

Molina Healthcare; Chicago (IL); Vor Ort; USD 48.000 - 89.000; Vollzeit

Zusammenfassung

Molina Healthcare in Illinois seeks a senior government contracts specialist to oversee development and administration of contracts with state and federal programs, including Medicaid, Medicare, and Marketplace. You will coordinate research, ensure regulatory compliance, and lead cross-functional teams to meet deadlines and audit readiness.

Responsibilities include coordinating research requests, preparing regulatory reports, and maintaining documentation for audits and compliance while

Qualifikationen

• At least 3 years of Medicaid, Medicare, and/or Marketplace health insurance/government programs, plus at least 1 year in government contracts.
• Knowledge of Medicaid, Medicare, Marketplace and/or other government-sponsored programs and program compliance.
• Organizational and time-management skills to manage multiple projects and deadlines.
• Detail oriented with strong analytical reasoning abilities.
• Proficient in data analysis, creating reports, and presenting information.
• Ability to work cross-functionally in a highly matrixed environment.
• Effective verbal, written, and interpersonal communication with internal and external stakeholders.
• Microsoft Office suite and applicable software proficiency.

Aufgaben

• Coordinates, conducts, and responds to research requests related to government health care programs and regulatory filings.
• Reviews plan submissions for quality, accuracy and timeliness to meet contractual requirements.
• Disseminates information from government contracting agencies to impacted plan staff.
• Participates in meetings with state agencies and Molina departments and shares updates with leadership.
• Maintains the department’s documentation and archive system for reports and audits.

Kenntnisse

Time management

Attention to detail

Analytical reasoning

Data analysis & reporting

Cross-functional collaboration

Communication skills

Tools

Microsoft Office

Jobbeschreibung

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.