Senior Specialist, Government Contracts (must reside in Iowa)

Molina Talent Acquisition; Des Moines (IA); Presencial; USD 75.000 - 110.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

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Descripción de la vacante

Molina Healthcare in Des Moines, IA is seeking an experienced contracts professional to provide senior-level support for government programs, including Medicaid, Medicare, and Marketplace, ensuring compliance and accurate reporting.

You will review agreements, coordinate regulatory submissions, collaborate across departments, and maintain audit-ready documentation to support Molina's government-sponsored health services.

Formación

• 3+ years in Medicaid/Medicare/Marketplace health programs
• 1+ year in government contracts
• Strong regulatory compliance knowledge
• Excellent data analysis and reporting
• Ability to work cross-functionally in a matrixed environment

Responsabilidades

• Coordinate and respond to research requests on government health care programs and regulatory filings.
• Review provider agreements, EOC, member handbook, and marketing materials for compliance.
• Disseminate information from regulators to plan staff.
• Participate in meetings with state agencies and Molina departments; relay updates.
• Maintain documentation and archive system for reports and audits.
• Conduct audits of regulatory mandates and contract amendments; ensure implementation.

Conocimientos

Medicaid knowledge

Medicare knowledge

Government contracts

Regulatory compliance

Data analysis

Report writing

Cross-functional work

MS Office

Time management

Descripción del empleo

JOB DESCRIPTION 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.
• Reviews provider agreements, evidence of coverage (EOC), member handbook, provider directory, marketing materials, and other contract reporting deliverables for compliance with contractual and regulatory requirements prior to submission.
• 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.
• Proficient in analysis and summarization of draft legislation, administrative rules and other regulatory drafts.

Molina Healthcare offers a competitive benefits and compensation package.

Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V