Contract Administrator Sr (US)
Elevance Health

Contract Administrator Sr

Locations: The ideal candidate should live within 50 miles of our Open Access Pulse Points locations listed in this requisition.This position will work in a hybrid model (remote and office)1-2x a week.

The Contract Administrator Sr will beresponsible for researching, writing, filing, and implementing the most complex policy and certificate forms for group and individual major medical products, ancillary products, long term care products and HMO products.

How you will make an impact:

• Creates and maintains documentation for individual/group certificates/policies
  
• Works independently and with specialists, attorneys, and outside vendors to identify complex issues/solutions by analysis, testing and resolution.
  
• Ensures products comply with state and federal laws.
  
• Files documents with state department of insurance for approval.
  
• Monitors state and federal legislation affecting company products.
  
• Recommends compliance review processes and participates in compliance efforts.
  
• Provides primary compliance review of marketing materials and product advertising.
  
• Manages projects and/or participates in corporate initiatives.
  
• Administers the electronic publishing system/Access databases including technical direction of interface programs.
  
• Compiles and analyzes data in support of contract development
  
• Analyzes state and federal legislation
  
• Identifies new legislation that affects company products
  
• Researches regulatory issues
  
• Recognizes the absence of critical elements of information
  
• Perceives ambiguities or contradictions requiring clarification
  
• Converts legal information into easy-to-read narrative
  
• Corresponds with state insurance departments, internal clients, and others
  

Minimum Requirements:

• Requires a BA/BS in a related field and a minimum of 3 years of related experience; or any combination of education and experience, which would provide an equivalent background.
  

Preferred Skills, Capabilities and Experiences:

• Understanding of health benefits, plan designs and data analysis strongly preferred
  
• Understanding state and federal regulations, Individual contact and certificate development, and compliance strongly preferred.
  
• Legal compliance research or mandate interpretation strongly preferred.
  
• Experience filing insurance products using SERFF and other methods preferred.
  
• PC proficiency to include with Microsoft Office products (Word, Excel, PowerPoint), Microsoft Teams and Adobe Acrobat strongly preferred
  
• Strong attention to detail preferred
  
• Ability to quickly adapt to new software applications preferred
  

Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Who We Are

Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

How We Work

At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.

Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@elevancehealth.com for assistance.

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