Contract Specialist II (US) at Elevance Health

Mendota Heights, Minnesota, United States

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Not SpecifiedCompensation

Junior (1 to 2 years)Experience Level

Full TimeJob Type

UnknownVisa

Healthcare, InsuranceIndustries

Requirements

High school diploma or equivalent
Minimum of 3 years of relevant experience, or a similar combination of education and experience that provides an equivalent background
Reside within a reasonable commuting distance from the posting location(s) (unless an accommodation is granted as required by law)

Responsibilities

Initiating, preparing, and revising master Stop Loss Policy contract documents
Researching group benefits and rating history to provide informed recommendations
Analyzing intricate specifications to ensure plan features are included
Maintaining an automated tracking system
Creating standard documents and adding optional paragraphs or benefit options for manuals using approved language
Conducting basic research to determine the legal names of groups, types of benefits, necessary rating mechanisms, and the group’s status at the time of request
Maintaining automated status logs
Preparing monthly and periodic reports
Managing related contract files
Setting up groups for future contract documents
Responding to queries from plan personnel or groups about the status of documents and providing answers on contracts and amendments

Skills

contract preparation

contract revision

benefits research

rating analysis

document tracking

status reporting

file management

group setup

query response

detail oriented

Elevance Health

Integrated health services and digital platform

About Elevance Health

Elevance Health focuses on enhancing the health of individuals throughout their lives by evolving from a traditional health benefits organization into a comprehensive health partner. The company serves over 118 million people, providing support at every stage of health through an integrated approach that addresses a wide range of health needs. Their services are backed by advanced capabilities and a digital health platform that streamlines access to care. Unlike many competitors, Elevance Health emphasizes a holistic view of health, aiming to redefine health and improve community well-being. The ultimate goal is to make health improvements accessible to everyone.

Indianapolis, IndianaHeadquarters

1944Year Founded

$309.4MTotal Funding

IPOCompany Stage

Enterprise Software, Social Impact, HealthcareIndustries

10,001+Employees

Benefits

Medical, dental, & vision insurance

401(k) + match

Paid holidays

Paid Time Off

Incentive bonus programs

Stock purchase plan

Life insurance

Wellness Programs

Financial education resources

Adoption & Surrogacy Assistance

Dependent-care Flexible Spending Account (DCFSA)

Parental Leave

Parental Transition Week

Critical Caregiving Leave

Risks

Departure of CFO John Gallina may create a gap in financial leadership.

Lawsuit against CMS over MA Star Ratings could lead to financial penalties.

CareBridge integration may face operational challenges, disrupting service delivery.

Differentiation

Elevance Health integrates whole health approach with digital health platform for comprehensive care.

Acquisition of CareBridge enhances home health services within Carelon division.

Strategic partnership with Clayton, Dubilier & Rice aims to innovate primary care delivery.

Upsides

AI integration in home health services can reduce hospital readmissions and improve outcomes.

Predictive analytics support early disease detection, aligning with Elevance's whole health approach.

Telehealth expansion offers opportunities to reach more patients remotely.

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