Contract Specialists is responsible for leading the development and maintenance of contract language and materials (e.g., Administrative Services Agreements, standard and non-standard contract exhibits, amendments/renewals, contract templates) to support projects/initiatives for Florida Blue's self-insured (ASO) business. Works under minimal supervision ensuring contract materials are developed accurately and timely in accordance with compliance and business requirements. Demonstrates a strong level of contract and business knowledge in supporting business stakeholders to work cross functionally and meet Commercial Markets ASO Group Sales and Enterprise objectives.
What You Will Be Doing
Contract Language and Materials Development
Leads the development and maintenance of contract language and materials (e.g. Administrative Services Agreements, standard and non-standard contract exhibits, amendments/renewals, contract templates) to support projects/initiatives for Florida Blue's ASO business.
Reviews and evaluates business requirements to determine contract material impacts (e.g. number of forms, type of impact), forecast timelines and identify any issues.
Works closely with ASO business leads and other key business stakeholders to ensure business needs and deliverables are clearly defined and understood.
Works with Sales, Legal, Segment and ASO Partner Platform stakeholders to translate business requirements and mandated legislation into legally-compliant ASO contract language and materials.
Interprets and ensures compliance with all legislative, regulatory, and BCBSA Inter-Plan Program requirements in the health insurance market.
Creates and memorializes finalized forms (static and variable) and redlines.
Leads or supports auditing and/or system testing of contract materials.
Utilizes project management processes to ensure project deliverables and initiatives are delivered on time, adhere to high quality standards and meet customer expectations.
Communicates and collaborates effectively with cross-enterprise business areas (e.g. Legal, Sales, Segment, and ASO Partner Platforms) as appropriate throughout the contract development and review processes to ensure all compliance, regulatory and project deadlines are met.
Enterprise & Business Operational Support
Leads and/or supports the organization, maintenance and data integrity of contract databases and libraries.
Identifies any potential issues or discrepancies, provides feedback and works to implement solutions with peers, Legal, Sales, Segment and ASO Partner Platforms.
Researches and provides consultation on requests from internal business partners such as Legal, Sales and Segment.
Timely retrieval and dissemination of contract language and materials to support internal and external business needs such as regulatory examinations, audits and investigations.
ASO Contract Advisor
Maintains in depth knowledge of ASO Group dynamics, including applicable state and federal legislative and regulatory requirements.
Provides guidance to peers and business partners for any contract related questions and/or issues.
Provides or supports contract training for employees or contractors in the area.
Leads or supports the development and maintenance of departmental policies and procedures (e.g. SOPs).
Identifies and implements process improvements to enhance overall process efficiency and effectiveness.
Participates in cross-functional workgroups to assess legislative and regulatory topics impacting the health insurance industry.
Reviews, analyzes and provides feedback to Legal, Sales, Segment and other key stakeholders with respect to proposed law and regulations to ensure potential impacts are understood and appropriate actions taken to address any negative impacts and mitigate risks.
What We Require
5+ years related work experience with 3 years or more experience with contract compliance or administration
Related Bachelor’s degree or additional related equivalent work experience
3 years or more experience with contract compliance or administration
Strong understanding of the health care industry, specifically legislative and regulatory impacts
Strong project management skills with experience in leading projects
Experience working in a dynamic team environment where shifting priorities and high work volumes are common place
Ability to delegate tasks and coordinate multiple deliverables
Ability to communicate effectively with internal and external business partners
Experience with defining and resolving complex issues utilizing strong problem solving skills
Knowledge of PC office software such as SharePoint and MS Office applications (e.g. Word, Excel and PowerPoint)
Ability to accurately scope/size projects and lead integration planning with business stakeholders
Flexible with the ability to handle multiple priorities within strict deadlines and timelines
Strong, positive relationships established with Legal and Corporate business partners
Strong attention to detail, specifically as it relates to written communication in the areas of grammar, spelling, proof reading and punctuation
Self-motivated with the ability to work independently, needing minimum direction
What We Prefer
Strong understanding of ASO Group segment Paralegal experience with health care law
General Physical Demands
Exerting up to 10 pounds of force occasionally to move objects.
Jobs are sedentary if traversing activities are required only occasionally.
What We Offer
As a Florida Blue employee, you will thrive you will be at the heart of GuideWell’s vision – to lead the nation in transforming health through compassionate, connected, and technology-enabled care that delivers personalized value and empowered living.
To support your wellbeing, comprehensive benefits are offered. As an employee, you will have access to:
Employee benefits are designed to align with federal and state employment laws. Benefits may vary based on the state in which work is performed. Benefits for intern, part-time and seasonal employees may differ.
To support your financial wellbeing, we offer competitive pay as well as opportunities for incentive or commission compensation. We also conduct regular annual reviews with pay for performance considerations for base pay increases.
Annualized Offer/Hiring Range: $77,600 - $97,000
Annualized Salary Range: $77,600 - $126,100
Final pay will be determined with consideration of market competitiveness, internal equity, and the job-related knowledge, skills, training, and experience you bring.
We are an Equal Employment Opportunity employer committed to cultivating a work experience where everyone feels like they belong and can perform at their best in pursuit of our mission. All qualified applicants will receive consideration for employment.