Jobs · Massachusetts

Senior Contracts Analyst - HIOS

Blue Cross Blue Shield of Massachusetts · Hingham, MA · 1 mo ago
Hybrid$80k–$98k/yrFull-time
We need to output HTML fragment with sections: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. Only include sections that have real specific content. We must not repeat job title as heading. No Job ID. Remove boilerplate. We need to extract content. Let's parse the posting. First paragraph: "Ready to help us transform healthcare? Bring your true colors to blue." That's fluff, maybe not needed. "What We Need The position of HIOS Contracts Analyst in the Contracts Development & Contracts Delivery team is an individual contributor that is accountable for the development and administration of the company’s health plan policies and account contracts in compliance with operational requirements and applicable health insurance laws and regulations. The HIOS Contracts Analyst will have a focused responsibility on completing the required submissions of corporate, product, and plan data annually through the Health Insurance Oversight System (HIOS) and the Rates and Benefits Information System (RBIS). The HIOS Contracts Analyst will also be responsible for coordinating all activities related to the mandated annual corporate DOI filings for the Merged Market, Qualified Health Plans (QHPs), and Qualified Dental Plans (QDPs). This position requires working with a cross-functional team of associates responsible for creating documents required for these filings. The HIOS Contracts Analyst Will Ensure accurate and up-to-date plan design listings and corresponding plan identification information (such as plan status, HIOS numbers, AV tier, etc.) through the development and maintenance of the annual Standard Products Listing, annual Standard Products Tracking, annual OLB EOC Policy Form Table Updates, and Custom Products Tracking.Actively participate in the implementation of state and federal mandates (such as the Consolidated Appropriations Act under federal law), new products, product changes, and corporate initiatives by attending workgroup meetings, analyzing changes, documenting impacts, drafting new language, making updates to Product Master and BARS and representing the department on cross‑functional workgroups and/or working with team Managers on department sub-projects.Develop and implement new and revised policy forms and contracts for all product lines and financial arrangements as required to support state and federal legislation requirements, regulatory requirements and new plan offerings.Review and respond to nonstandard benefit requests to support sales and service processes/workflows; Actively support sales and service processes and workflows by analyzing benefit requests of all complexity levels and providing thorough, accurate, and timely responses. This position is eligible for the Flex persona." That's a lot of responsibilities. Then "Your Day To Day Manage the federal Health Information Oversight System (HIOS) filing process on behalf of BCBSMA. Attention to detail is needed throughout the filing process to obtain, maintain and process required corporate information, including product, enrollment and other requested data to ensure corporate regulatory compliance with quarterly and annual deadlines.Assess requirements for annual DOI filings for the Merged Market, Qualified Health Plans (QHPs), and Qualified Dental Plans (QDPs); Identify changes in the filing requirements, key deliverable dates, and impacted business areas.Assemble implementation team participants and facilitate implementation meetings; document identified issues and ensure resolution; and develop the corporate filing approach to submit to required regulatory agencies accurately and on time." Then "We’re Looking For Collaborative, problem solving approach with an openness to change.Excellent written and oral communication skills; excellent analytical, research, and problem-solving skills.Ability to meet aggressive timelines; ability to understand corporate priorities, work to those goals and re-prioritize on a daily basis.Ability to analyze benefit structures from a variety of perspectives, including regulatory compliance, contracts structure and operational requirements, and business need and business risk." Then "What You Bring 1-3+ years of experience in contract administration, including product development and implementation.Supervisory experience, or experience leading cross functional projects preferred.Bachelor degree level of education. Minimum Education Requirements High school degree or equivalent required unless otherwise noted above Location Boston, Hingham Time Type Full time Salary Range: $80,370.00 - $98,230.00 The job posting range is the lowest to highest salary we in good faith believe we would pay for this role at the time of this posting. We may ultimately pay more or less than the posted range, and the range may be modified in the future. An employee’s pay position within the salary range will be based on several factors including, but limited to, relevant education, qualifications, certifications, experience, skills, performance, shift, travel requirements, sales or revenue-based metrics, and business or organizational needs and affordability. This job is also eligible for variable pay. We offer comprehensive package of benefits including paid time off, medical/dental/vision insurance, 401(k), and a suite of well-being benefits to eligible employees. Note: No amount of pay is considered to be wages or compensation until such amount is earned, vested, and determinable. The amount and availability of any bonus, commission, or any other form of compensation that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law." Then "WHY Blue Cross Blue Shield of MA? ..." That's fluff, maybe not needed. We need to produce sections: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. We need to decide what content goes where. "About the role": could be a brief description of the role (first paragraph). Could be the "What We Need" paragraph summarizing role. "Responsibilities": bullet list of duties (the long list of responsibilities and day-to-day tasks). Could combine. "Requirements": maybe the "We’re Looking For" bullet list (skills/attributes). Or "What You Bring" could be qualifications. "Qualifications": education and experience (What You Bring). Could be