Health Care Service Corporation

Manager Contract Administration Operations

Health Care Service Corporation$92K — $167K *
Healthcare
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree with 5 years in health insurance contract operations plus 1 year of management experience OR 9 years in health insurance contract operations plus 1 year of management experience.
  • Understanding of health products, underwriting requirements, and regulatory contract filings.
  • Strong analytical and reporting skills.
  • Proficient with Microsoft Office Suite.
  • Demonstrated project management skills.
  • Solid customer service experience.
  • Effective leadership and interpersonal skills.

Responsibilities

  • Manage production of customer-specific documents according to corporate and regulatory guidelines.
  • Oversee quality and allocate resources across product lines and sales support components.
  • Maintain and create standard contract templates that adhere to company policy.
  • Implement and oversee strategies, projects, and initiatives relevant to contract operations.
  • Coordinate with stakeholders to ensure compliance and resolve contractual issues.

Benefits

  • Comprehensive health and wellness benefits.
  • 401(k) savings plan and pension plan.
  • Paid time off and parental leave policies.
  • Disability insurance and supplemental life insurance.
  • Employee assistance program and paid holidays.
  • Tuition reimbursement and other incentives.
Full Job Description
Job Summary

This position is responsible for managing the unit responsible for the production of customer-specific documents for new/existing business in accordance with corporate guidelines, underwriting policy, benefit specifications, and statutory requirements. Manages the performance, overall quality and resource allocation to support all product lines, including key sales support components of benefit selection through contract template delivery. Oversee the creation and maintenance of standard contract templates. Implements strategies, projects and initiatives.

Job Requirements
* Bachelor's degree and 5 years of health insurance contract operations experience PLUS one year of management experience OR 9 years of health insurance contract operations experience PLUS one year of management experience.
* Knowledge of health products and procedures, underwriting requirements, regulatory contract filings with state regulators, including but not limited to responding to regulator objections, contract and funding arrangements.
* Analytical and reporting skills.
* PC proficiency to include Microsoft Office Suite.
* Project management skills.
* Customer service experience and acumen.
* Leadership skills.
* Verbal and written communications skills to manage staff and operations, build relationships across the organization and with external key stakeholders, build consensus and issue resolution.

Preferred Job Requirements
* JD degree or 4 years' experience in a leadership role with independent decision-making.
* Knowledge of external adjudication processes.
* Knowledge of large or national account contract specifications and processing systems.
* Knowledge of corporate marketing practices, health insurance product lines and Par Plan operations.

#LI-CH1
#LI-Hybrid
INJLF

Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!

Pay Transparency Statement:

At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting https://careers.hcsc.com/totalrewards.

The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan.

Base Pay Range
$92,700.00 - $167,500.00

Exact compensation may vary based on skills, experience, and location.

About Health Care Service Corporation

Health Care Service Corporation (HCSC) is the largest customer-owned health insurer in the United States. HCSC offers a wide variety of health insurance products and related services, through its operating divisions and subsidiaries in Illinois, Montana, New Mexico, Oklahoma and Texas. HCSC's headquarters is located in Chicago, Illinois.
Learn more about Health Care Service Corporation
Size
24,000 employees
Industry
Founded
1936

Similar Jobs

More Jobs at Health Care Service Corporation

  • Health Care Service Corporation
    Medical Reviewer II
    $61K — $136K *
    Helena, MT 59601 (Lewis And Clark County)
    Healthcare
    In-Person
  • Health Care Service Corporation
    Medical Reviewer II
    $61K — $136K *
    Albuquerque, NM 87121 (Bernalillo County)
    Healthcare
    In-Person
  • Health Care Service Corporation
    Medical Reviewer II
    $61K — $136K *
    Chicago, IL 60629 (Cook County)
    Healthcare
    In-Person
  • Health Care Service Corporation
    Medical Reviewer II
    $61K — $136K *
    Richardson, TX 75080 (Dallas County)
    Healthcare
    In-Person
  • Health Care Service Corporation
    Medical Reviewer II
    $61K — $136K *
    Tulsa, OK 74133 (Tulsa County)
    Healthcare
    In-Person

More Healthcare Jobs

Find similar Manager Contract Administration Operations jobs: