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Contract Administrator Sr (Richmond, VA or Wallingford, CT)- PS11325 in Richmond, VA at Anthem, Inc.

Date Posted: 12/3/2018

Job Snapshot

Job Description

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 benefits companies and a Fortune Top 50 Company.
The Contract Administrator, Sr. is responsible for researching, writing, filing, and implementing the most complex policy and certificate forms for group and individual major medical products, ancillary products, long term care products and HMO products.
Primary duties may include, but are not limited to:
  • Creates and maintains documentation for ACA compliant individual/group certificates/enrollment applications.
  • Works independently and with specialists, attorneys, and outside vendors to identify complex issues/solutions by analysis, testing and resolution.
  • Ensures products comply with state and federal laws.
  • Files documents with state department of insurance for approval.
  • Researches, monitors and analyzes state and federal legislation affecting company products.
  • Recommends compliance review processes and participates in compliance efforts.
  • Provides primary compliance review of marketing materials and product advertising.
  • Manages projects and/or participates in corporate initiatives.
  • Administers the electronic publishing system/databases including technical direction of interface programs.
  • Compiles and analyzes data in support of contract and enrollment application development.
  • Recognizes the absence of critical elements of information.
  • Perceives ambiguities or contradictions requiring clarification.
  • Converts legal information into easy-to-read narrative.
  • Corresponds with state insurance departments, internal clients, and others.
 
  • Requires a BA/BS in a related field; 3 years of related experience; or any combination of education and experience, which would provide an equivalent background.
  • SERFF (System for Electronic Rate and Form Filing) experience highly preferred

 
Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and is a 2018 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at careers.antheminc.com. An Equal Opportunity Employer/Disability/Veteran.

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