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Resp & Qualifications
Please Note: Based on qualifications, education, and experience, the preferred candidate may be hired at Account Contract Technician level I or II.
Under the direction of the Supervisor the essential duties and responsibilities include, but are not limited to the following:
1. Writes and audits group account specific contracts and certificate language for risk and self-insured accounts (ASO) using established models and templates on up to two platforms. Maintains and loads contract upon audit completion onto the file/library; other documents to ensure contract integrity.
2. Reviews, clarifies and/or interprets customized/nonstandard benefit requests; provides information and decisions to operations (sales, SOCS) account implementation meetings, and other company initiative implementation meetings needed. Clarifies and ensures consistency of contract benefits with respective system benefit coders (Care, NASCO, FACETS). Updates, contract models and templates as appropriate and assigned.
3. Reviews requests (standard and nonstandard type) and interprets benefit issues; provides contract interpretation, information and language; raises complex issues to Senior Contract Specialist for resolution.
4. Maintains and updates all department logs, contract and certificate forms; implements (places into production) newly approved contract forms.
Department: Large Group Contracts
Equal Employment Opportunity
CareFirst BlueCross BlueShield is an Equal Opportunity (EEO) employer. It is the policy of the Company to provide equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.
Hire Range Disclaimer
Actual salary will be based on relevant job experience and work history.
Where To Apply
Please visit our website to apply: www.carefirst.com/careers
Please apply before: 5/21/2018
Federal Disc/Physical Demand
Note: The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform work directly or indirectly on Federal health care programs.
The employee is primarily seated while performing duties of the position. Occasional walking or standing is required. The hands are regularly used to write, type, key and handle or feel controls and objects. The employee must frequently talk, see and listen. Weights of up to 25 pounds are occasionally lifted.
Sponsorship in US
Must be eligible to work in the U.S. without Sponsorship