Contract Specialist (Hybrid)

Benefit Contract Management Support

Purpose : Supports Benefit Contract Management (BCM) by assisting or performing accountabilities / tasks that include but are not limited to : revising / updating contract forms and templates; reviewing contract forms, templates and related marketing materials; preparing electronic filings via SERFF; tracking status of filings; creating sample contracts; creating SBCs; organizing and circulating contract related documents; and contributing to BCM strategies and process improvements.

Essential Functions :

• Reviews, clarifies and / or interprets customized / nonstandard benefit requests; provides information and decisions to operations, account implementation meetings, and other company initiative implementation meetings needed. Clarifies and ensures consistency of contract benefits with respective system benefit coders. Revises / updates contract forms and templates as appropriate and assigned. Assist or performs electronic filings via SERFF.
• Reviews requests (standard and nonstandard type) and interprets benefit issues; provides contract interpretation, information and language; raises complex issues to Senior Contract Specialist / supervision in Benefit Contract Management (BCM) for resolution.
• Maintains and updates all department logs, contract and certificate forms; implements (places into production) newly approved contract forms.
• Revises group account specific contracts and certificate language for risk and self-insured accounts using established models and templates when available. Maintains and uploads contracts upon audit completion into the file / library; other documents to ensure contract integrity.

Qualifications :

Education Level : Bachelor's Degree OR in lieu of a Bachelor's degree, an additional 4 years of relevant work experience is required in addition to the required work experience.

Experience : 3 years experience health insurance benefit / product knowledge and benefits delivery systems.

Knowledge, Skills and Abilities (KSAs) :

Salary Range : $53,208 - $105,677

Salary Range Disclaimer : The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the work is being performed. This compensation range is specific and considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate's work experience, education / training, internal peer equity, and market and business considerations. It is not typical for an individual to be hired at the top of the range, as compensation decisions depend on each case's facts and circumstances, including but not limited to experience, internal equity, and location. In addition to your compensation, CareFirst offers a comprehensive benefits package, various incentive programs / plans, and 401k contribution programs / plans (all benefits / incentives are subject to eligibility requirements).

Equal Employment Opportunity : CareFirst BlueCross BlueShield is an Equal Opportunity (EEO) employer. It is the policy of the Company to provide equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.

Where To Apply : Please visit our website to apply : www.carefirst.com / careers

Federal Disc / Physical Demand : Note : The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him / her ineligible to perform work directly or indirectly on Federal health care programs.

Physical Demands : The associate is primarily seated while performing the duties of the position. Occasional walking or standing is required. The hands are regularly used to write, type, key and handle or feel small controls and objects. The associate must frequently talk and hear. Weights up to 25 pounds are occasionally lifted.

Sponsorship in US : Must be eligible to work in the U.S. without Sponsorship.