Contract Specialist; Hybrid

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.

• 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.

Education Level: Bachelor's Degree

Experience:

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

• Strong time‑management and organizational skills.
• Excellent communication skills both written and verbal.
• Ability to organize and lead stakeholder meetings.
• Proficient in Microsoft Office applications.
• Must be able to meet established deadlines and handle multiple customer service demands from internal and external customers, within set expectations for service excellence. Must be able to effectively communicate and provide positive customer service to every internal and external customer, including customers who may be demanding or otherwise challenging.

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

Care First Blue Cross Blue Shield 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.

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