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 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?

• Strong understanding of ASO Group segment and the health care industry, specifically legislative and regulatory impacts
• 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 occasional