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Job Details

Contract Administrator Lead - Contract Compliance

Experience
6 yrs required

Location
Mason, OH, United States

Posted on
Dec 04, 2022

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Contract Administrator Lead - Contract Compliance
The candidate develops and oversees the regulatory approval process for submission of group health insurance products with federal and state insurance regulators. Collaborates with multiple functional business areas (enterprise and local senior management, underwriting, legal, marketing & actuarial departments) in the drafting of new product language and products. Includes preparation and submission of form filings and communication 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 3 years of insurance industry experience or 6 years of related experience; or any combination of education and experience, which would provide an equivalent background. Understanding health care funding arrangements, health benefits, state and federal regulations, group contact and certificate development, and compliance is strongly preferred. Legal compliance research or paralegal experience is strongly preferred. Experience filing insurance products using SERFF and other methods required. PC proficiency to include Microsoft Office products (Word, Excel, PowerPoint), Microsoft Teams and Adobe Acrobat preferred.

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