separate. "Skills": maybe the specific skills like communication, analytical, etc. "Benefits": benefits paragraph. "Pay": salary range. "Schedule": time type (Full time) maybe also location? But schedule is about work schedule; we have "Time Type Full time". Could include location as separate? Not required. We must not create sections with placeholder text. So we need actual content. Let's extract. About the role: maybe a paragraph summarizing: "The HIOS Contracts Analyst is an individual contributor accountable for the development and administration of the company’s health plan policies and account contracts in compliance with operational requirements and applicable health insurance laws and regulations. The role focuses on completing required submissions of corporate, product, and plan data annually through HIOS and RBIS, coordinating mandated annual corporate DOI filings for the Merged Market, Qualified Health Plans (QHPs), and Qualified Dental Plans (QDPs), and working with cross‑functional teams to create required documents." That seems fine. Responsibilities: bullet list of duties. We need to extract bullet points from the long text. Let's list responsibilities: - Manage the federal Health Information Oversight System (HIOS) filing process on behalf of BCBSMA; obtain, maintain, and process required corporate information (product, enrollment, other data) to ensure regulatory compliance with quarterly and annual deadlines. - Assess requirements for annual DOI filings for the Merged Market, Qualified Health Plans (QHPs), and Qualified Dental Plans (QDPs); identify changes in filing requirements, key deliverable dates, and impacted business areas. - Assemble implementation team participants and facilitate implementation meetings; document identified issues and ensure resolution; develop the corporate filing approach to submit to required regulatory agencies accurately and on time. - Ensure accurate and up-to-date plan design listings and corresponding plan identification information (plan status, HIOS numbers, AV tier, etc.) through development and maintenance of the annual Standard Products Listing, annual Standard Products Tracking, annual OLB EOC Policy Form Table Updates, and Custom Products Tracking. - Actively participate in the implementation of state and federal mandates (e.g., Consolidated Appropriations Act), new products, product changes, and corporate initiatives by attending workgroup meetings, analyzing changes, documenting impacts, drafting new language, making updates to Product Master and BARS, representing the department on cross‑functional workgroups and/or working with team managers on department sub‑projects. - Develop and implement new and revised policy forms and contracts for all product lines and financial arrangements to support state and federal legislation requirements, regulatory requirements, and new plan offerings. - Review and respond to nonstandard benefit requests to support sales and service processes/workflows; analyze benefit requests of all complexity levels and provide thorough, accurate, and timely responses. That seems comprehensive. Now Requirements: maybe the "We’re Looking For" bullet list: - Collaborative, problem‑solving approach with openness to change. - Excellent written and oral communication skills. - Excellent analytical, research, and problem‑solving skills. - Ability to meet aggressive timelines. - Ability to understand corporate priorities, work to those goals, and re‑prioritize on a daily basis. - Ability to analyze benefit structures from a variety of perspectives, including regulatory compliance, contract structure and operational requirements, business need, and business risk. That could be under Requirements or Skills. Let's decide: Requirements could be experience/education; Skills could be those abilities. Qualifications: "What You Bring": - 1‑3+ years of experience in contract administration, including product development and implementation. - Supervisory experience, or experience leading cross‑functional projects preferred. - Bachelor’s degree level of education. - High school diploma or equivalent required (unless otherwise noted). Location: Boston, Hingham (maybe not needed). Time Type: Full time. We could put location and time type under About the role or separate but not required. Benefits: "We offer comprehensive package of benefits including paid time off, medical/dental/vision insurance, 401(k), and a suite of well‑being benefits to eligible employees." Pay: Salary range: $80,370.00 - $98,230.00. Schedule: Full time (maybe also mention location? but schedule is about work schedule; we have Time Type Full time). Could also mention flexible? There's "This position is eligible for the Flex persona." That indicates flexible work arrangements. Could include that. We need to avoid placeholder text like "commensurate with experience". Not present. Now produce HTML. We need headings

for each section. Inside each section, use

for prose,

  • for lists. We must not repeat job title as heading. We must not include Job ID etc. We must not include boilerplate like EEO etc. We must not include application instructions. We must not include the fluff about "Why Blue Cross..." etc. We must not include the note about pay not being wages until earned etc? That's maybe boilerplate legal; but it's about pay details. Might be considered boilerplate? It's a note about pay. Might be considered legal. Safer to omit? The instruction: Remove cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate. That note about pay being not wages until earned is legal boilerplate. So we should omit it. Similarly, the note about variable pay and discretion may be considered legal; but it's part of compensation description. Might be okay to keep? It's somewhat legal. Safer to omit. We'll keep the salary range and benefits. Now produce HTML. Structure:

    About the role

    ...

    Responsibilities

    • ...
    • ...

    Requirements

    • ...
    • ...

    Qualifications

    • ...
    • ...

    Skills

    • ...
    • ...

    Benefits

    ...

    Pay

    Salary range: $80,370.00 – $98,230.00.

    Schedule

    Full‑time position (eligible for flexible work arrangements).

    We need to ensure we don't duplicate content. Let's craft each. About the role paragraph: combine first two sentences

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