Senior Compliance Contract Specialist

Health Plans, Inc.; United States; On-site; USD 90,000 - 120,000; Full time

Job summary

Health Plans, Inc. is seeking a Senior Compliance Contract Specialist to lead the end-to-end development and management of client Administrative Services Agreements (ASAs) and related documents.

The role requires independent judgment to ensure timely, accurate contract delivery aligned with company priorities. The position drives process improvement, standardization, and compliance in collaboration with Compliance leadership and partners across Client Services, Sales, and external stakeholders.

Qualifications

• Bachelor’s Degree or equivalent experience.
• Minimum 5+ years of contract management and/or compliance experience, preferably in healthcare or employee benefits administration.
• Experience with ASAs and related contractual frameworks; strong regulatory knowledge is a plus.

Responsibilities

• Lead end-to-end ASA lifecycle: drafting, revision, execution, and ongoing management of ASAs and amendments.
• Ensure timely drafting and issuance of ASA contracts to internal stakeholders.
• Establish and maintain contract governance standards for consistency, compliance, and alignment with objectives.
• Draft customized ASA terms from templates for client-specific terms and services.
• Mentor less experienced teammates and lead template standardization efforts across lines of business.
• Oversee tracking and reporting of contract status, turnaround times, and compliance metrics.
• Collaborate with Client Services, Sales, Compliance, and external partners to resolve contract-related issues.

Skills

Analytical skills

Communication skills

Attention to detail

Leadership/mentoring

Education

Bachelor’s Degree or equivalent experience

Tools

Microsoft Office Suite

Contract management systems

Job description

At HPI, we are a forward-thinking, national third-party administrator (TPA) specializing in self-funded health plan solutions. With over 44 years of industry expertise, our entrepreneurial spirit, flexible approach, and personalized service have empowered us to serve clients of all sizes across diverse industries. We deliver innovative strategies that maximize the value of every healthcare dollar.

The self-funded health plan landscape is constantly evolving. At HPI, our partners benefit from having a TPA with the expertise, resources, and creativity to deliver customized plan solutions that help them win and retain more business. We excel at driving costs down and managing risk, while enhancing our clients’ employees’ health insurance experience. Our goal is to help members clearly understand their health plan and provide responsive service, enabling them to fully utilize their benefits and achieve greater health.

Our commitment extends beyond our clients to our own employees. We foster a supportive and inclusive work environment where innovation thrives. By investing in our team’s growth and well-being, we ensure they are equipped to provide exceptional service.

Summary:

The Senior Compliance Contract Specialist serves as a subject matter expert and strategic partner responsible for the end-to-end development, drafting, and management of client Administrative Services Agreements (ASAs) and related contract documents.

This role exercises a high degree of independent judgment in ensuring that ASAs and related contract documents are issued in a timely and accurate fashion, and processed consistent with company priorities and measures.

The Senior Compliance Contract Specialist plays a key role in driving process improvement and standardization, and ensuring alignment with legal advice. This position collaborates closely with Compliance leadership and cross-functional partners—including Client Services, Sales, and external stakeholders to deliver high-quality, compliant, and scalable contract solutions.

Duties and Responsibilities (other duties may be assigned):

ASA Contract Processing

• Lead or co-lead the end-to-end lifecycle of client contracts, including drafting, revision, execution, and ongoing management of ASAs, amendments, and related agreements
• Ensure ASA contracts are drafted and issued to internal stakeholders in a timely manner to meet company priorities and measures
• Establish and maintain contract governance standards, ensuring consistency, compliance, and alignment with organizational objectives

ASA Contract Drafting

• Manage, prepare and issue ASA contracts and other documents as required using judgment, discretion and knowledge to incorporate client specific terms, products and services from various templates to produce customized contracts and documents (e.g., Administrative Agreements, Schedule A rate addenda, HIPAA certifications, Run-Out Riders, Vendor Addendums and Agreements [PACE; Guardian Dental])
• Draft new customized ASA and other contract terms for Assistant General Counsel review
• Manage, update, and maintain multiple versions of ASA contract templates
• Mentor and provide guidance to less experienced team members
• Lead initiatives to enhance and standardize ASA contract templates, processes, and workflows across business lines and plan offerings
• Lead initiatives to enhance the quality of ASA contracts
• Identify opportunities to improve operational efficiency, reduce cycle times, and strengthen compliance controls
• Develop and/or maintain tracking systems and reporting tools to monitor contract status, turnaround time, and compliance metrics
• Provide guidance and consultative support to internal stakeholders on contract terms
• Support internal and external audits by ensuring documentation completeness, accuracy, and adherence to standards

Cross-Functional Collaboration & Leadership

• Partner with Client Services, Sales, Compliance, and other departments to resolve contract-related issues and ensure alignment on client deliverables
• Act as a key liaison with clients, brokers, and external partners, fostering strong relationships and ensuring clarity around contractual obligations
• Mentor and provide guidance to less experienced team members, promoting best practices in contract development and quality

Operational Oversight & Reporting

• Oversee tracking and reporting of ASA contract status, including outstanding agreements, amendments, and related documentation
• Ensure timely distribution of ASA contracts to internal stakeholders
• Maintain accurate records and documentation in alignment with company policies and regulatory requirements

Minimum Education Requirements (must have documented proof*):

• Bachelor’s Degree or equivalent experience

Minimum Experience Requirements:

• 5+ years of experience in contract management and/or compliance, preferably in a healthcare or employee benefits administration environment

Preferred Education Requirements:

• Bachelor’s Degree

Preferred Experience Requirements:

• Experience within a third-party administrator (TPA), health plan, or employee benefits environment
• Advanced knowledge of ASAs and related contractual frameworks
• Strong understanding of federal and state regulatory requirements impacting self-funded health plans
• Experience leading process improvement, standardization, or operational initiatives
• Professional certifications in compliance, contracts, or legal disciplines (e.g., CHC, CRCM, JD)
• Superior analytical skills
• Outstanding oral and written communication skills
• Strong organizational skills
• Ability to prioritize and multi-task highly detailed work efficiently and effectively in a fast-paced environment
• Ability to prioritize work within specified timeframes and operate under tight deadlines
• Ability to work independently and on teams
• Ability to establish and maintain rapport and collaborate effectively with internal staff at all levels as well as with clients, brokers and regulatory agency contacts
• Attention to detail and follow through to completion

Computer Skills:

• Proficiency in Microsoft Office Suite (Word, Excel, Outlook, PowerPoint)
• Experience with contract management systems and document tracking tools

Reasonable Accommodation:

Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the duties and responsibilities of the position.

Working Environment/Physical Demands:

The work environment characteristics and physical demands described here are representative of those an employee may encounter while performing the duties of this job.

The noise level in the work environment is moderate. The employee may occasionally lift and/or move up to 20 pounds. Specific vision abilities required by this job include close vision, distance vision, peripheral vision, depth perception and the ability to adjust focus. While performing the duties of this job, the employee is regularly required to sit, walk, speak, or hear. The employee is frequently required to use hands or feel or handle items as well as reach with hands and arms. The employee is occasionally required to stand.

Disclaimer

The above statements are intended to describe the general nature and level of work being performed by employees assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of employees assigned to this position.

Health Plans Inc. is an EEO – M/F/D/V employer