Full-Time

Mgr Contract Administration Operations

Posted on 2/22/2025

HCSC

HCSC

Health insurance provider in multiple states

Financial Services
Healthcare

Compensation Overview

$90.9k - $164.2kAnnually

+ Annual Incentive Bonus

Senior

Chicago, IL, USA + 1 more

More locations: Richardson, TX, USA

Category
Procurement & Sourcing
Quality Control & Compliance
Operations & Logistics
Required Skills
Customer Service

You match the following HCSC's candidate preferences

Employers are more likely to interview you if you match these preferences:

Degree
Experience
Requirements
  • Bachelor degree and 5 years health insurance contract operations experience OR Master degree with 2 years health insurance contact operations experience.
  • Knowledge of health products and procedures, underwriting requirements, contract and funding arrangements.
  • Analytical and reporting skills.
  • PC proficiency to include Microsoft Office Suite.
  • Project management skills.
  • Customer service experience and acumen.
  • Leadership skills.
  • Verbal and written communications skills to manage staff and operations, build relationships across the organization and with external key stakeholders, build consensus and issue resolution.
Responsibilities
  • Managing the unit responsible for the production of customer-specific documents for new/existing business in accordance with corporate guidelines, underwriting policy, benefit specifications, and statutory requirements.
  • Managing the performance, overall quality and resource allocation to support all product lines, including key sales support components of benefit selection through booklet delivery.
  • Overseeing the creation and maintenance of standard and custom booklets.
  • Implementing strategies, projects and initiatives.
Desired Qualifications
  • J. D. degree or 4 years experience in a leadership role with independent decision-making.
  • Knowledge of external adjudication processes.
  • Knowledge of large or national account contract specifications and processing systems.
  • Knowledge of corporate marketing practices, health insurance product lines and Par Plan operations.

HCSC provides health insurance services across five states: Illinois, Montana, New Mexico, Oklahoma, and Texas. The company offers a variety of health insurance plans designed for individuals, families, and businesses, ensuring that different healthcare needs are met. HCSC generates revenue through premiums paid by its members and focuses on delivering quality care while also investing in health and wellness programs. These programs aim to lower overall healthcare costs and enhance the health outcomes of its members. With nearly 100 years of experience in the industry, HCSC distinguishes itself from competitors by its commitment to compassion and a focus on innovative solutions that empower people to lead healthier lives.

Company Size

N/A

Company Stage

N/A

Total Funding

$511.7M

Headquarters

Chicago, Illinois

Founded

1936

Simplify Jobs

Simplify's Take

What believers are saying

  • HCSC's acquisition of Cigna's Medicare businesses expands its reach in the growing Medicare market.
  • The new Houston office will create job opportunities and drive economic growth in Texas.
  • HCSC's investment in Solera Health enhances digital health access and integration.

What critics are saying

  • Increased competition from digital health platforms could shift market dynamics and expectations.
  • The acquisition of Cigna's Medicare businesses may lead to regulatory scrutiny and integration challenges.
  • Opening a new office in Houston could result in increased operational costs and workforce management issues.

What makes HCSC unique

  • HCSC's nearly century-long experience establishes it as a trusted health insurance provider.
  • The company invests in wellness programs to reduce costs and improve member outcomes.
  • HCSC's community-first engagement model values local relationships and personalized care.

Help us improve and share your feedback! Did you find this helpful?

Benefits

Health Insurance

401(k) Retirement Plan

401(k) Company Match

Paid Vacation

Paid Holidays

Paid Parental Leave

Disability Insurance

Supplemental Life Insurance

Employee Assistance Program

Tuition Reimbursement

Professional Development Budget

Company News

Benzinga
Jan 14th, 2025
Solera Health Secures $40M for Expansion

Solera Health announced $40 million in new funding co-led by Health Care Service Corporation, Adams Street, Cobalt Ventures, and Horizon Mutual Holdings. The funding will expand Solera's HALO platform, including the HALO Cloud, to enhance digital health access and integration. John Santelli, former UHG CIO, becomes CEO. The investment supports Solera's mission to improve healthcare access and reduce costs. Recent achievements include product expansions and a strategic partnership with Aon.

HCSC
Nov 25th, 2024
Newsroom | News Releases

New Mexico is the third state where HCSC has launched the expanded Maternal and Infant Health Initiative.

HCSC
Aug 30th, 2024
Newsroom | Company News

Gen Z names HCSC a top company to work for.

PR Newswire
May 15th, 2024
Health Care Service Corporation Is Expanding In Texas

New Houston Office to Open in 2025CHICAGO, May 15, 2024 /PRNewswire/ -- Health Care Service Corporation is advancing its strategy to expand into neighborhoods where it can benefit from the skilled workforce in those communities and drive economic growth. The company has leased a 132,000 sq ft office building in Southwest Houston, Texas and will be creating opportunities to offer jobs in the local community.Health Care Service Corporation Is Expanding in Texas: New Houston Office to Open in 2025 Post this"We take a broad view of what it means to be healthy. Our commitment to expanding access to whole person health with compassion and innovation means that we consider the economic impact we make in our communities," said Opella Ernest, M.D., President, HCSC Markets. "As we grow our business, we are making intentional investments to create job opportunities that can benefit local residents and empower them to reinvest in the areas where they live."The new Houston location is at 8101 W. Sam Houston Parkway South. Buildout is expected to be completed as soon as January 2025.The new Houston site will be HCSC's latest expansion creating opportunities for individuals and businesses in the communities it serves

PR Newswire
Jan 31st, 2024
Hcsc Agrees To Acquire Medicare Businesses And Careallies From Cigna

Would expand company's capabilities and reach in growing Medicare marketCHICAGO, Jan. 31, 2024 /PRNewswire/ -- HCSC has signed a definitive agreement with The Cigna Group to acquire its Medicare Advantage, Medicare Supplemental Benefits, Medicare Part D and CareAllies businesses. The acquisition will benefit HCSC's current and future members by enhancing the company's capabilities and reach, particularly in the growing Medicare segment."At HCSC, we have a long history of making it possible for people to achieve their best health, and we continue to drive innovations and improvements in health care," said Maurice Smith, HCSC's CEO, President and Vice Chair. "The acquisition will bring many opportunities to HCSC and its members – including a wider range of product offerings, robust clinical programs and a larger geographic reach. It builds on our commitment to expand access to quality, affordable care for people in all phases of their lives. We look forward to welcoming new members who will benefit from our proven community-first member and provider engagement model that values local relationships