Contract Administrator Lead - Compliance

Contract Administrator Lead – Contract Compliance

Location
:
This role requires associates to be in-office 1-2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.

• Develops and oversees the regulatory approval process for submission of group health insurance products with federal and state insurance regulators.
• Collaborate with multiple functional business areas (enterprise and local senior management, underwriting, legal, marketing & actuarial departments) in drafting of new product language and products.
• Includes preparation and submission of form filings and communicating with regulators.
• Evaluates insurance, HMO, and self-funded benefit contracts and benefit booklets and related processes and procedures.

Requires a BA/BS in a related field and a minimum of 6 years of related experience; or any combination of education and experience, which would provide an equivalent background.

• Understanding of fully insured and self-funded health insurance funding arrangement, health insurance provider networks, health insurance benefits, state and federal laws and/or regulations impacting health insurance products, and health insurance contract and benefit booklet/certificate of coverage form development highly preferred.
• Experience with Federal and state health insurance policy form filing regulatory process. This includes negotiating with Federal and state regulatory staff during health insurance product form filing process to obtain approvals on filings highly preferred.
• Experience filing group and/or individual healthcare insurance products using SERFF or other policy form submission tools as required by particular state departments of insurance highly preferred.
• PC proficiency to include with Microsoft Office products (Word, Excel, PowerPoint), Microsoft Teams and Adobe Acrobat highly preferred.
• Experience with Artificial Intelligence (AI) tools specifically related to development of health insurance policy forms and in assistance with health insurance form filing regulatory process preferred.

For candidates working in person or remotely in the below locations, the salary range for this specific position is $89,880 to $147,660.

Locations:
California, Colorado, Nevada.

Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws.

Applicants who require accommodation to participate in the job application process may contact elevancehealthj for assistance.

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.