Contract Specialist V - ASO Compliance

Florida Blue

7h

About The Position

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 Florida Blue'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.

Requirements

• 5+ years related work experience with 3 years or more experience with contract compliance or administration
• Related Bachelor’s degree or additional related 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 place
• Ability to delegate tasks and coordinate multiple deliverables
• Ability to communicate effectively with internal and external business partners
• Experience with defining and resolving complex issues utilizing strong problem solving skills
• Knowledge of PC office software such as SharePoint and MS Office applications (e.g. Word, Excel and PowerPoint)
• Ability to accurately scope/size projects and lead integration planning with business stakeholders
• Flexible with the ability to handle multiple priorities within 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, proof reading and punctuation
• Self-motivated with the ability to work independently, needing minimum direction

Nice To Haves

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

Responsibilities

• 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 Florida Blue'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, Segment 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 all 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, Segment, and ASO Partner Platforms) as appropriate throughout the contract development and review processes to ensure all compliance, regulatory and project deadlines are met.
• Leads and/or supports the organization, maintenance and data integrity of contract databases and libraries.
• Identifies any potential issues or discrepancies, provides feedback and works to implement solutions with peers, Legal, Sales, Segment and ASO Partner Platforms.
• Researches and provides consultation on requests from internal business partners such as Legal, Sales and Segment.
• Timely retrieval and dissemination of contract language and materials to support internal and external business needs such as regulatory examinations, audits and investigations.
• 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 related 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, Segment 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.

Benefits

• 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

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Number of Employees: 1,001-5,000 employees