Mgr Contract Administr Ops

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.

• 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.

• 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.

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  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…