Senior Specialist, Government Contracts

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

Benefits offered by this job

Competitive benefits

Job summary

Molina Healthcare is seeking an experienced professional to provide senior-level support for government contracts activities. The role focuses on developing and administering contracts with state and federal programs to deliver healthcare services in designated Molina markets.

The position requires knowledge of Medicaid, Medicare, and Marketplace programs, plus experience in government contracts, cross-functional collaboration, and strong analytical skills.

Qualifications

• 3+ years experience in Medicaid/Medicare/Marketplace health insurance programs and at least 1 year in government contracts or equivalent.
• Knowledge of Medicaid, Medicare, Marketplace and related government programs and compliance.
• Strong organizational and time-management skills with ability to manage multiple projects to deadlines.
• Detail-oriented with solid analytical reasoning.
• Proficient in analyzing data, creating reports, and presenting findings.
• Ability to work cross-functionally in a matrixed environment.
• Excellent verbal and written communication; able to present to stakeholders.

Responsibilities

• Support government contracts activities including research, regulatory reporting, and review of plan submissions for quality and timeliness.
• Assess information from government contracting agencies and disseminate to staff.
• Participate in meetings with state agencies and Molina departments and relay updates to leadership.
• Maintain department documentation and archiving systems for audits and historical purposes.
• Conduct structured evidence reviews and audits of regulatory mandates and amendments, ensuring changes are implemented.

Skills

Medicaid knowledge

Medicare knowledge

Project management

Data analysis

Cross-functional collaboration

Communication skills

Tools

Microsoft Office

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.