Elevance Health Contract Administrator Sr - Regulatory Findings in WOBURN, Massachusetts
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Contract Administrator Sr - Regulatory Findings
Job Family: LEG > Contract Administration
Type: Full time
Date Posted:Dec 07, 2023
Req #: JR96217
CA, WOODLAND HILLS
TX, GRAND PRAIRIE
NV, LAS VEGAS
MO, ST LOUIS
OH, SEVEN HILLS
NV, LAS VEGAS
North Carolina, Cary
ME, SOUTH PORTLAND
IA, W DES MOINES
Contract Administrator Sr - Regulatory Findings
Location: This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint locations.
Responsible for researching, writing, filing, and implementing the most complex policy and certificate forms for group and individual major medical products, ancillary products, long term care products and HMO products.
How you will make an impact:
Creates and maintains documentation for individual/group certificates/policies.
Works independently and with specialists, attorneys, and outside vendors to identify complex issues/solutions by analysis, testing and resolution.
Ensures products comply with state and federal laws.
Files documents with state department of insurance for approval.
Monitors state and federal legislation affecting company products.
Recommends compliance review processes and participates in compliance efforts.
Provides primary compliance review of marketing materials and product advertising.
Manages projects and/or participates in corporate initiatives.
Administers the electronic publishing system/Access databases including technical direction of interface programs.
Compiles and analyzes data in support of contract development: analyzes state and federal legislation; identifies new legislation that affects company products; researches regulatory issues; recognizes the absence of critical elements of information; perceives ambiguities or contradictions requiring clarification; converts legal information into easy-to-read narrative; corresponds with state insurance departments, internal clients, and others.
Requires a BA/BS in a related field and a minimum of 3 years of related experience; or any combination of education and experience, which would provide an equivalent background.
Preferred Skills, Capabilities, and Experiences:
Experience in a healthcare or health plan setting strongly preferred.
Experience and knowledge of regulatory findings/filing, mandates and compliance is highly preferred.
Strong analytical, organizational, and problem solving skills strongly preferred.
Excellent written, oral, presentation and interpersonal communication skills with the proven ability to negotiate expectations between multiple parties highly preferred.
Experience and knowledge in SQL coding and SERFF system strongly preferred.
Proficient of Microsoft Office products, most notably expertise in Word, Excel, PowerPoint, Teams, and Outlook strongly preferred
For candidates working in person or remotely in the below locations, the hourly pay* range for this specific position is $65,520 - $107,640
Locations: California; Colorado; Nevada; New York; Washington State; Jersey City, NJ
In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the company. The company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws .
- The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits 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.
Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact firstname.lastname@example.org for assistance.
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