Mgr Contract Administration Operations

Posted 2 Days Ago
Be an Early Applicant
2 Locations
91K-164K Annually
Senior level
Healthtech • Insurance
The Role
The Mgr Contract Administration Operations at HCSC manages the production of customer-specific documents for health insurance, ensuring compliance with corporate and statutory guidelines. Responsibilities include overseeing resources, implementing organizational strategies, and leading operational efficiency while supporting product lines and enhancing sales support.
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

This position is responsible for managing the unit responsible for the production of customer-specific documents for new/existing business in accordance with corporate guidelines, underwriting policy, benefit specifications, and statutory requirements. Manages the performance, overall quality and resource allocation to support all product lines, including key sales support components of benefit selection through booklet delivery. Oversee the creation and maintenance of standard and custom booklets. Implements strategies, projects and initiatives.
We are seeking an individual who possesses operational and system-oriented skills; spearheading efficiency and success in this pivotal role. The ideal candidate will bring deep operational expertise, exceptional people management abilities, and a talent for enabling systems and driving change.

JOB REQUIREMENTS:
* Bachelor degree and 5 years health insurance contract operations experience OR Master degree with 2 years health insurance contact operations experience.
* Knowledge of health products and procedures, underwriting requirements, contract and funding arrangements.
* Analytical and reporting skills.
* PC proficiency to include Microsoft Office Suite.
* Project management skills.
* Customer service experience and acumen.
* Leadership skills.
* Verbal and written communications skills to manage staff and operations, build relationships across the organization and with external key stakeholders, build consensus and issue resolution.
PREFERRED REQUIREMENTS:
* J. D. degree or 4 years experience in a leadership role with independent decision-making.
* Knowledge of external adjudication processes.
* Knowledge of large or national account contract specifications and processing systems.
* Knowledge of corporate marketing practices, health insurance product lines and Par Plan operations.

This is a flex/hybrid position.

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$90,900.00 - $164,200.00

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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