Job Information
Cambia Health Solutions Benefit Contracts & Compliance Analyst in Vancouver, Washington
Benefit Contracts & Compliance Analyst Work from home within Oregon, Washington, Idaho, or Utah Build a career with purpose. Join our Cause to create a person-focused and economically sustainable health care system. Who We Are Looking For: Every day, Cambia's dedicated team of Benefit Contract Analysts are living our mission to make health care easier and lives better. As a member of the Benefit Contracts Compliance team, our Benefit Contract Analysts are accountable for the development of Member enrollment materials (including, but not limited to, booklets, contracts and Summary of Benefit Changes (SBCs) - all in service of making our members' heath journeys easier. As a Benefit Contract Analyst, you will coordinate the filing of regulatory documents with the insurance division and analyze insurance division objections and organizes responses and resubmission functions. Do you have a passion for serving others and learning new things? Then this role may be the perfect fit. What You Bring to Cambia: Qualifications: Benefit Contracts Analyst would have a Bachelor's Degree in Healthcare, English, business or health care administration, communications and 3 years work-related experience or equivalent combination of education and experience. Skills and Attributes: * Must possess strong organizational skills with a demonstrated ability to prioritize, coordinate and implement multiple projects within varied or simultaneous time constraints. * Ability to coordinate activities with all levels of staff within the Plan and external agencies through clear and concise verbal and written communication skills, including tactful and persuasive negotiation skills. * Ability to work independently and exercise sound judgment while developing solid working relationships with internal and external business partners, including, but not limited to, Sales, Sales Operations, Product and the Insurance Division. * Ability to comprehend, master and draft all aspects of the Plan's contracts/booklets, benefits administration, and overall business processes for all lines of business/products including group specific or custom groups. * Demonstrated technical skills necessary to effectively navigate the electronic publishing system used for document creation. * Ability to work in high-pressure circumstances on multiple concurrent projects involving multidisciplinary, unconnected tasks, and proven ability to initiate and independently produce detailed and highly accurate work. * Knowledge of the health insurance industry, including benefit design and compliance issues with capability of incorporating into contracts and other related materials. * Experience/understanding and knowledge of federal laws and guidelines (including but not limited to COBRA, HIPAA, ERISA, USERRA, DOL. etc.) and applicable state insurance code and regulations, including the Affordable Care Act (ACA). What you will do a Cambia: * Research, draft, produce and file collateral for use by operations support, marketing, and sales divisions. * Regulatory filing and maintenance to ensure that all required product documents comply with federal and state laws, including state insurance code requirements, prior to submission with the Insurance Department, and serve as a resource to other divisions. * Negotiate and coordinate with internal and external business partners to develop, write, revise, file, and coordinate the production of contracts and certificates of coverage for all lines of business. * Investigate and respond to contract interpretation requests, ensuring proper administration across divisions. * Establish and maintain an effective working relationship with the Insurance Department to faci To view the full job description,