Member Contract Specialist III

Premera Blue Cross

1d•$51,000 - $76,500•Remote

About The Position

Our purpose, to improve customers’ lives by making healthcare work better, is far from ordinary. And so are our employees. Working at Premera means you have the opportunity to drive real change by transforming healthcare. To better serve our customers, we are fostering a culture that emphasizes employee growth, collaborative innovation, and inspired leadership. We are dedicated to creating an environment where employees can excel and where top talent is attracted, retained, and thrives. As a testament to these efforts, Premera has been recognized on the 2025 America's Dream Employers list. Newsweek honored Premera as one of America's Greatest Workplaces, America's Greatest Workplaces for Inclusion, and America's Greatest Workplaces For Mental Well-Being, Forbes ranked Premera among America’s Best Midsize Employers for the fourth time. Learn how Premera supports our members, customers and the communities that we serve through our Healthsource blog: https://healthsource.premera.com/. As a Member Contract Specialist III, you will be responsible for the development and distribution of custom member and employer contract documents. You will handle contract documents for all product types including fully insured, self-funded, medical, dental, personal funding, and national. You will create and submit regulatory filings for custom contract documents and establish/maintain the group's legal file.

Requirements

High school diploma or GED (Required)
Five (5) years combined experience in a customer service/public contact role or other similar role with experience in health plan document writing and interpretation (Required)

Nice To Haves

Familiarity with BQTs and/or SBCs is a plus
Exposure to Kaizen/Lean methods and a strong attention to detail.
Ability to adapt to change quickly and strong problem-solving skills
Demonstrated passion for the customer
Excellent verbal and written communication skills and experience working across groups/departments
Ironclad experience

Responsibilities

Develop and distribute assigned complex new and renewing custom member and employer contract documents using appropriate tools and systems.
Complete a detailed analysis of incoming requests to ensure correct documents are issued.
Ensure that all completed documents comply with federal and state statutes and regulations as well as Premera guidelines.
Research and respond to all general and group-specific contract issues and questions.
Participate in cross-departmental implementation meetings for assigned groups.
Create and submit regulatory filings for custom contract documents.
Develop and maintain a strong positive working relationship with partner departments.
Work with outside clients including Producers and Group Benefit Administrators as needed.
Update standard operating procedures as needed.
Provide feedback and training to partner departments in issues relating to contracting.
Create legal files and ensure appropriate documents are included.
Support the posting of contract documents to secure company portals for assigned groups.
Develop custom language to support customer service quoting and other customer-facing processes.

Benefits

Medical, vision, and dental coverage with low employee premiums.
Voluntary benefit offerings, including pet insurance for paw parents.
Life and disability insurance.
Retirement programs, including a 401K employer match and, believe it or not, a pension plan that is vested after 3 years of service.
Wellness incentives with a wide range of mental well-being resources for you and your dependents, including counseling services, stress management programs, and mindfulness programs, just to name a few.
Generous paid time off to reenergize.
Looking for continuing education? We have tuition assistance for both undergraduate and graduate degrees.
Employee recognition program to celebrate anniversaries, team accomplishments, and more.
For our hybrid employees, our on-campus model provides flexibility to create your own routine with access to on-site resources, networking opportunities, and team engagement.
Commuter perks make your trip to work less impactful on the environment and your wallet.
Free convenient on-site parking.
Subsidized on-campus cafes make lunchtime connections with colleagues fun and affordable.
Participate in engaging on-site activities such as health and wellness events, coffee connects, disaster preparedness fairs and more.
Our complementary fitness & well-being center offers both in-person and virtual workouts and nutritional counseling.
Need a brain break? Challenge someone to a game of shuffleboard or ping pong while on campus.