Member Contract Specialist Iii

Join Our Team: Do Meaningful Work and Improve People’s Lives

Our purpose, to improve customers’ lives by making healthcare work better, is far from ordinary. And so are our employees. Working at Premera means you have the opportunity to drive real change by transforming healthcare.

To better serve our customers, we’re creating a culture that promotes employee growth, collaborative innovation, and inspired leadership.

Forbes ranked Premera among America’s 2023 Best Midsize Employers because we are committed to creating an environment where employees can do their best work and where best-in-class talent comes, stays, and thrives!

As a Member Contract Specialist III, you will be responsible for the development and distribution of custom member and employer contract documents. You will handle contract documents for all product types including fully-insured, self-funded, medical, dental, personal funding, and national. You will create and submit regulatory filings for custom contract documents and establish / maintain the group's legal file.

What you'll do:

• Complete a detailed analysis of incoming requests to ensure correct documents are issued.
• Develop custom language to support customer service quoting, and other customer facing processes.
• Ensure that all completed documents comply with federal and state statutes and regulations as well as Premera guidelines.
• Create and submit regulatory filings for custom contract documents.
• Support the posting of contract documents to secure company portals for assigned groups.
• Participate in cross-departmental implementation meetings for assigned groups.
• Develop and distribute assigned complex new and renewing custom member and employer contract documents using appropriate tools and systems.
• Provide feedback and training to partner departments in issues relating to contracting.
• Research and respond to all general and group specific contract issues and questions.
• Work with outside clients including Producers and Group Benefit Administrators as needed.
• Create legal files and ensure appropriate documents are included.
• Develop and maintain a strong positive working relationship with partner departments.
• Update standard operating procedures as needed.

What you'll bring:

• Strong attention to detail
• Exposure to Kaizen/Lean methods
• High school diploma or GED (Required)
• Experience working across groups/departments
• Five (5) years combined experience in a customer service/public contact role or other similar role with experience in health plan document writing and interpretation (Required)
• Ability to adapt to change quickly
• Demonstrated passion for the customer
• Strong problem solving ability
• Excellent verbal and written communication skills
• Familiar with BQTs and/or SBCs is a plus

What We Offer

• Wellness incentives, onsite services, a discount program and more
• Retirement programs (401K employer match and pension plan)
• Generous Paid Time Off to reenergize
• Medical, vision and dental coverage
• Free parking
• Life and disability insurance
• Tuition assistance for undergraduate and graduate degrees

Equal employment opportunity/affirmative action:

Premera is an equal opportunity/affirmative action employer. Premera seeks to attract and retain the most qualified individuals without regard to race, color, religion, sex, national origin, age, disability, marital status, veteran status, gender or gender identity, sexual orientation, genetic information or any other protected characteristic under applicable law.

If you need an accommodation to apply online for positions at Premera, please contact Premera Human Resources via email at [email protected] or via phone at 425-918-4785.

Premera is hiring in the following states, with some limitations based on role or city: Alaska, Arizona, Arkansas, California, Colorado, Florida, Georgia, Idaho, Iowa, Kansas, Kentucky, Maine, Michigan, Minnesota, Missouri, Montana, Nevada, New Hampshire, New Mexico, North Carolina, Oklahoma, Oregon, South Carolina, South Dakota, Tennessee, Texas, Utah, Washington, Wisconsin.

The pay for this role will vary based on a range of factors including, but not limited to, a candidate’s geographic location, market conditions, and specific skills and experience.

National Salary Range:

$48,500.00 - $72,700.00

National Plus Salary Range:

$54,800.00 - $82,200.00

• National Plus salary range is used in higher cost of labor markets including Western Washington and Alaska.