CareFirst BlueCross BlueShield · 1 month ago
Contract Specialist (Hybrid)
Baltimore, MD
Full-time, Contract
Hybrid
Mid Level
$54K/yr - $108K/yr
3+ years expCareFirst BlueCross BlueShield is seeking a Contract Specialist to support Benefit Contract Management (BCM). This role involves revising contract forms, preparing electronic filings, and ensuring compliance with contract benefits while interacting with state regulators.
HealthcareNon ProfitHealth CareService 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
Assist or performs electronic filings via SERFF
Reviews requests (standard and nonstandard) and interprets benefit issues; provides contract interpretation, information and language; escalates complex issues to Senior Contract Specialist/Benefit Contract Management (BCM) leadership 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 and other documents to ensure contract integrity
Provides support on compliance matters by investigating, responding to, and taking corrective actions as needed
Qualification
Required
Bachelor's Degree OR in lieu of a Bachelor's degree, an additional 4 years of relevant work experience is required in addition to the required work experience
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
Knowledge of health insurance products
Strong attention to detail
Benefits
CareFirst offers a comprehensive benefits package
Various incentive programs/plans
401k contribution programs/plans (all benefits/incentives are subject to eligibility requirements)
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
Executive Vice President, Chief Financial Officer
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