Mgr Contract Administr Ops

Health Care Service Corp.; Chicago (IL); Hybrid; USD 93,000 - 168,000; Full time

Benefits offered by this job

Health & 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

Incentives

Job summary

Health Care Service Corporation seeks a seasoned leader for the Enterprise Contract Administration team in Chicago. You will oversee drafting, vetting and filing all group and retail member and employer documents, ensuring accuracy, compliance, and timely updates across policies and regulations.

The role requires strong analytical, project management and leadership abilities, with a focus on stakeholder communication and contract operations excellence within a health insurance setting.

Qualifications

• 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, 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.

Responsibilities

• Manage the personnel and unit of The Enterprise Contract Administration department, including drafting, vetting and filing all documents.
• Provide subject matter expertise relating to employer and member documents (e.g., certificate booklets, ASAs, BPAs).
• Manage updates to member and employer masters, ensure compliance with policies, regulations and Blue Card language.
• Oversee creation and maintenance of standard and custom certificate language per DoI requirements and internal policies.
• Act as project leader on special projects and legislative task forces.
• Prepare and communicate routine performance management reports and issue resolution.
• Ensure deviations from policies are reviewed and approved.
• Assist in responses to Department of Insurance or legal inquiries.

Skills

Leadership skills

Verbal and written communications

Project management

Analytical and reporting skills

PC proficiency

Customer service

Knowledge of health products

Underwriting requirements & contracts

Education

J.D. degree or 4 years leadership experience

Bachelor's degree

Tools

Microsoft Office Suite

Job description

Job Summary

At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers. Join HCSC and be part of a purpose-driven company that will invest in your professional development.

• 1. Manages the personnel and unit(s) of The Enterprise Contract Administration department which is responsible for drafting, vetting and filing all group and retail member and employer documents (and some government documents) including all Exchange Affected Markets. Manages all aspects of employer contract negotiations; including tracking signatures and custom provisions. Maintains all documents, version control and makes updates as required.
• 2. Provide subject matter expertise relating to both employer and member documents (e.g., certificate booklets, ASAs, BPAs, etc).
• 3. Manage all updates to member and employer masters. Ensure documents are updated to comply with policies, regulations, and Blue Card language.
• 4. Oversee creation and historical maintenance of standard and custom certificate language in accordance with the local Department of Insurance according to statutory requirements, and with internal HCSC policies and guidelines.
• 5. As a people manager responsibilities include but are not limited to: hiring, budget, training, performance management, pay administration, change management, succession planning if needed, talent management, and maintain knowledge of corporate, department and Human Resources programs, policies and systems.
• 6. Act as project leader on special projects and legislative task forces.
• 7. Prepare and communicate routine performance management reports and issue resolution.
• 8. Manages staff including but not limited to: hiring, training, performance management, pay administration, budget, change management, and maintain knowledge of corporate and Human Resources policies, programs and systems.
• 9. Ensure deviations from policies, procedures, and guidelines are reviewed and approved.
• 10. Assist as needed in preparation of responses to Department of Insurance or legal inquiries involving specific accounts.
• 11. Communicate and interact effectively and professionally with co-workers, management, customers, etc.
• 12. Comply with HIPAA, Diversity Principles, Corporate Integrity, Compliance Program policies and other applicable corporate and departmental policies.
• 13. Maintain complete confidentiality of company business.
• 14. Maintain communication with management regarding development within areas of assigned responsibilities and perform special projects as required or requested.

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, 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 Requirements

• J. D. 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.

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.

• 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

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.

Flex employees are expected to be in the office a minimum of three days a week. Management will have discretion to modify an employee's weekly schedule for exigent circumstances.

HCSC Employment Statement

We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics. We are a drug‑free and smoke‑free workplace. Employment may be contingent upon successful completion of drug screening in accordance with applicable law.

Base Pay Range $92,700.00 - $167,500.00 Exact compensation may vary based on skills, experience, and location.

Learn more about HCSC, our commitment to our members and the opportunity you’ll have to improve health care delivery in an open, collaborative environment. HCSC is committed to diversity in the workplace and to providing equal opportunity to employees and applicants. If you are an individual with a disability or a disabled veteran and need an accommodation or assistance in either using the Careers website or completing the application process, you can call us at 1-866-977-7378 to request reasonable accommodations. Please note that only requests for accommodations in the application process will be returned. All applications, including resumes, must be submitted through HCSC's Career website on-line application process. If you have general questions regarding the status of an existing application, navigate to "candidate home" to view your job submissions.