Job Description
- Participate in the coordination of internal review of new and revised documents.
- Review health insurance contracts, policies, and related documents to ensure compliance with existing state and federal law and regulations.
- Coordinate, prepare, and submit health insurance contracts, policies, and related documents to the respective state regulators.
- Coordinate form and binder filing objections, from respective state regulators, with internal departments and submit responses within the required timeline.
- Collaborate with internal departments to collect and submit templates along with supporting documentation for filing Qualified Health Plan binder filings to the respective regulatory authorities.
- Assist other departments with the implementation of health insurance contracts, policies, and related documents.
- Maintain records of contracts, policies, and related documents filed with the respective state regulators.
- Participate in the review of negotiated contracts, policies, and related documents that do not require filing with respective state regulators.
- Coordinate activities with internal departments to ensure proper and timely filing of contracts, policies, and related documents to ensure timely approval for all commercial products.
- Participate in reviewing interpretation of contract and policy language with related insurance regulations language.
- Participate in committees or projects when knowledge, skills, and experience may be useful to the committee’s purpose.
- Create policies and procedures, job aids and other appropriate documentation to perform essential job functions.
- Supporting Responsibilities:
- Provide assistance to Management and other internal departments as required for efficient functioning of the department.
- Meet department and company performance and attendance expectations.
- Follow the PacificSource privacy policy and HIPAA laws and regulations concerning confidentiality and security of protected health information.
- Perform other duties as assigned.
Company Profile:
Salary: Not disclosed
Industry: food processing / FMCG
Functional Area: Business development
Role Category: Others
Employment Type: Full time
Keyskills
