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. 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. 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.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
Senior Specialist, Government Contracts • San Antonio, TX, US
This position will be assigned to the Air Force Services Center at Port San Antonio, TX.This is a regular full-time category position with guaranteed 40 hrs.Employees appointed to a regular categor... Show more
Government Subcontract Analyst.This is a Full-Time (W2) Predominately Remote position, but candidates that would like to be considered for this role need to be within driving distance to San Antoni... Show more
Make an impact in the role of Government Clerk to respond promptly to inquiries and resolve basic issues, maintain accurate records and documentation, and support the preparation and delivery of go... Show more
Three Saints Bay, LLC, and a Federal Government Contractor industry leader, is seeking a Contract Specialist I with a working knowledge of various contract types, including government contracts, an... Show more
Participates in the development and evaluation of transportation deployment training programs, analyzes training requirements; develops lesson plans, course outlines, and evaluation instruments.Pro... Show more
Duties and responsibilities vary and may increase according to grade level****.Review requisition package for adequacy, consistency, and compliance with administrative, regulatory, and procedural r... Show more
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, Marke... Show more
JBW Federal is a subsidiary company of the Kanaka Foundation - An NHO who's mission is to support Native Hawaiians.You will receive a comprehensive benefits package that includes:.Annual membership... Show more
Advanced Contracting Specialist.Strategic ACI is seeking an Advanced Contracting Specialist to support federal acquisition operations at a Department of the Air Force installation.In this role you ... Show more
Transportation Deployment Specialist.Duties Participates in the development and evaluation of transportation deployment training programs, Analyzes training requirements; develops lesson plans-, co... Show more
Journeyman Contracting Specialist.Strategic ACI is seeking a Journeyman Contracting Specialist to support federal acquisition operations at a Department of the Air Force installation.In this role y... Show more
Serves as Senior Contract Specialist for the Air Force Nonappropriated Fund Procurement Office.Responsible for the development of contracting and sourcing strategies; the solicitation, evaluation, ... Show more
Western Door Federal is part of the S.Seneca Holdings' federal government contracting business that meets mission-critical needs of federal civilian, defense, and intelligence community customers.O... Show more
Three Saints Bay, LLC, and a Federal Government Contractor industry leader, is seeking a Contract Specialist I with a working knowledge of various contract types, including government contracts, an... Show more
Three Saints Bay, LLC, and a Federal Government Contractor industry leader, is seeking a Contract Specialist I with a working knowledge of various contract types, including government contracts, an... Show more
Alluvionic is seeking talented individuals like you to join our team at The US Marshals Service.Make a difference while enhancing your skills and knowledge in an exciting and rewarding work environ... Show more
Our client is seeking a detail-oriented Committee Minutes Specialist to support Management Committees and the Risk Governance team.In this role, you will be responsible for producing accurate, bala... Show more
Strategic ACI is seeking a Contracting Specialist to support federal acquisition operations at a Department of the Air Force installation.In this role you will work directly alongside Air Force Con... Show more
Strategic ACI is seeking a Contracting Specialist to support federal acquisition operations at a Department of the Air Force installation.In this role you will work directly alongside Air Force Con... Show more
Interim Senior Contracts Counsel.Respected financial institution.The Company is in need of an Interim Senior Contracts Counsel with a focus on procurement and technology agreements, particularly th... Show more
