Contract Specialist V - ASO Compliance
Florida Blue · United States
- Hybrid
- Full-time
- $97,000 / year
- United States
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Job highlights
- Lead contract development for ASO business.
- Ensure compliance with regulations and legislation.
- Collaborate with legal, sales, and business partners.
- Manage contract databases and operational support.
- Provide ASO contract advisory and training.
About the role
Contract Specialist V - ASO Compliance
Florida Blue is seeking a dedicated Contract Specialist to lead the development and maintenance of contract language and materials for its self-insured (ASO) business. This role is crucial for supporting projects and initiatives, ensuring accuracy and timeliness in contract development according to compliance and business requirements. The ideal candidate will possess a strong understanding of contract and business principles to collaborate effectively with stakeholders and achieve Commercial Markets ASO Group Sales and Enterprise objectives.
What You Will Be Doing
Contract Language and Materials Development
- Leads the development and maintenance of contract language and materials, including Administrative Services Agreements, exhibits, amendments, renewals, and templates for Florida Blue's ASO business.
- Reviews and evaluates business requirements to assess contract material impacts, forecast timelines, and identify potential issues.
- Collaborates closely with ASO business leads and stakeholders to clearly define business needs and deliverables.
- Translates business requirements and legislative mandates into legally-compliant ASO contract language and materials, working with Sales, Legal, Segment, and ASO Partner Platform teams.
- Interprets and ensures adherence to all legislative, regulatory, and BCBSA Inter-Plan Program requirements within the health insurance market.
- Creates and manages finalized forms (static and variable) and redlines, and supports auditing or system testing of contract materials.
- Applies project management processes to ensure timely delivery of project deliverables and initiatives that meet high quality standards and customer expectations.
- Communicates and collaborates effectively with cross-enterprise business areas such as Legal, Sales, Segment, and ASO Partner Platforms throughout the contract development and review process to meet all compliance, regulatory, and project deadlines.
Enterprise & Business Operational Support
- Leads and/or supports the organization, maintenance, and data integrity of contract databases and libraries.
- Identifies potential issues or discrepancies, provides feedback, and works with peers, Legal, Sales, Segment, and ASO Partner Platforms to implement solutions.
- Researches and consults on requests from internal business partners, including Legal, Sales, and Segment.
- Ensures timely retrieval and dissemination of contract language and materials for regulatory examinations, audits, and investigations.
ASO Contract Advisor
- Maintains in-depth knowledge of ASO Group dynamics, including state and federal legislative and regulatory requirements.
- Provides guidance to peers and business partners on contract-related questions and issues.
- Offers or supports contract training for employees or contractors.
- Leads or supports the development and maintenance of departmental policies and procedures (e.g., SOPs).
- Identifies and implements process improvements to enhance overall process efficiency and effectiveness.
- Participates in cross-functional workgroups to assess legislative and regulatory topics impacting the health insurance industry.
- Reviews, analyzes, and provides feedback to Legal, Sales, Segment, and other key stakeholders on proposed laws and regulations to ensure impacts are understood and risks are mitigated.
What We Require
- 5+ years of related work experience, with 3+ years in contract compliance or administration.
- Related Bachelor’s degree or equivalent work experience.
- Strong understanding of the healthcare industry, especially legislative and regulatory impacts.
- Strong project management skills, with experience leading projects.
- Experience in a dynamic team environment with shifting priorities and high work volumes.
- Ability to delegate tasks and coordinate multiple deliverables.
- Effective communication skills with internal and external business partners.
- Experience in defining and resolving complex issues using strong problem-solving skills.
- Knowledge of PC office software, including SharePoint and MS Office applications (Word, Excel, PowerPoint).
- Ability to accurately scope/size projects and lead integration planning with business stakeholders.
- Flexibility to handle multiple priorities within strict deadlines.
- Established strong, positive relationships with Legal and Corporate business partners.
- Strong attention to detail, particularly in written communication (grammar, spelling, proofreading, punctuation).
- Self-motivated with the ability to work independently with minimal direction.
What We Prefer
- Strong understanding of the ASO Group segment.
- Paralegal experience with healthcare law.
General Physical Demands
Exerting up to 10 pounds of force occasionally to move objects. Jobs are sedentary if traversing activities are required only occasionally.
