4 дня назад
Mgr Contract Administr Ops
92 700 - 167 500$
Мэтч & Сопровод
Для мэтча с этой вакансией нужен Plus
Описание вакансии
Текст:
TL;DR
Mgr Contract Administr Ops (Health Insurance): Managing contract administration operations for customer-specific employer and member documents, including standard and custom booklets, with an accent on regulatory compliance, document quality, and resource allocation. Focus on leading staff, maintaining contract language and version control, managing legislative projects, and resolving issues involving insurance accounts.
Location: Chicago, Illinois, United States
Base pay: $92,700–$167,500 annually, plus eligibility for an annual incentive bonus.
Company
provides health insurance products and services.
What you will do
- Manage the Enterprise Contract Administration unit responsible for drafting, reviewing, filing, and maintaining employer, member, retail, and government documents.
- Oversee standard and custom certificate booklets, contract negotiations, signatures, custom provisions, document updates, and version control.
- Ensure member and employer master documents comply with corporate policies, underwriting requirements, Blue Card language, regulations, and statutory requirements.
- Lead special projects and legislative task forces, prepare performance reports, and resolve operational issues.
- Manage staff responsibilities including hiring, training, budgeting, performance management, compensation administration, change management, and talent planning.
- Respond to Department of Insurance and legal inquiries while maintaining confidentiality and compliance with HIPAA and corporate policies.
Requirements
- Bachelor’s degree and 5 years of health insurance contract operations experience plus 1 year of management experience, or 9 years of health insurance contract operations experience plus 1 year of management experience.
- Knowledge of health products, procedures, underwriting requirements, contract structures, and funding arrangements.
- Analytical, reporting, project management, customer service, leadership, and issue-resolution skills.
- Proficiency with Microsoft Office Suite.
- Strong verbal and written communication skills for managing staff and working with internal and external stakeholders.
- Ability to work in Chicago, Illinois.
Nice to have
- J.D. degree or four years of leadership experience involving independent decision-making.
- Knowledge of external adjudication processes.
- Knowledge of large or national account contract specifications and processing systems.
- Knowledge of corporate marketing practices, health insurance product lines, and Par Plan operations.
Culture & Benefits
- Professional development plans and career growth support.
- Health and wellness benefits, 401(k) savings plan, and pension plan.
- Paid time off, paid parental leave, paid holidays, disability insurance, and supplemental life insurance.
- Employee assistance program and tuition reimbursement.
- Equal opportunity workplace with emphasis on inclusion and respect for employee differences.
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