Contract Development Analyst

October 7

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Centene Corporation

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Contracting • Network Development • Managed Care

10,000+

Description

• Responsible for creation of member contract documents, including Evidence of Coverage (EOC) and related documents • Performs or assists with regulatory filings seeking approval of products for the commercial markets • Conducts risk assessments, including impact to member contract documentation and downstream output • Monitors pending legislation and regulations affecting Centene's commercial product in high risk states • Serves as a Subject Matter Expert with in depth knowledge of health insurance products, procedures, and regulations • Develops and maintains assigned state member materials, including the Evidence of Coverage • Assists in developing junior employees and maintains/updates training materials • Creates, drafts, and revises filing documentation • Prepares member contract documents and performs quality assurance audits • Leads initiatives related to these activities • Develops and presents communications with alternative viewpoints • Builds persuasive arguments and secures cooperation of others • Determines the appropriate approach to problem solving • Communicates and assesses objections with cross-functional partners • Performs analysis of benchmark plan information • Conducts reviews of member-facing documentation drafted by other Departments • Responsible for redlining documents and maintaining version control • Maintains and update Policies and Procedures, Work Plans and any department training materials • Conducts research projects to review guidance on legal, contractual and regulatory requirements

Requirements

• Bachelor's Degree in Business, Communications, Pre-Law or related field or equivalent experience required • Master's Degree in a related field or Jurisprudence (JD) preferred • 3+ years regulatory experience including creation of regulatory documentation, policy analysis and product filings (CMS and/or State DOI) required • 3+ years experience in commercial health insurance or a highly regulated industry required • 3+ years experience drafting and auditing member contract documentation or related documents • Experience analyzing legislation and/or regulations and conveying findings • Understanding policy issues impacting the healthcare sector preferred

Benefits

• competitive pay • health insurance • 401K and stock purchase plans • tuition reimbursement • paid time off plus holidays • flexible approach to work with remote, hybrid, field or office work schedules