Molina Healthcare · 6 days ago
Senior Specialist, Government Contracts
United States
Full-time
Remote
Mid, Senior Level
$45K/yr - $89K/yr
3+ years expMolina Healthcare is dedicated to providing healthcare services to low-income and uninsured populations through government-sponsored programs. The Senior Specialist for Government Contracts will be responsible for supporting the development and administration of contracts with state and federal governments, ensuring compliance with regulatory requirements, and managing documentation and reporting for government health care programs.
Health CareHospitalMedical
Responsibilities
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
Qualification
Required
At least 3 years of experience in Medicaid, Medicare, and/or Marketplace health insurance/government programs, and 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
Ability to work cross-functionally in a highly matrixed environment
Effective interpersonal skills
Organizational and time-management skills, and ability to manage simultaneous projects and tasks to meet internal deadlines
Analytical reasoning ability and detail orientation
Proficient in analyzing and compiling data, creating reports, and presenting information
Effective verbal and written communication skills, including ability to communicate and present to internal and external stakeholders
Microsoft Office suite and applicable software programs proficiency
Preferred
Compliance-related experience
Benefits
Competitive benefits and compensation package
Company
Molina Healthcare
Molina Healthcare is a healthcare company that specializes in government-sponsored healthcare programs for families and individuals.
10001+ employees
Funding
Current Stage
Public CompanyTotal Funding
$2.35B2025-11-17Post Ipo Debt· $850M
2024-11-13Post Ipo Debt· $750M
2021-11-16Post Ipo Debt· $750M
Leadership Team
Dave Reynolds
Executive Vice President, Health Plans & Medicaid Chief Operating Officer
Debbie Simkins
Vice President, Office of the CIO
Recent News
2026-01-17
2026-01-16
Hartford Business Journal
2026-01-14
Company data provided by crunchbase