What We Offer
At Florida Blue, you will be part of GuideWell’s vision to transform health through compassionate, connected, and technology-enabled care. We offer comprehensive benefits designed to support your wellbeing, including medical, dental, vision, life, and global travel health insurance, income protection benefits, leave programs, and a retirement savings plan with employer match. You will also enjoy paid time off, volunteer time off, 10 holidays, and 2 well-being days. Additional voluntary benefits and a comprehensive wellness program are available. Employee benefits are designed to align with federal and state employment laws and may vary by state. Benefits for intern, part-time, and seasonal employees may differ.
We support your financial wellbeing with competitive pay, opportunities for incentive or commission compensation, and regular annual reviews with pay-for-performance considerations for base pay increases. The annualized hiring range is $77,600 - $97,000, with an annualized salary range of $77,600 - $126,100. Final pay is determined by market competitiveness, internal equity, and your job-related knowledge, skills, training, and experience. We are committed to fostering an inclusive work experience where everyone feels valued and can perform at their best.
Key skills/competency
- Contract Development
- ASO Compliance
- Healthcare Industry
- Legislative and Regulatory Compliance
- Project Management
- Contract Databases
- Business Requirements Analysis
- Stakeholder Collaboration
- Legal Interpretation
- Process Improvement
Skills & topics
- Contract Specialist
- ASO Compliance
- Contract Development
- Healthcare Contracts
- Regulatory Compliance
- Florida Blue
- Legal Contracts
- Administrative Services Agreements
- Health Insurance
- Contract Management
How to get hired
- Tailor your resume: Highlight your 5+ years of experience, emphasizing contract compliance, administration, and healthcare industry knowledge, especially legislative and regulatory impacts.
- Showcase project management skills: Detail your experience leading projects, managing multiple deliverables, and working effectively in dynamic team environments with shifting priorities.
- Demonstrate problem-solving abilities: Provide examples of how you've defined and resolved complex issues, utilizing strong analytical and problem-solving skills.
- Emphasize attention to detail: Use your resume and cover letter to showcase exceptional attention to detail in written communication, grammar, spelling, and punctuation.
- Highlight stakeholder collaboration: Illustrate your ability to build and maintain strong relationships with internal and external business partners, including Legal and Corporate teams.
Technical preparation
Review healthcare regulations (ACA, HIPAA).,Study BCBSA Inter-Plan Program requirements.,Practice drafting contract clauses and exhibits.,Familiarize with SharePoint and MS Office.
Behavioral questions
Describe a complex contract issue you resolved.,How do you manage shifting priorities and deadlines?,Provide an example of stakeholder collaboration.,How do you ensure attention to detail in your work?
Frequently asked questions
- What is the primary focus of the Contract Specialist V role at Florida Blue?
- The Contract Specialist V role at Florida Blue is primarily focused on leading the development and maintenance of contract language and materials for the company's self-insured (ASO) business, ensuring compliance with all relevant regulations and business requirements.
- What are the minimum qualifications for the Contract Specialist position?
- To be considered for the Contract Specialist position, candidates need at least 5 years of related work experience, including 3+ years in contract compliance or administration. A Bachelor's degree in a related field or equivalent work experience is also required.
- What type of contract materials will a Contract Specialist develop at Florida Blue?
- A Contract Specialist will develop and maintain various contract materials, including Administrative Services Agreements, standard and non-standard contract exhibits, amendments/renewals, and contract templates to support Florida Blue's ASO business initiatives.
- How does Florida Blue support employee wellbeing and financial health?
- Florida Blue offers comprehensive benefits such as medical, dental, vision, and life insurance, income protection, retirement savings plans with employer match, paid time off, and wellness programs. They also provide competitive pay with opportunities for incentive compensation and regular performance reviews.
- What is the typical work environment for a Contract Specialist at Florida Blue?
- The role is described as working within a dynamic team environment where shifting priorities and high work volumes are common. The job is generally sedentary, with minimal physical demands.
- How does Florida Blue ensure compliance in contract development?
- Florida Blue ensures compliance by having Contract Specialists interpret and adhere to all legislative, regulatory, and BCBSA Inter-Plan Program requirements. They also work closely with Legal and other stakeholders to translate business needs and mandates into legally-compliant contract language.
- What does 'ASO business' refer to in the Contract Specialist role?
- ASO stands for Administrative Services Only. In the context of this role, it refers to Florida Blue's self-insured business where they provide administrative services for employer-sponsored health plans rather than assuming the financial risk of the insurance itself.
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