Advanced Contract Specialist

Posted 10 Days Ago
Be an Early Applicant
11 Locations
55K-121K Annually
Mid level
Healthtech • Insurance
The Role
The Advanced Contract Specialist at HCSC is responsible for drafting and maintaining Benefit Booklets and SBCs. This role requires interpreting health benefits, preparing documentation for health plan members, and managing submissions to regulators, alongside developing financial agreements and providing consultative services.
Summary Generated by Built In

At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.

Join HCSC and be part of a purpose-driven company that will invest in your professional development.

Job Summary

Job Description Summary
This position is responsible for but not limited to the drafting, preparation, filing and maintenance of Benefit Booklets and SBCs (Summary of Benefits and Coverage).
Working in a team environment, this position will interpret health benefits and prepare documentation that will be distributed to health plan members. This position will work with teams that file documentation with Federal and State Insurance Regulators, and will be required to maintain the highest level of quality.
This position is also responsible for developing master document and/or account-specific financial agreements, including phases of research drafting, coordination of internal approvals, filing of language with the local department of insurance, programming and implementation; and providing consultative services to multiple corporate areas.

Required Job Qualifications:
*4 years experience in health insurance contract and claim administration agreement and financial agreement development.
*Knowledge of health products and procedures, underwriting requirements, contract and funding arrangements.
*Project management experience.
*Ability to collaborate with peers and other contract specialists.
*Verbal and written communication skills.
*Leadership skills and ability to work independently.
*PC proficiency to include Word and desktop publishing application.
Preferred Job Qualifications:
*Health insurance knowledge
*Bachelor Degree in English.
*QuickSilver desktop publishing application experience.
*Paralegal and/or legal experience.

This is a flex position (3 days in office; 2 days work from home)-

Can be filled in any HCSC office.

#LI-hybrid
*CA

INDM

#LI-SM1

Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!

Pay Transparency Statement:

At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees.  Learn more about our benefit offerings by visiting https://careers.hcsc.com/totalrewards.

The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan.

HCSC Employment Statement:

We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.

Base Pay Range$54,800.00 - $121,100.00

Top Skills

Contract Administration
Desktop Publishing
Financial Agreement Development
Project Management
Quicksilver
Word
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The Company
HQ: Chicago, IL
13,563 Employees
On-site Workplace

What We Do

Imagine Something New, Something Different.

Health Care Service Corporation, a Mutual Legal Reserve Company (HCSC), is the largest customer-owned health insurer in the nation and the fourth largest overall. Operating through our Blue Cross and Blue Shield Plans in Illinois, Montana, New Mexico, Oklahoma and Texas (as well as a variety of affiliates and subsidiaries,) we are expanding access to high-quality, cost-effective health care. We are equipping members with information and tools so they can make the best health care decisions for themselves and their families.

HCSC is continuously recognized as an employer committed to community, diversity and inclusion, training and development.

HCSC is committed to pioneering the health care space in ways as effective as they are creative. If you are passionate about the impact you want to have through your work, with a desire to apply innovative thinking to new and emerging challenges, we encourage you to learn more about HCSC.

Learn about what we stand for, how we work and the difference we’re making in the lives of our 15 million members. Join HCSC and discover what new ways of thinking can mean for you, your community, our customers and our organization.



Divisions of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association.

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