Mgr Contract Administr Ops

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

Benefits offered by this job

Health benefits

401(k) plan

Pension plan

Paid time off

Paid parental leave

Disability insurance

Life insurance

Employee assistance program

Tuition reimbursement

Job summary

Health Care Service Corporation in Chicago, IL, is seeking a senior contract operations leader to manage the unit responsible for producing customer-specific documents for new and existing business, in line with corporate guidelines and regulatory requirements. You will oversee underwriting, benefits specifications, and document production across multiple product lines, guiding the team and projects.

This role requires experience in health insurance contracts, leadership, and strong analytical,

Qualifications

• Bachelor's degree in health insurance contract operations and 5 years of experience plus 1 year of management, or 9 years of experience plus 1 year of management.
• Knowledge of health products, underwriting requirements, contracts and funding arrangements.
• Analytical and reporting skills.
• PC proficiency to include Microsoft Office Suite.
• Project management skills.
• Customer service experience and acumen.
• Leadership skills.
• Strong verbal and written communications to manage staff and stakeholders.

Responsibilities

• Manage the Enterprise Contract Administration department responsible for drafting, vetting and filing all group and retail member and employer documents.
• Provide subject matter expertise relating to employer and member documents.
• Manage updates to member and employer masters and ensure policy compliance.
• Oversee creation and maintenance of standard and custom certificate language per regulatory and internal policies.
• Lead hiring, budgeting, training, performance management and other people-management tasks.
• Act as project leader on special projects and legislative tasks.
• Prepare and communicate routine performance reports and issue resolution.
• Ensure deviations from policies are reviewed and approved.
• Assist in responding to Department of Insurance or legal inquiries.

Skills

Health insurance ops

Management experience

Analytical skills

Project management

Microsoft Office

Customer service

Communication skills

Education

Bachelor's degree

J.D. degree or leadership exp

Tools

Microsoft Office Suite

Job description

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.

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 Booklet Delivery. Oversee The Creation And Maintenance Of Standard And Custom Booklets. Implements Strategies, Projects And Initiatives.

Key Responsibilities

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. 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.

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.

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

We are an Equal Opportunity Employment employer dedicated to workforce diversity and a drug-free and smoke-free workplace.

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.

Blue Cross and Blue Shield of Illinois, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of New Mexico, Blue Cross and Blue Shield of Oklahoma, and Blue Cross and Blue Shield of Texas, Divisions of Health Care Service Corporation, a Mutual Legal Reserve Company, and Independent Licensee of the Blue Cross and Blue Shield Association © Copyright 2025 Health Care Service Corporation. All Rights Reserved.