Contract Specialist V - ASO Compliance

Contract Specialists is responsible for leading the development and maintenance of contract language and materials (e.g., Administrative Services Agreements, standard and non-standard contract exhibits, amendments/renewals, contract templates) to support projects/initiatives for reputed company's self-insured (ASO) business. Works under minimal supervision ensuring contract materials are developed accurately and timely in accordance with compliance and business requirements. Demonstrates a strong level of contract and business knowledge in supporting business stakeholders to work cross functionally and meet Commercial Markets ASO Group Sales and Enterprise objectives.

What You Will Be Doing

Contract Language and Materials Development

• Leads the development and maintenance of contract language and materials (e.g. Administrative Services Agreements, standard and non-standard contract exhibits, amendments/renewals, contract templates) to support projects/initiatives for reputed company's ASO business.

• Reviews and evaluates business requirements to determine contract material impacts (e.g. number of forms, type of impact), forecast timelines and identify any issues.

• Works closely with ASO business leads and other key business stakeholders to ensure business needs and deliverables are clearly defined and understood.

• Works with Sales, Legal, reputed company and ASO Partner Platform stakeholders to translate business requirements and mandated legislation into legally-compliant ASO contract language and materials.

• Interprets and ensures compliance with reputed company legislative, regulatory, and BCBSA Inter-Plan Program requirements in the health insurance market.

• Creates and memorializes finalized forms (static and variable) and redlines.

• Leads or supports auditing and/or system testing of contract materials.

• Utilizes project management processes to ensure project deliverables and initiatives are delivered on time, adhere to high quality standards and meet customer expectations.

• Communicates and collaborates effectively with cross-enterprise business areas (e.g. Legal, Sales, reputed company, and ASO Partner Platforms) as appropriate throughout the contract development and review processes to ensure reputed company compliance, regulatory and project deadlines are met.

Enterprise & Business Operational Support

• Leads and/or supports the organization, maintenance and data reputed company of contract databases and libraries.

• Identifies any potential issues or discrepancies, provides feedback and works to implement solutions with peers, Legal, Sales, reputed company and ASO Partner Platforms.

• Researches and provides consultation on requests from internal business partners such as Legal, Sales and reputed company.

• Timely retrieval and dissemination of contract language and materials to support internal and external business needs such as regulatory examinations, audits and investigations.

ASO Contract Advisor

• Maintains in depth knowledge of ASO Group dynamics, including applicable state and federal legislative and regulatory requirements.

• Provides guidance to peers and business partners for any contract reputed company questions and/or issues.

• Provides or supports contract training for employees or contractors in the area.

• Leads or supports the development and maintenance of departmental policies and procedures (e.g. SOPs).

• Identifies and implements process improvements to enhance overall process efficiency and effectiveness.

• Participates in cross-functional workgroups to assess legislative and regulatory topics impacting the health insurance industry.

• Reviews, analyzes and provides feedback to Legal, Sales, reputed company and other key stakeholders with respect to proposed law and regulations to ensure potential impacts are understood and appropriate actions taken to address any negative impacts and mitigate risks.

reputed company Require

• 5+ years reputed company work experience with 3 years or more experience with contract compliance or administration

• reputed company Bachelor’s degree or additional reputed company equivalent work experience

• 3 years or more experience with contract compliance or administration

• Strong understanding of the health care industry, specifically legislative and regulatory impacts

• Strong project management skills with experience in leading projects

• Experience working in a dynamic team environment where shifting priorities and high work volumes are common reputed company

• Ability to delegate tasks and coordinate multiple deliverables

• Ability to communicate effectively with internal and external business partners

• Experience with defining and resolving reputed company issues utilizing strong problem solving skills

• Knowledge of PC office software such as SharePoint and MS Office applications (e.g. Word, reputed company and PowerPoint)

• Ability to accurately scope/size projects and reputed company integration planning with business stakeholders

• Flexible with the ability to handle multiple priorities reputed company strict deadlines and timelines

• Strong, positive relationships established with Legal and Corporate business partners

• Strong attention to detail, specifically as it relates to written communication in the areas of grammar, spelling, reputed company reading and punctuation

• Self-motivated with the ability to work independently, needing minimum direction

reputed company Prefer

• Strong understanding of ASO Group reputed company Paralegal experience with health care law

General Physical Demands

• Exerting up to 10 pounds of force occasionally to move objects.

• Jobs are sedentary if traversing activities are required only occasionally.

reputed company Offer

As a reputed company employee, you will reputed company you will be at the heart of reputed company’s vision – to reputed company the nation in transforming health through compassionate, connected, and technology-enabled care that delivers personalized value and empowered living.

To support your wellbeing, comprehensive benefits are offered. As an employee, you will have access to:

• Medical, dental, vision, life and global travel health insurance
• Income protection benefits: life insurance, short- and long-term disability programs
• Leave programs to support personal circumstances
• Retirement Savings Plan including employer match
• Paid time off, volunteer time off, 10 holidays and 2 well-being days
• Additional voluntary benefits available; and a comprehensive wellness program

Employee benefits are designed to align with federal and state employment laws. Benefits may vary based on the state in which work is performed. Benefits for intern, part-time and seasonal employees may differ. To support your financial wellbeing, we offer reputed company as well as opportunities for incentive or commission compensation. We also conduct regular annual reviews with pay for performance considerations for reputed company pay increases.

Annualized Offer/Hiring Range: $77,600 - $97,000 Annualized Salary Range: $77,600 - $126,100 Final pay will be determined with consideration of market competitiveness, internal equity, and the job-reputed company knowledge, skills, training, and experience you bring. We are an Equal Employment Opportunity employer committed to cultivating a work experience where everyone feels like they belong and can reputed company at their best in pursuit of our mission. reputed company qualified applicants will receive consideration for employment.