Contrct Anlyst

Benefit Contract Analyst

Hybrid role (3 days/week in office) at our Portland, Medford, Boise, Lewiston or Salt Lake City offices. Candidates must reside within commutable distance of that location.

Build a career with purpose. Join our Cause to create a person-focused and economically sustainable health care system.

Who We Are Looking For:

Every day, Cambia's dedicated team of Benefit Contract Analysts is living our mission to make health care easier and lives better. As a member of the Benefit Contract team, our Benefit Contract Analyst (BCA) is responsible for the development and filing of regulatory benefit materials for members and groups. These materials include benefit booklets, contracts, policies, schedules of benefits (SOBs) and Summary of Benefits and Coverage (SBCs) for standard individual, small group, and large group, as well as negotiated large group fully underwritten and self-funded plan documents/summary plan descriptions.

A BCA develops benefit language, collaborates with Legal and Product, coordinates the filing of regulatory documents with state insurance divisions, analyzes insurance division objections, organizes responses and completes filing resubmission functions – all in service of creating a person-focused health care experience.

Do you have a passion for serving others and learning new things? Do you thrive as part of a collaborative, caring team? Then this role may be the perfect fit.

What You Bring to Cambia:

Qualifications:

Benefit Contracts Analyst would have a bachelor's degree in healthcare, English, business or health care administration, communications and 3 years work-related experience or equivalent combination of education and experience.

Skills and Attributes:

· Possesses significant organizational skills with a demonstrated ability to prioritize, coordinate and implement multiple projects within varied or simultaneous time constraints and deadlines.

· Coordinates language drafting and document production activities with all levels of staff within the organization and with external agencies through clear and concise verbal and written communication skills, including tactful and persuasive negotiation skills.

· Demonstrated ability to work independently, exercise sound judgment, and develop collaborative and effective working relationships with internal and external business partners, including, but not limited to, Sales, Sales Operations, Product and the Insurance Division.

· Fearlessly takes on new challenges in a changing insurance and corporate environment.

· Comprehends and masters the drafting of all aspects of the regulatory health benefit documents for fully-insured lines of business and custom groups.

· Highly proficient in Windows applications, including Word.

· Comfortable working in high-pressure circumstances, with multiple concurrent projects involving multidisciplinary, distinct tasks, and a proven ability to initiate and independently produce detailed and highly accurate work.

· Must be able to work with minimal supervision and assume increasingly complex responsibilities.

· Exhibits knowledge of the health insurance industry, including benefit design and compliance concerns. This may include an understanding of federal laws and guidelines, such as the Affordable Care Act (ACA), COBRA, HIPAA and state health insurance code and regulations.

· Experience with AI tools and technologies to enhance productivity and decision-making in professional settings highly desired

What You Will Do at Cambia:

Drafting group and member benefit materials:

· Creates and develops benefit language for new health insurance products, programs and services in response to federal and state regulations and marketplace changes.

· Negotiates and coordinates with internal and external business partners to develop, write, revise, and coordinate group and member benefit booklets, contracts, policies, summaries of benefit coverage, and all other regulatory documents for Individual, Small Group, Large Group, Administrative Services Only, Medicare Supplemental, Dental and Vision plans.

· Ensures that legal documents and contracts are legally compliant, complete, professionally written and…