Senior Compliance Contract Specialist

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Health Plans, Inc.

WebsiteLinkedInAll Job Openings

201 - 500 employees

Founded 1981

⚕️ Healthcare Insurance

💳 Fintech

🤝 B2B

Healthcare Insurance • Fintech • B2B

Health Plans, Inc. (HPI) is a leading national third-party administrator (TPA) that specializes in self-funding solutions for employers and benefits brokers. HPI offers innovative health plan designs, including Consumer-Driven Health Plans (CDHP) and reference-based pricing, tailored to meet the unique needs of individual markets. With a commitment to providing advanced analytics and customized solutions, HPI aims to put employers in control of their healthcare costs while enhancing the member experience.

📋 Description

• Serve as a subject matter expert and strategic partner responsible for the end-to-end development, drafting, and management of client Administrative Services Agreements (ASAs) and related contract documents. • Exercise a high degree of independent judgment in ensuring that ASAs and related contract documents are issued in a timely and accurate fashion. • Collaborate closely with Compliance leadership and cross-functional partners to deliver high-quality, compliant, and scalable contract solutions. • Lead the end-to-end lifecycle of client contracts, including drafting, revision, execution, and ongoing management of ASAs. • Establish and maintain contract governance standards, ensuring consistency, compliance, and alignment with organizational objectives. • Mentor and provide guidance to less experienced team members. • Identify opportunities to improve operational efficiency, reduce cycle times, and strengthen compliance controls. • Provide guidance and consultative support to internal stakeholders on contract terms. • Partner with Client Services, Sales, Compliance, and other departments to resolve contract-related issues and ensure alignment on client deliverables. • Oversee tracking and reporting of ASA contract status, ensuring timely distribution of ASA contracts to internal stakeholders.

🎯 Requirements

• Bachelor’s Degree or equivalent experience • 5+ years of experience in contract management and/or compliance, preferably in a healthcare or employee benefits administration environment • Advanced knowledge of ASAs and related contractual frameworks • Strong understanding of federal and state regulatory requirements impacting self-funded health plans • Experience leading process improvement, standardization, or operational initiatives • Professional certifications in compliance, contracts, or legal disciplines (e.g., CHC, CRCM, JD) • Superior analytical skills • Outstanding oral and written communication skills • Strong organizational skills • Ability to prioritize and multi-task highly detailed work efficiently and effectively in a fast-paced environment • Ability to establish and maintain rapport and collaborate effectively with internal staff at all levels as well as with clients, brokers and regulatory agency contacts • Proficiency in Microsoft Office Suite (Word, Excel, Outlook, PowerPoint) • Experience with contract management systems and document tracking tools

🏖️ Benefits

• Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the duties and responsibilities of the position.