Hybrid Healthcare Contracts Analyst (HIOS/RBIS)

Blue Cross and Blue Shield of Massachusetts, Inc.; Boston (MA); Hybrid; USD 80,000 - 98,000; Full time

Job summary

Blue Cross Blue Shield of Massachusetts, Inc. is seeking an HIOS Contracts Analyst to develop and administer health plan policies and contracts.

You will focus on submitting corporate, product, and plan data annually through HIOS and RBIS, ensuring accuracy and regulatory compliance with applicable laws and quarterly deadlines. In this role, you will collaborate across teams to implement new policies, maintain plan listings, respond to benefit requests, and coordinate annual DOI filings for

Qualifications

• 1-3+ years of contract administration experience.
• Experience with product development and implementation preferred.
• Supervisory experience or cross-functional project leadership preferred.
• Bachelor's degree required.

Responsibilities

• Manage the HIOS filing process and ensure regulatory compliance with deadlines.
• Coordinate annual DOI filings for the Merged Market, QHPs and QDPs.
• Develop and maintain plan design listings and related identifiers.
• Support sales and service processes by analyzing benefit requests and providing responses.

Skills

Contract administration

Cross-functional collaboration

Regulatory compliance

Analytical skills

Education

Bachelor degree

Job description

Blue Cross Blue Shield of Massachusetts, Inc. is seeking an HIOS Contracts Analyst to develop and administer health plan policies and contracts.

You will focus on submitting corporate, product, and plan data annually through HIOS and RBIS, ensuring accuracy and regulatory compliance with applicable laws and quarterly deadlines. In this role, you will collaborate across teams to implement new policies, maintain plan listings, respond to benefit requests, and coordinate annual DOI filings for