Lead Contract Specialist (Hybrid)

CareFirst, Inc.; Baltimore (MD); On-site; USD 81,000 - 161,000; Full time

Job summary

A leading company in the health insurance sector is seeking a Lead Contract Specialist to manage contract compliance and performance. This role involves liaising with external partners, analyzing complex issues, and ensuring adherence to service level requirements. The ideal candidate will have extensive experience in contract management and excellent communication skills, contributing to the organization's success in delivering contractual obligations.

Qualifications

• 8 years experience in health insurance or contract management.
• Ability to provide contract compliant solutions.

Responsibilities

• Act as contract liaison ensuring compliance and performance.
• Coordinate delivery of reports and project support.

Skills

Communication

Contracting Strategies

Customer Service

Education

Bachelor's Degree

Tools

Microsoft Office

Job description

PURPOSE:
The Lead Contract Specialist will play a pivotal role in taking charge of the processes including facilitating meeting with various levels of leadership and education and implementation on service level requirements (SLRs), which are a key cornerstone of the work performed within the organization. Under the direction of the leadership this role will conduct continual improvement assessments to maximize the value of key stakeholder activities and deliverable; to ensure projects meet contractual obligations. Provides guidance and/or training to others across the organization to ensure compliance with SLRs and other contractual obligations. This role may also serve as a contract negotiator; in working with leadership, legal, key customers and BCBSA; to effect change to the current contract, development of contract amendments and/or change orders, interpretation of current contract and contractual deliverables.

ESSENTIAL FUNCTIONS:

• Contract liaison between the organization and key external partner and/or customers to ensure contract compliance, contract performance, issue resolution and risk mitigation, delivery of contractual reports and project support, Service Level Requirements (SLRs) reporting/annual negotiations and educating the organization regarding SLRs and contractual obligations to ensure compliance.
  
• Applies a depth of knowledge, skills, and abilities to research and analyze complex issues in response to management request(s) and presents results as required. Initiates, creates and develops metrics, statistics, reports, budgets, and research and analysis. Provides guidance and assistance to staff across the organization to ensure contractual compliance with key external partner and/or customers.
  
• Position interacts with Executive management, key internal partners, IT, Finance and Legal on varied IT projects/initiatives, analysis and reporting functions. SME in IT project support to resolve issues and/or mitigate risks while ensuring contractual compliance. Coordinates and verifies delivery of monthly and annual packages to key external partner and/or customers are of superior quality and timely. Review financial data for presentation to upper management.
  
• Initiates and designs complex department communications, policies and procedures regarding contractual adherence for both internal and external usage, coordinates internal reporting requirements for the department, creates presentations for management, educates teams and management on issues to support and ensure contract compliance.

SUPERVISORY RESPONSIBILITY:
Position does not have direct reports but is expected to assist in guiding and mentoring less experienced staff. May lead a team of matrixed resources.

QUALIFICATIONS:

Education Level: Bachelor's Degree OR in lieu of a Bachelor's degree, an additional 4 years of relevant work experience is required in addition to the required work experience.

Experience: 8 years experience in health insurance benefit/product knowledge, benefits delivery systems or contract management.

Knowledge, Skills and Abilities (KSAs)

• Excellent communication skills both written and verbal.
• Knowledge of contracting strategies.
• Ability to provide contract compliant solutions with partners and functional teams.
• Proficient in Microsoft Office applications.
• Knowledge of accounting principles/practices and analysis/reporting of financial data.
• Must be able to meet established deadlines and handle multiple customer service demands from internal and external customers, within set expectations for service excellence. Must be able to effectively communicate and provide positive customer service to every internal and external customer, including customers who may be demanding or otherwise challenging.
  

Salary Range: $81,000 - $160,875

Salary Range Disclaimer

The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the work is being performed. This compensation range is specific and considers factors such as (but not limited to) the scope and responsibilites of the position, the candidate's work experience, education/training, internal peer equity, and market and business consideration. It is not typical for an individual to be hired at the top of the range, as compensation decisions depend on each case's facts and circumstances, including but not limited to experience, internal equity, and location. In addition to your compensation, CareFirst offers a comprehensive benefits package, various incentive programs/plans, and 401k contribution programs/plans (all benefits/incentives are subject to eligibility requirements).

CareFirst BlueCross BlueShield is an Equal Opportunity (EEO) employer. It is the policy of theCompany to provide equal employment opportunities to allqualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.

Note: The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform work directly or indirectly on Federal health care programs.

PHYSICAL DEMANDS:

The associate is primarily seated while performing the duties of the position. Occasional walking or standing is required. The hands are regularly used to write, type, key and handle or feel small controls and objects. The associate must frequently talk and hear. Weights up to 25 pounds are occasionally lifted.

Sponsorship in US

Must be eligible to work in the U.S. without Sponsorship

#LI-LJ1

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Serving Maryland, the District of Columbia, and portions of Virginia, CareFirst BlueCross BlueShield is the shared business name of CareFirst of Maryland, Inc. and Group Hospitalization and Medical Services, Inc. CareFirst BlueCross BlueShield Medicare Advantage is the shared business name of CareFirst Advantage, Inc., CareFirst Advantage PPO, Inc. and CareFirst Advantage DSNP, Inc. CareFirst BlueCross BlueShield Community Health Plan Maryland is the business name of CareFirst Community Partners, Inc. In the District of Columbia and Maryland, CareFirst MedPlus is the business name of First Care, Inc. In Virginia, CareFirst MedPlus is the business name of First Care, Inc. of Maryland (used in VA by: First Care, Inc.). CareFirst of Maryland, Inc., Group Hospitalization and Medical Services, Inc., CareFirst Advantage, Inc., CareFirst Advantage PPO, Inc., CareFirst Advantage DSNP, Inc., CareFirst Community Partners, Inc., CareFirst BlueCross BlueShield Community Health Plan District of Columbia, CareFirst BlueChoice, Inc., First Care, Inc., and The Dental Network, Inc. are independent licensees of the Blue Cross and Blue Shield Association. BLUE CROSS, BLUE SHIELD and the Cross and Shield Symbols are registered service marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield Plans.

CareFirst BlueCross BlueShield is an Equal Opportunity (EEO) employer. It is the policy of the Company to provide equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or generic information.

Federal law requires all employers to verify the identity and employment eligibility of all persons hired to work in the United States. To comply with this law, CareFirst must collect information regarding an employee’s identity and employment eligibility and document that information on a document referred to as Form I-9, Employment Eligibility Verification, no later than three business days from when the employee begins work for pay. If you are hired, you will be required to provide certain information on the form necessary to establish your identity and eligibility to work in the United States and certain required supporting documents.

If you experience any technical difficulties during this process, please send an email detailing the specific problem you are having to [emailprotected] and we will respond as soon as possible.

The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c) If you believe that you have experienced discrimination, contact OFCCP at 800-397-6251 (TTY 877-889-5627 ) or www.dol.gov/ofccp .