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Member Contract Specialist III
Description:
Join Our Team: Do Meaningful Work and Improve People's Lives Our purpose, to improve customers' lives by making healthcare work better, is far from ordinary. And so are our employees. Working at Premera means you have the opportunity to drive real change by transforming healthcare. To better serve our customers, we're creating a culture that promotes employee growth, collaborative innovation, and inspired leadership. We are committed to creating an environment where employees can do their best work and where best-in-class talent comes, stays, and thrives! As a result of these efforts we are proud to share that Forbes ranked Premera among America's 2023 Best Midsize Employers and America's 2023 Best Employers By State .Learn how Premera supports our members, customers and the communities that we serve through our Healthsource blog: https://healthsource.premera.com .As a Member Contract Specialist III , you will be responsible for the development and distribution of custom member and employer contract documents. You will handle contract documents for all product types including fully-insured, self-funded, medical, dental, personal funding, and national. You will create and submit regulatory filings for custom contract documents and establish / maintain the group's legal file. What you'll do: Develop and distribute assigned complex new and renewing custom member and employer contract documents using appropriate tools and systems.Complete a detailed analysis of incoming requests to ensure correct documents are issued.Ensure that all completed documents comply with federal and state statutes and regulations as well as Premera guidelines.Research and respond to all general and group specific contract issues and questions.Participate in cross-departmental implementation meetings for assigned groups.Create and submit regulatory filings for custom contract documents.Develop and maintain a strong positive working relationship with partner departments.Work with outside clients including Producers and Group Benefit Administrators as needed.Update standard operating procedures as needed.Provide feedback and training to partner departments in issues relating to contracting.Create legal files and ensure appropriate documents are included.Support the posting of contract documents to secure company portals for assigned groups.Develop custom language to support customer service quoting, and other customer facing processes. What you'll bring: High school diploma or GED ( Required )Five (5) years combined experience in a customer service/public contact role or other similar role with experience in health plan document writing and interpretation ( Required )Familiar with BQTs and/or SBCs is a plusExposure to Kaizen/Lean methods.Ability to adapt to change quicklyExperience working across groups/departmentsStrong attention to detailDemonstrated passion for the customerStrong problem solving abilityExcellent verbal and written communication skills#LI-JG1#LI-Telecommuter What we offer Medical, vision and dental coverage Life and disability insurance Retirement programs (401K employer match and pension plan) Wellness incentives, onsite services, a discount program and more Tuition assistance for undergraduate and graduate degrees Generous Paid Time Off to reenergize Free parking Equal employment opportunity/affirmative action: Premera is an equal opportunity/affirmative action employer. Premera seeks to attract and retain the most qualified individuals without regard to race, color, religion, sex, national origin, age, disability, marital status, veteran status, gender or gender identity, sexual orientation, genetic information or any other protected characteristic under applicable law.If you need an accommodation to apply online for positions at Premera, please contact Premera Human Resources via email at XXXX@premera.com or via phone at 425-918-XXXX. Premera is hiring in the following states, with some limitations based on role or city: Alaska, Arizona, Arkansas, California, Colorado, Florida, Georgia, Idaho, Iowa, Kansas, Kentucky, Maine, Michigan, Minnesota, Missouri, Montana, Nevada, New Hampshire, New Mexico, North Carolina, Oklahoma, Oregon, South Carolina, South Dakota, Tennessee, Texas, Utah, Washington, Wisconsin . The pay for this role will vary based on a range of factors including, but not limited to, a candidate's geographic location, market conditions, and specific skills and experience. National Salary Range: $49,700.00 - $74,600.00 National Plus Salary Range: $56,600.00 - $84,900.00 *National Plus salary range is used in higher cost of labor markets including Western Washington and Alaska . PDN-9c03adad-5254-495c-97c6-2a61d888c06e
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More About this Listing: Member Contract Specialist III
Member Contract Specialist III is a Clerical Contract Specialist Job at Premera Blue Cross located in United States. Find other listings like Member Contract Specialist III by searching Oodle for Clerical Contract Specialist Jobs.
Member Contract Specialist III is a Clerical Contract Specialist Job at Premera Blue Cross located in United States. Find other listings like Member Contract Specialist III by searching Oodle for Clerical Contract Specialist Jobs.