Contract Development Specialist

About the role

Prepare subscriber agreements and benefit booklets for distribution. Ensure documentation adheres to all state laws and regulations, accurately reflects benefits purchased by employer groups, and is prepared within established timeframes.

Responsibilities

• Develop and modify member benefit documents that clearly represent the terms and conditions of the plans and benefits purchased by our groups.
• Collaborate with internal areas to ensure templates are annually updated, operational and adhere to internal and regulatory standards.
• Produce and provide ongoing inventory reporting that assists in monitoring the volume and timeliness of deliverables.
• Monitor and respond to inquiries and requests from internal business partners such as Sales, Operations, Grievance and Appeals, Utilization Mgt. in the established timeframes.
• Research historical account data and retrieve/produce supporting benefit/contract documentation for litigation purposes.
• Ensure subscriber agreement database provides accurate subscriber agreements to internal and external customers.
• Identify and triage database issues.
• Aid in the testing of database updates prior to implementation.
• Serve as administrator of the subscriber agreement database; ensure documentation is stored in accordance with BCBSRI policies and procedures.
• Analyze the weekly outlier report and develop any benefit documents added as a variation in the large or small group market.
• Provide detailed benefit documents to the custom implementation team and participate in custom group implementation meetings on behalf of department, as necessary.
• Participate in department initiatives and projects, including the identification of opportunities to automate/streamline processes related to the production of member documents.
• Perform other duties as assigned.

Requirements

• Two or more years of relevant professional experience supporting legal, regulatory, operational, or administrative functions.
• A High School Diploma, Associate’s or Bachelor’s degree, or an equivalent combination of education and experience.
• Detailed oriented.
• Demonstrated written and verbal communications skills.
• Ability to exercise sound judgment.
• Ability to establish and maintain strong working relationships with various stakeholders.
• Good organization skills.
• Good time management skills.
• Proficiency with Microsoft Suite of products; i.e., Word, Excel, PPT, etc.

Qualifications

• Familiarity with BCBSRI product portfolio.
• Experience with health insurance benefits, regulations, contracting and policy issue requirements.
• Experience with Salesforce and SharePoint databases.

Skills

• Detail oriented.
• Written and verbal communications skills.
• Judgment.
• Working relationships.
• Organization.
• Time management.
• Microsoft Suite proficiency.

Benefits

• Paid time off.
• Tuition reimbursement.
• Student-loan repayment assistance.
• Health, dental, and vision insurance.
• Mental health and well-being programs.
• Competitive pay.
• Bonuses and investment plans.
• Opportunities for growth and development.

Pay

Pay Range $58,700.00 - $79,300.00

Schedule

Role BCBSRI is headquartered in downtown Providence, conveniently located near the train station and bus terminal. We actively support associate well-being and work/life balance and offer the following schedules, based on role: In-office: onsite 5 days per weekHybrid: onsite 2-4 days per weekRemote: onsite 0-1 days per week. Permitted to reside in the following states, pending approval from the Human Resources Department: Arizona, Connecticut, Florida, Georgia, Louisiana, Massachusetts, North Carolina, Oklahoma, Rhode Island, South Carolina, Texas, Virginia

Location

Role BCBSRI is headquartered in downtown Providence, conveniently located near the train station and bus terminal. We actively support associate well-being and work/life balance and offer the following schedules, based on role: In-office: onsite 5 days per weekHybrid: onsite 2-4 days per weekRemote: onsite 0-1 days per week. Permitted to reside in the following states, pending approval from the Human Resources Department: Arizona, Connecticut, Florida, Georgia, Louisiana, Massachusetts, North Carolina, Oklahoma, Rhode Island, South Carolina, Texas, Virginia

The Extras

• Familiarity with BCBSRI product portfolio.
• Experience with health insurance benefits, regulations, contracting and policy issue requirements.
• Experience with Salesforce and SharePoint databases.