Specialist, Government Contracts (EST business hours)
Molina Healthcare - Columbus, OH
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JOB DESCRIPTION Job Summary Provides 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 u2022 Supports government contracts activities including maintenance of state correspondence and regulatory databases, communication of deliverables/submission between staff and governmental agencies, policy and procedure maintenance and review, and contract review. u2022 Maintains calendar and databases documenting regulatory filings, approvals of member materials, member/provider inquires and ad hoc regulatory requests. u2022 Responds to inquiries from government agencies regarding plan issues and requirements coordinates with other applicable departments in resolution process and maintains log to ensure prompt and timely resolution. u2022 Conducts research on government-specific programs and state requirements. u2022 Assists in maintenance of government contracts SharePoint site to store regulatory correspondence/reports/materials and ensure accessibility of information to staff. u2022 Participates in review of contract and regulatory requirements. u2022 Coordinates the maintenance, review, and dissemination of company policies and procedures. u2022 Assists in development and deployment of training programs related to government contracts requirements. u2022 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 u2022 At least 1 year of experience in a managed care environment - preferably in a government sponsored Medicaid setting, or equivalent combination of relevant education and experience. u2022 Knowledge of Medicaid, Medicare, Marketplace and/or other government-sponsored programs and program compliance. u2022 Organizational and time-management skills, and ability to manage simultaneous projects and tasks to meet internal deadlines. u2022 Detail oriented and analytical reasoning abilities. u2022 Proficient in analyzing and compiling data, creating reports, and presenting information. u2022 Ability to work cross-functionally in a highly matrixed environment. u2022 Effective verbal, written, and interpersonal communication skills, including ability to communicate and present to internal and external stakeholders. u2022 Microsoft Office suite and applicable software programs proficiency. Preferred Qualifications u2022 Medicaid, Medicare, and/or Marketplace government programs experience. u2022 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 Pay Range: $18.04 - $42.2 / HOURLY Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Created: 2026-04-27