Senior Specialist, Government Contracts

Molina Healthcare•Long Beach, CA

About The Position

The Senior Specialist, Government Contracts provides senior-level support for government contract activities. The role develops and administers contracts with state and/or federal governments for Medicaid, Medicare, Marketplace, and other government-sponsored programs that provide health care services to low-income, uninsured, and other populations in designated Molina markets. The employee must reside in Illinois. The position supports contract and compliance activities, coordinates responses to government agencies and regulators, and helps ensure that plan submissions and operational changes meet contractual and regulatory requirements. It also maintains documentation and archives and reviews implementation of new mandates and contract amendments.

Requirements

At least 3 years of experience in Medicaid, Medicare, and/or Marketplace health insurance or government programs, and at least 1 year of experience in government contracts, or an 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, with the ability to manage simultaneous projects and tasks to meet internal deadlines.
Detail orientation and analytical reasoning abilities.
Proficiency 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 the ability to communicate and present to internal and external stakeholders.
Proficiency in Microsoft Office and applicable software programs.
Must reside in Illinois.

Nice To Haves

Compliance-related experience.

Responsibilities

Support government contract activities, including coordinating, conducting, and responding to research requests related to government health care programs.
Prepare and submit regulatory reports for filings; review plan submissions for quality, accuracy, and timeliness; and ensure plans meet contractual and regulatory requirements.
Assess information received from government contracting agencies and regulators and disseminate it to impacted plan staff.
Participate in meetings related to Molina government-run programs with state agencies and Molina corporate departments, and disseminate relevant information to staff and leadership.
Oversee and maintain the department’s documentation and archive system, ensuring submitted reports are archived for historical and audit purposes and that the system is updated and complete.
Conduct structured evidence reviews and audits of new regulatory mandates, contract amendments, and other operational implementations, and verify that Molina business units have implemented required changes.