Contract Administration Project Manager

Description
Contract Administration Project Manager

Job Description:
National Contract Administration is a function responsible for standardizing and improving the processes that produce the many important benefit and coverage documents we send to our members and employers. This function is responsible for ensuring compliance with the multiple benefit and coverage documents required by the Federal and State Agencies.

The Affordable Care Act published its final regulations on 02/06/12 requiring issuers and Group Health Plans to comply with the standards developed by the US Department of Health and Human Services (HHS) for a summary of benefits and coverage (SBC) explanation for individual and group health insurance (including HMO and Self-Funded plans).

THIS REGULATION MANDATES THAT ALL HEALTH INSURANCE ISSUERS PROVIDE A SUMMARY OF BENEFITS AND COVERAGE THAT FOLLOWS THE STANDARDS PROVIDED BY HHS TO EVERY APPLICANT, ENROLLEE, AND POLICY, OR CONTRACT HOLDER. THERE ARE 2 PHASES FOR IMPLEMENTATION OF THIS PROVISION: THE FIRST PHASE IS EFFECTIVE 09/23/12 AND THE SECOND PHASE IS FOR PLAN YEAR BEGINNING 2014.

Scope of the project:
Overall project is the implementation of Healthcare Reform Summary of Benefit and Coverage (SBC). Focus for this role will be tracking delivery of SBC to our National Accounts Customers

This role will be responsible for:
Tracking the regional National Account request and maintaining an inventory of requests made, status of request by region and customer commitment date.
Receiving all documentation provided supporting the request and ensuring the documentation is matched to the request and provided to the right stakeholders
Provide support for SBC creation
Provide reporting and identifying where delays are occurring in the pocess.
Storing copies of the produced SBCs for National Accounts groups
Responding to requests for providing copies of stored and previously created SBCs.

Hours and days: M - F, 8a - 5p

Experience Requirements:

- MANAGING QUALITY DELIVERABLES IN TIGHT TIMEFRAME.
- WORKING IN A COMPLEX PROJECT WITH MULTIPLE STAKEHOLDERS.
- ABILITY TO WORK WITH PARTNERS REMOTELY AS OUR PARTNERS ARE IN ALL REGIONS.
- EXPERT USER OF EXCEL, HIGHLY KNOWLEDGEABLE IN ACCESS AND WELL VERSED IN USE OF POWERPOINT AND PRESENTING DATA INTO A STORYBOARD FOR DIFFERENT AUDIENCES

EDUCATIONAL REQUIREMENTS:

- ASSOCIATE DEGREE REQUIRED. BACHELOR DEGREE PREFERRED. PMP HIGHLY DESIRABLE.

Top  skills needed to succeed in this position:
(1) Results/Action oriented individual
(2) Attention to detail
(3) Strong Organizational skills and Communication skills

Top  daily responsibilities:
(1) Manage multiple incoming documents and track multiple communications across regions
(2) Create SBCs
(3) Organize requests and provide detailed tracking report
(4) Gather status on requests, follow-up on outstanding SBCs and produce tracking report on status of each SBC request with enphasis on accuracy and quality of work deliverable.
(5) Store completed SBCs created for our National Accounts customer

Top  personality characteristics:

- PERSONABLE, ARTICULATE, WORKS WELL UNDER PRESSURE