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Anthem, Inc. Contract Specialist, Sr. in Newbury Park, California

Description

SHIFT: Day Job

SCHEDULE: Full-time

Your Talent. Our Vision. At Anthem, Inc., it’s a powerful combination, and the foundation upon which we’re creating greater access to care for our members, greater value for our customers, and greater health for our communities. Join us and together we will drive the future of health care.

This is an exceptional opportunity to do innovative work that means more to you and those we serve at one of America's leading health care companies and a Fortune Top 50 Company.

The Contract Specialist, Senior is responsible for initiating, preparing and/or revising group health contracts for large and alternative funded groups.

Primary duties may include, but are not limited to:

  • Collaborate with Legal SMEs and Contraxx Professional Services to build/leverage templates, signature workflows, language library, reporting, user roles and UAT.Researches group benefits and rating history and makes recommendations.

  • Analyzes complex specifications and ensures that plan features are included.

  • Maintains automated tracking system.

  • Creates boilerplate documents and inserts, optional paragraphs, benefit options for manuals containing policy form approved language.

  • Performs basic research to determine the legal names of group, type of benefit, and rating mechanism required, as well as the status of the group at time of request.

  • Creates and maintains related databases.

  • Responds to plan personnel or groups regarding status of documents.

  • Answers questions about contracts and amendments.

  • Coordinates and distributes workload and assists in solving non-routine problems among contract specialists.

  • May provide guidance to other Contract Specialists.

Qualifications

  • Requires a H.S. diploma and a minimum of 5 years of related experience; or any combination of education and experience, which would provide an equivalent background.

  • Contraxx experience is required

    We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Anthem, Inc. has been named as a Fortune 100 Best Companies to Work For®, is ranked as one of the 2020 World’s Most Admired Companies among health insurers by Fortune magazine, and a 2020 America’s Best Employers for Diversity by Forbes. To learn more about our company and apply, please visit us at careers.antheminc.com. An Equal Opportunity Employer/Disability/Veteran. Anthem promotes the delivery of services in a culturally competent manner and considers cultural competency when evaluating applicants for all Anthem positions.

    REQNUMBER: PS61076

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