Member Contract Development Analyst
December 4
Description
• Responsible for creation of member contract documents, including Evidence of Coverage (EOC) and related documents, for commercial products for high risk states. • Independently performs regulatory and operational research related to EOC and benefit development. • Conducts risk assessments, including impact to member contract documentation and downstream output. • Analyzes pending legislation and regulations affecting Centene’s commercial product related to member materials. • Performs detailed language analysis of the Ambetter/Commercial Evidence of Coverage (EOC) to ensure quality control and compliance.
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
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