Senior Specialist, Government Contracts

Posted Yesterday
Be an Early Applicant
8 Locations
In-Office or Remote
Senior level
Insurance
The Role
Supports government healthcare contract administration for Medicaid, Medicare, Marketplace, and other government-sponsored programs. Coordinates regulatory research, prepares filings, reviews plan submissions, disseminates agency information, maintains audit documentation, and verifies business-unit implementation of regulatory mandates and contract amendments. Collaborates with state agencies, corporate departments, staff, and leadership in a cross-functional environment.
Summary Generated by Built In

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.
 


To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

Skills Required

  • At least 3 years of experience in Medicaid, Medicare, Marketplace, or other government healthcare programs
  • At least 1 year of experience in government contracts, or an equivalent combination of relevant education and experience
  • Knowledge of government-sponsored healthcare programs and program compliance
  • Organizational and time-management skills, including the ability to manage simultaneous projects and deadlines
  • Detail orientation and analytical reasoning abilities
  • Ability to analyze and compile data, create reports, and present information
  • Ability to work cross-functionally in a highly matrixed environment
  • Effective verbal, written, interpersonal, and stakeholder communication skills
  • Proficiency with Microsoft Office and applicable software programs
  • Compliance-related experience

Molina Healthcare Inc. Compensation & Benefits Highlights

The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about Molina Healthcare Inc. and has not been reviewed or approved by Molina Healthcare Inc..

  • Healthcare Strength — Health coverage is described as solid, including medical, dental, and vision insurance alongside options like HSA/FSA and disability coverage. Benefits are often seen as a meaningful part of the overall package.
  • Retirement Support — A 401(k) with employer matching and an ESPP are offered, and the retirement plan is commonly regarded as a plus. These features help round out compensation even when base pay is seen as only acceptable.
  • Leave & Time Off Breadth — PTO, paid holidays, and paid parental leave are part of the offering, with time‑off benefits generally viewed favorably. Backup family care and an employee assistance program add practical support.

Molina Healthcare Inc. Insights

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The Company
HQ: Long Beach, CA

What We Do

Molina Healthcare Inc. is dedicated to delivering effective, reliable, and affordable health care to those who need it most. The company focuses on improving the health and well-being of its members and positively impacting the communities it serves. Recognized as a leader in the health insurance category, it provides essential healthcare services to ensure accessible and quality care for its members.

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