ASO Contract Compliance Specialist V

What Is My Impact?
Responsible for leading the development and maintenance of contract language and materials to support projects/initiatives for Florida Blue's self-insured (ASO) business. Works under minimal supervision ensuring contract materials are developed accurately and timely in accordance with compliance and business requirements. Demonstrates a strong level of contract and business knowledge in supporting business stakeholders to work cross functionally and meet Commercial Markets ASO Group Sales and Enterprise objectives.

Important to Know:

While this is a remote opportunity, the selected candidate would need to reside within the US and operate within the core hours of 8am - 5:30pmEST

The Key Responsibilities:

• Contract Language and Materials Development
  
  
  
  • Leads the development and maintenance of contract language and materials (e.g. Administrative Services Agreements, standard and non-standard contract exhibits, amendments/renewals, contract templates) to support projects/initiatives for Florida Blue's ASO business.
  • Interprets and ensures compliance with all legislative, regulatory, and BCBSA Inter-Plan Program requirements in the health insurance market.
  • Creates and memorializes finalized forms and redlines.
  • Leads or supports auditing and/or system testing of contract materials.
  • Utilizes project management processes to ensure project deliverables and initiatives are delivered on time, adhere to high quality standards and meet customer expectations.
  • Communicates and collaborates effectively with cross-enterprise business areas as appropriate throughout the contract development and review processes.
  
  
• Enterprise & Business Operational Support
  
  
  
  • Leads and/or supports the organization, maintenance and data integrity of contract databases and libraries.
  • Identifies any potential issues or discrepancies, provides feedback and works to implement solutions with peers, Legal, Sales, Segment and ASO Partner Platforms.
  • Researches and provides consultation on requests from internal business partners such as Legal, Sales and Segment.
  • Timely retrieval and dissemination of contract language and materials to support internal and external business needs such as regulatory examinations, audits and investigations.
  
  
• ASO Contract Advisor
  
  
  
  • Maintains in depth knowledge of ASO Group dynamics, including applicable state and federal legislative and regulatory requirements.
  • Provides guidance to peers and business partners for any contract related questions and/or issues.
  • Provides or supports contract training for employees or contractors in the area.
  • Leads or supports the development and maintenance of departmental policies and procedures (e.g. SOPs).
  • Identifies and implements process improvements to enhance overall process efficiency and effectiveness.
  
  

What Is REQUIRED?

• 5+ years related work experience to include a minimum of 3 years of experience specifically with contract compliance or administration
• Related bachelor's degree or additional related equivalent work experience
• Strong understanding of Florida Blue ASO Group segment and the health care industry, specifically legislative and regulatory impacts
• Strong project management skills with experience in leading projects
• Experience working in a dynamic team environment where shifting priorities and high work volumes are commonplace
• Ability to delegate tasks and coordinate multiple deliverables
• Ability to communicate effectively with internal and external business partners
• Experience with defining and resolving complex issues utilizing strong problem-solving skills
• Knowledge of PC office software such as SharePoint and MS Office applications (e.g. Word, Excel and PowerPoint)
• Ability to accurately scope/size projects and lead integration planning with business stakeholders
• Flexible with the ability to handle multiple priorities within strict deadlines and timelines
• Strong, positive relationships established with Legal and Corporate business partners
• Strong attention to detail, specifically as it relates to written communication in the areas of grammar, spelling, proof reading and punctuation
• Self-motivated with the ability to work independently, needing minimum direction

What Is Preferred?

• Paralegal experience with health care law
  

General Physical Demands:
Sedentary work: Exerting up to 10 pounds of force occasionally to move objects. Jobs are sedentary if traversing activities are required only occasionally.

What We Offer:
As a Florida Blue employee, you will thrive in our Be Well, Work Well, GuideWell culture where being well as an individual, and working well as a team, are both important in serving our members and communities.

To support your wellbeing, comprehensive benefits are offered. As an employee, you will have access to:

• Medical, dental, vision, life and global travel health insurance
• Income protection benefits: life insurance, short- and long-term disability programs
• Leave programs to support personal circumstances
• Retirement Savings Plan including employer match
• Paid time off, volunteer time off, 10 holidays and 2 well-being days
• Additional voluntary benefits available as well as a comprehensive wellness program

Employee benefits are designed to align with federal and state employment laws. Benefits may vary based on the state in which work is performed. Benefits for intern, part-time and seasonal employees may differ.

To support your financial wellbeing, we offer competitive pay as well as opportunities for incentive or commission compensation. We also conduct regular annual reviews with pay for performance considerations for base pay increases.

Typical Annualized Hiring Range: $75,700 - $94,600 (Please note that this is the range the selected candidate will be hired within)

Annualized Salary Range: $75,700 - $123,000 (This shows the long term of this role)

Final pay will be determined with consideration of market competitiveness, internal equity, and the job-related knowledge, skills, training, and experience you bring.

We are an Equal Employment Opportunity employer committed to cultivating a work experience where everyone feels like they belong and can perform at their best in pursuit of our mission. All qualified applicants will receive consideration for employment.