Senior Healthcare Contracts Consultant

Blue Cross Blue Shield of Minnesota•Eagan, MN
•Hybrid

About The Position

This position combines contract management, project coordination, and stakeholder engagement. The Senior Healthcare Contracts Consultant leads complex contract initiatives and collaborates with legal, operational, and executive stakeholders. As a key partner to Underwriting, Legal, Compliance, and business leaders, the role drives complex contract initiatives from development through execution while ensuring operational excellence. The position manages the end-to-end lifecycle and administration of Service Agreements, Claims Administrator Agreements, and Stop Loss Agreements. It develops and maintains contract templates, standards, and supporting documentation; advises stakeholders on contract administration; drafts and negotiates complex contracts; and works across teams to support contract strategy, resolve issues, and mitigate risks. The role also monitors regulatory, legislative, and industry developments; leads agreement and governance process improvements; and manages enterprise contract initiatives, filings, audits, annual reviews, and special projects. It provides training and operational support to business partners and manages complex inquiries and compliance reviews. The role is designated hybrid, with at least two days onsite each week and the remainder of the week remote.

Requirements

  • At least 5 years of related finance professional experience.
  • Bachelor’s degree, or an additional two years of relevant experience beyond the listed qualifications in lieu of a degree.

Nice To Haves

  • Ability to communicate complex topics clearly and concisely, listen actively to anticipate stakeholder needs, and align others to support informed decisions.
  • Ability to analyze complex information, evaluate options, and work cross-functionally to resolve issues and prevent recurrence.
  • Ability to organize work, balance competing priorities, and manage time across complex assignments and deadlines.
  • Knowledge of underwriting principles, health insurance concepts, risk selection, and industry practices.
  • Knowledge of Individual and Small Group eligibility, state and federal regulations, and medical terminology.
  • Proficiency with Microsoft Office applications and underwriting platforms such as BEN, enGen, or GRS.

Responsibilities

  • Lead and manage the end-to-end service agreement lifecycle, including renewals, negotiations, amendments, execution, and ongoing administration for Service Agreements, Claims Administrator Agreements, and Stop Loss Agreements.
  • Develop, maintain, and enhance contract templates, service agreements, standards, and supporting documentation to promote consistency, efficiency, and compliance.
  • Serve as a subject matter expert and strategic advisor on contract administration for Underwriting, Legal, Account Management, leadership, and other business stakeholders.
  • Draft, negotiate, analyze, and administer complex contracts and provisions, identifying and mitigating contractual and business risks.
  • Partner with business, legal, and compliance teams on contract strategy, agreement interpretation, issue resolution, and alignment with organizational objectives.
  • Monitor regulatory, legislative, and industry developments and lead evaluation, redesign, and modernization of agreements and governance processes.
  • Lead enterprise contract initiatives, governance activities, filings, audits, and special projects, including Inter-Plan Provision filings, regulatory submissions, annual agreement reviews, and contract lifecycle management improvements.
  • Develop and deliver training, education, and operational support to business partners.
  • Manage complex inquiries, compliance reviews, and strategic initiatives advancing departmental and organizational goals.
  • Perform additional responsibilities consistent with the scope and level of the role, as assigned.

Benefits

  • Medical insurance
  • Dental insurance
  • Vision insurance
  • Life insurance
  • 401k
  • Paid Time Off (PTO)
  • Volunteer Paid Time Off (VPTO)
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