Senior Contract Specialist - Remote / Telecommute

Contracts And Compliance SpecialistDraft group and individual contracts, including indemnity and HMO contracts and certificates for risk and self-insured accounts.File all required forms with Insurance Administrations and regulatory agencies to ensure legal compliance.Respond to inquiries from Insurance Administrations and complete assigned surveys.Handle escalated inquiries from internal departments including appeals, audits, and executive inquiries.Research and interpret local and federal regulations related to contracts and benefits.Develop and maintain production forms, implementation documentation, and detailed instructions.Audit contracts and documentation to ensure accuracy and resolve discrepancies with relevant departments.Participate in operational meetings and company initiatives impacting contracts and compliance.Monitor contract performance to ensure adherence to terms, legal requirements, and customer specifications.Interpret benefit provisions and resolve complex contract-related issues in collaboration with legal and policy teams.Review and respond to RFPs, RFIs, and other non-standard account requests.Develop and implement customized contract language and production forms.Review internal and external communications to ensure alignment with contract terms and integrity.Provide input on product design and changes in collaboration with marketing and product development teams.Minimum 5 years of experience in health insurance benefits, product knowledge, benefits delivery systems, or contract management.Draft, review, and manage contracts and related documentation.Ensure compliance with legal and regulatory requirements.Respond to internal and external inquiries and escalations.Conduct audits and maintain accuracy of contract documentation.Collaborate with cross-functional teams for contract implementation and issue resolution.Strong analytical and problem-solving skills.Ability to interpret complex regulations and contract language.Strong attention to detail and organizational skills.Excellent communication and collaboration abilities.Contract drafting and management.Regulatory compliance and legal research.Documentation and audit processes.Strong written and verbal communication.Ability to handle complex and escalated issues.Bachelor’s degree required.Additional relevant work experience may be considered in lieu of a degree.