Senior Contracts Analyst - HIOS

What we need

The position of HIOS Contracts Analyst in the Contracts Development & Contracts Delivery team is an individual contributor that is accountable for the development and administration of the company’s health plan policies and account contracts in compliance with operational requirements and applicable health insurance laws and regulations. The HIOS Contracts Analyst will have a focused responsibility on completing the required submissions of corporate, product, and plan data annually through the Health Insurance Oversight System (HIOS) and the Rates and Benefits Information System (RBIS). The HIOS Contracts Analyst will also be responsible for coordinating all activities related to the mandated annual corporate DOI filings for the Merged Market, Qualified Health Plans (QHPs), and Qualified Dental Plans (QDPs). This position requires working with a cross-functional team of associates responsible for creating documents required for these filings.

The HIOS Contracts Analyst will:

• Ensure accurate and up-to-date plan design listings and corresponding plan identification information (such as plan status, HIOS numbers, AV tier, etc.) through the development and maintenance of the annual Standard Products Listing, annual Standard Products Tracking, annual OLB EOC Policy Form Table Updates, and Custom Products Tracking.
• Actively participate in the implementation of state and federal mandates (such as the Consolidated Appropriations Act under federal law), new products, product changes, and corporate initiatives by attending workgroup meetings, analyzing changes, documenting impacts, drafting new language, making updates to Product Master and BARS and representing the department on cross‑functional workgroups and/or working with team Managers on department sub-projects.
• Develop and implement new and revised policy forms and contracts for all product lines and financial arrangements as required to support state and federal legislation requirements, regulatory requirements and new plan offerings.
• Review and respond to nonstandard benefit requests to support sales and service processes/workflows; Actively support sales and service processes and workflows by analyzing benefit requests of all complexity levels and providing thorough, accurate, and timely responses.

This position is eligible for the Flex persona. 

Your Day to Day:

• Manage the federal Health Information Oversight System (HIOS) filing process on behalf of BCBSMA.  Attention to detail is needed throughout the filing process to obtain, maintain and process required corporate information, including product, enrollment and other requested data to ensure corporate regulatory compliance with quarterly and annual deadlines.
• Assess requirements for annual DOI filings for the Merged Market, Qualified Health Plans (QHPs), and Qualified Dental Plans (QDPs); Identify changes in the filing requirements, key deliverable dates, and impacted business areas.
• Assemble implementation team participants and facilitate implementation meetings; document identified issues and ensure resolution; and develop the corporate filing approach to submit to required regulatory agencies accurately and on time.

We’re Looking for:

• Collaborative, problem solving approach with an openness to change.
• Excellent written and oral communication skills; excellent analytical, research, and problem-solving skills.
• Ability to meet aggressive timelines; ability to understand corporate priorities, work to those goals and re-prioritize on a daily basis.
• Ability to analyze benefit structures from a variety of perspectives, including regulatory compliance, contracts structure and operational requirements, and business need and business risk.

What You Bring:

• 1-3+ years of experience in contract administration, including product development and implementation.
• Supervisory experience, or experience leading cross functional projects preferred.
• Bachelor degree level of education.

#LI-HYBRID

High school degree or equivalent required unless otherwise noted above

The job posting range is the lowest to highest salary we in good faith believe we would pay for this role at the time of this posting.  We may ultimately pay more or less than the posted range, and the range may be modified in the future.  An employee’s pay position within the salary range will be based on several factors including, but limited to, relevant education, qualifications, certifications, experience, skills, performance, shift, travel requirements, sales or revenue-based metrics, and business or organizational needs and affordability.

This job is also eligible for variable pay.

We offer comprehensive package of benefits including paid time off, medical/dental/vision insurance, 401(k), and a suite of well-being benefits to eligible employees.

Note:  No amount of pay is considered to be wages or compensation until such amount is earned, vested, and determinable. The amount and availability of any bonus, commission, or any other form of compensation that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law.

WHY Blue Cross Blue Shield of MA?

We understand that the confidence gap and imposter syndrome can  prevent  amazing candidates coming our way, so please don’t hesitate to apply. We’d love to hear from you. You might be just what we need for this role or possibly another one at Blue Cross Blue Shield of MA. The more voices we have represented and amplified in our business, the more we will all thrive, contribute, and be brilliant. We encourage you to bring us your true colors, , your perspectives, and your experiences. It’s in our differences that we will remain relentless in our pursuit to transform healthcare for ALL.

As an employer, we are committed to investing in your development and providing the necessary resources to enable your success. Learn how we are dedicated to creating an inclusive and rewarding workplace that promotes excellence and provides opportunities for employees to forge their unique career path by visiting our Company Culture page. If this sounds like something you’d like to be a part of, we’d love to hear from you. You can also join our Talent Community to stay “in the know” on all things Blue.

At Blue Cross Blue Shield of Massachusetts, we believe in wellness and that work/life balance is a key part of associate wellbeing. For more information on how we work and support that work/life balance visit our "How We Work" Page.