Senior Specialist, Government Contracts

Molina Healthcare•Long Beach, CA

About The Position

Provides senior-level support for government contracts activities. The role is responsible for developing and administering 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.

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, including 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 with Microsoft Office Suite and applicable software programs.

Nice To Haves

Compliance-related experience.

Responsibilities

Support government contract activities, including coordinating, conducting, and responding to research requests about 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 from government contracting agencies and regulators and share it with impacted plan staff.
Participate in meetings about Molina government-run programs with state agencies and Molina corporate departments, and share relevant information with 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.