CareFirst Careers

Account Contract Technician II

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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.

PRINCIPAL ACCOUNTABILITIES:

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. 

QUALIFICATION REQUIREMENTS:

Required:

  • High School diploma or equivalent and 1-2 years of Contract experience, and 2 years of industry experience in Enrollment, Contract work and/or previous clerical experience.
  • The ability to manage multiple priorities simultaneously; project management.


Preferred:

  • Bachelor’s Degree or equivalent work experience in a related field.


Skills/Abilities:

  • Proven judgment and decision making ability; must be able to make and carry out a broad range of decisions while remaining consistent with Company and regulatory guidelines.
  • Proven superior verbal and written communication skills.
  • Establish appropriate priorities; manage multiple priorities and respond appropriately to unplanned events.
  • Ability to represent the department persuasively and articulately in meetings with other Company departments, regulatory/insurance agencies and external clients and partners.
  • Flexibility with superior negotiation skills; ability to build towards consensus with a broad range of individuals and Company.
  • Superior organizational and follow up skills.
  • Average to above average ability with Microsoft Office

Department

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

Closing Date

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.

Physical Demands:

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

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