Overview
A healthcare organization is seeking a Healthcare Contract Specialist (Paralegal) for a 12-month+ contract position based in Baltimore, MD. This role involves supporting Benefit Contract Management by ensuring contract compliance, drafting and revising contract language, managing filings, and collaborating with various internal departments.
Responsibilities
- Work closely with Corporate Governance (Legal), Government Affairs, Product, Marketing, Health Services, and Strategy teams to support company and departmental goals related to contract compliance and improvements.
- Analyze proposed changes to contract forms and templates; recommend filing strategies.
- Draft and revise contract language for group and individual indemnity and HMO contracts and certificates for risk and self-insured accounts.
- Review contract forms, templates, marketing materials, and promotional literature to ensure contract integrity.
- Prepare and submit electronic filings via SERFF; track filing statuses.
- Respond to inquiries from Insurance Administrations, Central Appeals Unit, Executive Inquiry, Corporate Audit, and other departments.
- Research applicable local and federal codes and regulations.
- Audit contracts and special documents for accuracy and compliance; resolve issues with relevant departments.
- Participate in company initiatives, legislative review committees, and implementation meetings affecting contracts and certificates.
- Monitor contract performance to ensure conformance with terms, legal requirements, customer specifications, laws, and regulations.
- Interpret benefit issues and contract terms; resolve complex issues in collaboration with Legal and Health Care Policy staff.
- Review and respond to account-specific RFPs, RFIs, and other requests; draft and file customized contract and certificate language as needed.
Requirements
- Experience as a Paralegal
- Background in Healthcare
- Contracting experience
- Proficiency with Microsoft Office products
Location
Baltimore, MD
Duration
12 Months+