Senior Healthcare Contracts Consultant

BCBSM

Eagan (MN)

Hybrid

USD 79,000 - 131,000

Full time

5 days ago
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Benefits offered by this job

Medical, dental, and vision insurance
401k
Paid Time Off (PTO)
Volunteer Program

Job summary

Blue Cross and Blue Shield of Minnesota seeks a contract-focused professional to drive complex contract initiatives across underwriting, legal, and operations. The role blends contract management, project coordination, and stakeholder engagement to deliver execution and operational excellence.

Hybrid work arrangement with two onsite days, offering a comprehensive benefits package including health, retirement, and PTO.

Qualifications

  • 5+ years of related finance professional experience.
  • Bachelor's degree; in lieu of a degree, an additional two years of relevant experience beyond the qualifications listed above may be accepted.

Responsibilities

  • Lead and manage the end-to-end service agreement lifecycle, including renewals, negotiations, amendments, execution, and ongoing contract administration for Service Agreements, Claims Administrator Agreements and Stop Loss Agreements.
  • Develop, maintain, and enhance contract templates, service agreements, standards, and supporting documentation to ensure consistency, operational efficiency, and compliance with regulatory and corporate requirements.
  • Serve as the subject matter expert and strategic advisor for contract administration, providing guidance and consultation to Underwriting, Legal, Account Management, leadership, and other business stakeholders.
  • Draft, negotiate, analyze, and administer complex contracts and contractual provisions, including Service Agreements, Claims Administrator Agreements and Stop Loss Agreements, while identifying and mitigating contractual and business risks.
  • Partner with cross-functional business, legal, and compliance teams to support contract strategy, interpret agreement provisions, resolve contract-related issues, and ensure alignment with organizational objectives.

Skills

Contract management
Stakeholder engagement
Negotiation
Financial analysis

Education

Bachelor's degree

Tools

BEN
enGen
GRS

Job description

About Blue Cross and Blue Shield of Minnesota

At Blue Cross and Blue Shield of Minnesota, we are committed to paving the way for everyone to achieve their healthiest life. We are looking for dedicated and motivated individuals who share our vision of transforming healthcare. As a Blue Cross associate, you are joining a culture that is built on values of succeeding together, finding a better way, and doing the right thing. If you are ready to make a difference, join us.

The Impact You'll Have

This position combines the disciplines of contract management, project coordination, and stakeholder engagement. The position offers the opportunity to lead complex contract initiatives, influence business processes, and collaborate with legal, operational, and executive stakeholders across the organization. The successful candidate will serve as a key partner to Underwriting, Legal, Compliance, and business leaders, driving complex contract initiatives from development through execution while ensuring operational excellence.

What You'll Do
  • Lead and manage the end-to-end service agreement lifecycle, including renewals, negotiations, amendments, execution, and ongoing contract administration for Service Agreements, Claims Administrator Agreements and Stop Loss Agreements.
  • Develop, maintain, and enhance contract templates, service agreements, standards, and supporting documentation to ensure consistency, operational efficiency, and compliance with regulatory and corporate requirements.
  • Serve as the subject matter expert and strategic advisor for contract administration, providing guidance and consultation to Underwriting, Legal, Account Management, leadership, and other business stakeholders.
  • Draft, negotiate, analyze, and administer complex contracts and contractual provisions, including Service Agreements, Claims Administrator Agreements and Stop Loss Agreements, while identifying and mitigating contractual and business risks.
  • Partner with cross-functional business, legal, and compliance teams to support contract strategy, interpret agreement provisions, resolve contract-related issues, and ensure alignment with organizational objectives.
How You'll Do It
  • Monitor regulatory, legislative, and industry developments and lead the evaluation, redesign, and modernization of Service Agreements, Claims Administrator Agreements, Stop Loss Agreements, and related governance processes to maintain compliance and support business needs.
  • Lead enterprise contract initiatives, governance activities, filings, audits, and special projects, related to the agreements including Inter-Plan Provision filings, regulatory submissions, annual agreement reviews, and contract lifecycle management improvements.
  • Develop and deliver training, education, and operational support to business partners while managing complex inquiries, compliance reviews, and other strategic initiatives that advance departmental and organizational goals.
  • Performs additional responsibilities consistent with the scope and level of the role, as assigned.
Required Skills & Experience
  • 5+ years of related finance professional experience.
  • Bachelor's degree; in lieu of a degree, an additional two years of relevant experience beyond the qualifications listed above may be accepted.
Preferred Skills & Experience
  • Demonstrated ability to communicate complex topics clearly and concisely, actively listen to anticipate stakeholder needs, and align others to drive informed decisions.
  • Capacity to analyze complex information, evaluate options, and work cross-functionally to drive resolution and prevent recurrence.
  • Ability to effectively organize work, balance competing priorities, and manage time across complex assignments and competing deadlines.
  • Knowledge of underwriting principles, health insurance concepts, risk selection, industry practices.
  • Demonstrated knowledge of Individual and Small Group eligibility, state/federal regulations and medical terminology.
  • Proficiency with Microsoft Office applications and underwriting platforms such as BEN, enGen, or GRS.
Role Designation

Hybrid

Role designation definition

Teleworking is working full time remote. Hybrid is a minimum of 2 days onsite. Onsite is full-time onsite.

Anchored in Connection

Our hybrid approach is designed to balance flexibility with meaningful in-person connection and collaboration. We come together in the office two days each week - most teams designate at least one anchor day to ensure team interaction. These in-person moments foster relationships, creativity, and alignment. The rest of the week you are empowered to work remote.

Compensation and Benefits

$79,100.00 - $104,800.00 - $130,500.00 Annual

Pay is based on several factors which vary based on position, including skills, ability, and knowledge the selected individual is bringing to the specific job.

We offer a comprehensive benefits package which may include:

  • Medical, dental, and vision insurance
  • Life insurance
  • 401k
  • Paid Time Off (PTO)
  • Volunteer P
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