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Contract Specialist

HCSC HCSC

Health Care Service Corporation (HCSC), an Independent Licensee of the Blue Cross and Blue Shield Association, is the largest customer-owned health insurer in the US, operating in five states.

BASIC FUNCTION:

This position is responsible for drafting of standard and customized account-specific documents for new and renewing accounts with redrafts of up to ten paragraphs. This position is responsible for drafting non-standard contract language and coordinating the production of documents working with account managers. This position is responsible for project planning for development of special group plans including negotiations with customers on the development of benefit plan provisions.

ESSENTIAL FUNCTIONS:

  • Draft and customize documents of low to high complexity based on final paperwork. This includes standard contracts and customization up to ten paragraphs.
  • Draft non-standard contract language.
  • Responsible for project planning for development of special group plans.
  • Negotiate with customers to develop benefit plans.
  • Responsible for production of documents for assigned accounts to completion working directly with Marketing Account Managers.
  • Prepare responses to comments/questions from Account Managers, brokers, consultants or clients resulting from booklet draft review.
  • Meet and sustain acceptable level or above on accuracy and document delivery, based on departmental standards.
  • Attend implementation meetings or other group meetings with senior level staff members for assigned groups.
  • Communicate action on booklet production and respond to questions from Marketing and other departments via email or telephone in a timely manner.
  • Maintain accurate and up-to-date records in database.
  • Communicate and interact effectively and professionally with co-workers, management, customers, etc.
  • Comply with HIPAA, Diversity Principles, Corporate Integrity, Compliance Program policies and other applicable corporate and departmental policies.
  • Maintain complete confidentiality of company business.
  • Maintain communication with management regarding development within areas of assigned responsibilities and perform special projects as required or requested.
  • JOB REQUIREMENTS:

    Bachelor degree or 3 years work experience in a position involving independent judgment and initiative.

    Experience and skills in drafting standard or customized group health contracts or booklet documents with minimal guidance of up to 10 paragraphs.

    Knowledge of health insurance contracts and/or Self Funded contracts.

    Knowledge of health and dental products.

    Knowledge of group health state and federal regulations on contract administration.

    PC experience including Microsoft Office.

    Experience in deadline driven environment and completing tasks on time.

    Judgment and problem resolution skills.

    Verbal and written communication skills to interface with staff from other departments, draft document language and handle issue resolution.

    PREFERRED JOB REQUIREMENTS:

    Referral preference given to applicants able to take and meet testing criteria.

    Experience working on corporate projects. Skills in project management/project planning.

    CA
    #LI

    HCSC is committed to diversity in the workplace and to providing equal opportunity and affirmative action to employees and applicants. We are an Equal Opportunity Employment / Affirmative Action employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Drug screening and background investigation are required, as allowed by law. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.
    Requirements:
    Expertise Other Job Type All Location TX – Richardson, IL – Chicago

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    Contract Specialist

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    HCSC

    Health Care Service Corporation (HCSC), an Independent Licensee of the Blue Cross and Blue Shield Association, is the largest customer-owned health insurer in the US, operating in five states.

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