Senior Specialist, Government Contracts

Molina Healthcare; Illinois; Presencial; USD 48.000 - 89.000; Jornada completa

Descripción de la vacante

Molina Healthcare is seeking an experienced professional to support government contracts activities in Illinois. The role focuses on development and administration of contracts with state and federal programs to provide health services to low-income populations.

Responsibilities include coordinating research requests, regulatory reporting, and ensuring contract compliance across Molina markets. Collaboration across departments and strong data analysis are essential for success.

Formación

• 3+ years of Medicaid, Medicare, and/or Marketplace health insurance/government programs experience.
• At least 1 year of government contracts experience or equivalent.
• Knowledge of government programs and program compliance.
• Strong organizational and time-management skills.
• Detail-oriented with analytical reasoning abilities.
• Experience in data analysis, reporting, and cross-functional collaboration.
• Effective verbal, written, and interpersonal communication skills.

Responsabilidades

• Support government contracts activities including research requests and regulatory filings.
• Prepare and submit regulatory reports; review plan submissions for quality and timeliness.
• Assess information from contracting agencies and disseminate to staff.
• Participate in meetings with state agencies and Molina departments.
• Maintain documentation and archives; ensure reports are updated.

Conocimientos

Government contracts

Regulatory compliance

Data analysis

Project management

Communication skills

Herramientas

Microsoft Office

Descripción del empleo

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.