CareFirst BlueCross BlueShield · 3 hours ago
Contract Specialist (Hybrid)
Baltimore, MD
Full-time, Contract
Hybrid
Mid Level
$53K/yr - $106K/yr
3+ years expCareFirst BlueCross BlueShield is a leading health insurance provider, and they are seeking a Contract Specialist to support Benefit Contract Management. This role involves revising contract forms, reviewing benefit requests, maintaining department logs, and ensuring contract integrity through various administrative tasks.
Health CareNon ProfitService Industry
No H1B
Responsibilities
Reviews, clarifies and/or interprets customized/nonstandard benefit requests; provides information and decisions to operations, account implementation meetings, and other company initiative implementation meetings needed
Clarifies and ensures consistency of contract benefits with respective system benefit coders
Revises/updates contract forms and templates as appropriate and assigned
Assist or performs electronic filings via SERFF
Reviews requests (standard and nonstandard type) and interprets benefit issues; provides contract interpretation, information and language; raises complex issues to Senior Contract Specialist/supervision in Benefit Contract Management (BCM) for resolution
Maintains and updates all department logs, contract and certificate forms; implements (places into production) newly approved contract forms
Revises group account specific contracts and certificate language for risk and self-insured accounts using established models and templates when available
Maintains and uploads contracts upon audit completion into the file/library; other documents to ensure contract integrity
Qualification
Required
Bachelor's Degree
3 years experience health insurance benefit/product knowledge and benefits delivery systems
Strong time-management and organizational skills
Excellent communication skills both written and verbal
Ability to organize and lead stakeholder meetings
Proficient in Microsoft Office applications
Must be able to meet established deadlines and handle multiple customer service demands from internal and external customers, within set expectations for service excellence
Must be able to effectively communicate and provide positive customer service to every internal and external customer, including customers who may be demanding or otherwise challenging
Must be eligible to work in the U.S. without Sponsorship
Benefits
Comprehensive benefits package
Various incentive programs/plans
401k contribution programs/plans
Company
CareFirst BlueCross BlueShield
CareFirst. It’s not just our name. It’s our promise.
5001-10000 employees
Funding
Current Stage
Late StageLeadership Team
Ja'Ron Bridges
Interim President and Chief Executive Officer
Doba Parushev
Vice President, Healthworx Ventures
Recent News
2025-10-02
BCBSM, Inc., dba Blue Cross and Blue Shield of Minnesota
2025-09-09
2025-08-07
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