[Hiring] Senior Specialist, Government Contracts @Molina Healthcare

Role Description

This role supports the development, review, submission, implementation, and ongoing maintenance of government contract documents and regulatory requirements across Medicaid and DSNP. The position helps ensure compliance with state and federal requirements, which directly impacts member access to services, provider network operations, and Molina's ability to successfully administer government programs.

The specialist role is responsible for coordinating regulatory deliverables, monitoring compliance requirements, supporting contract implementation and state contract amendments, and partnering across departments to ensure Molina meets contractual obligations.

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.

Qualifications

• MCO experience and ability to interpret contract language
• Relevant government healthcare contracting experience
• Project management
• Strong analytical skills, attention to detail, excellent written communication, organization, and experience working in a highly regulated environment

Requirements

• 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.

Benefits

• Molina Healthcare offers competitive benefits and compensation package.