Senior Specialist, Government Contracts

Molina Healthcare, Inc.; Illinois; Presencial; USD 48 000 - 89 000; Tempo integral

Resumo da oferta

Molina Healthcare, Inc. is seeking a senior administrator to oversee government contracts activities in Illinois. You will develop and administer contracts for Medicaid, Medicare, Marketplace, and related programs to provide health care services to eligible populations.

Responsibilities include coordinating research requests, submitting regulatory reports, auditing plan compliance, and maintaining documentation for audits. Strong analytical and cross-functional communication skills are required.

Qualificações

• At least 3 years of Medicaid, Medicare, and/or Marketplace government programs experience.
• At least 1 year of government contracts experience or equivalent.
• Strong data analysis and reporting skills.

Responsabilidades

• Coordinate and respond to government health care program research requests and regulatory filings.
• Review plan submissions for quality, accuracy and timeliness to meet contracts.
• Disseminate information from regulators to affected plan staff and leadership.

Conhecimentos

Medicaid/Medicare knowledge

Government contracts experience

Data analysis & reporting

Cross-functional collaboration

Regulatory compliance

Microsoft Office proficiency

Ferramentas

Microsoft Office

Descrição da oferta de emprego

****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.

• 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

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

Job Info

• Job Identification 2039848
• Job Category Government Affairs, Policy & Contracts
• Posting Date 10/22/2026, 02:55 PM
• Job Schedule Full time
• Locations IL, United States Chicago, IL, United States Springfield, IL, United States Bloomingdale, IL, United States Belleville, IL, United States Carbondale, IL, United States Effingham, IL, United States Peoria, IL, United States
• Salary Range $47,660.00 - $88,511.46 Annually *Actual compensation may vary based on geographic location, work experience, education and/or skill level