Contract Administrator Lead – Contract Compliance

Anticipated End Date:

2026-03-10

Position Title:

Contract Administrator Lead – Contract Compliance

Job Description:

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.

The Contract Administrator Lead is responsible for serving as a state lead in submission of group health insurance products at a regional site

How you will make an impact:

• 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.

Minimum Requirements:

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.

Preferred Skills, Capabilities and Experiences:

• 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

In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the company.  The company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.

* The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law.

Job Level:

Non-Management Ex