Description

American Specialty Health Incorporated is seeking a Contracts Specialist I to join our Legal and Contracts (CON) department. This position will support the contract management department of the Company. Note: The individual in this position is not intended to practice law or provide legal advice. The individual in this position does not negotiate rates.

Responsibilities

• Assists in supporting Department and is accountable for all activities within assigned scope of authority. The specialist’s assigned scope of authority may focus on one or more lines of business and primarily includes, but is not limited to, the following:
• Prepares and manages standard and non-standard form contracts, agreements, amendments, and similar documents including, but not limited to:
• Employer agreements and related documents for new and existing business employer group contracts, group subscriber agreements and administrative/network agreements etc.
• Health plan agreements and related documents for new and existing business capitation and compensation service agreements, new administrative/network agreements, etc.
• Complex and new products agreements, amendments, and related documents.
• Agreements, amendments, and related documents for Health Management.
• Provider, practitioner, or fitness facility agreements and related documents.
• Vendor agreements.
• NDAs, LOIs, MOUs, RFPs.
• Agreements related to internal operations, i.e., related to Human Resources, Information Technology, etc.
• Serves as subject matter expert in a constantly evolving contracts environment.
• Drafting
• Reviews contract documents to issue spot and identify and suggest potential solutions.
• Drafts revisions of various standard form contracts, agreements, and amendments, including but not limited to, group agreements, health plan agreements, and member materials.
• Prepares non-standard modifications to reflect negotiated changes, within parameters approved by manager or above.
• Drafts revisions to standard template form agreements.
• Management and Negotiation
• Acquires and maintains appropriate documentation regarding current and terminated agreements in a constantly evolving contracts environment.
• With supervision, identifies the need for revisions of various standard form contracts, agreements, and amendments, including but not limited to, group agreements, health plan agreements, and member materials assigned by manager.
• With supervision, identifies non-standard modifications that need to be drafted in order to reflect negotiated changes.
• Drafts correspondence for internal clients, vendors and other parties related to agreements and/or negotiations.
• Drafts correspondence for use with external clients, vendors and other external parties related to agreements and/or negotiations.
• Works with Regulatory Compliance, Privacy, and IT Security Departments to a) ensure regulatory requirements, privacy and security provisions are included in agreements and amendments for particular contracts or jurisdictions, as applicable; and b) provide contract information and support needed for compliance activities.
• With supervision, negotiates contracts, agreements and amendments with external clients, vendors, and the like within Department-approved parameters.
• Maintains contracts and agreements library of executed agreements, using authorized and appropriate tools.
• Timely informs manager and above of urgent issues.
• Supports administrative functions of Department.
• Provides manager and above with periodic contract status updates regarding client assignments.
• Manages client timeframe expectations and escalates concerns regarding ability to meet client timeframe expectations to manager.
• Interacts positively with other departments and external contacts as needed.
• Represents Company in an ethical, professional, and positive manner.
• Maintains all information and material received from employer, ASH Legal and outside counsel during employment on a strictly confidential basis and in accordance with Company policies and procedures. The sharing of any information is strictly forbidden under any circumstances with any non-employee of the company.
• Maintains and learns computer and system skills necessary to perform job functions.
• Assists with process management including but not limited to tracking and filing.
• Photocopies, files, and faxes as needed to support job responsibilities.

Qualifications

• Bachelor’s degree in English, History, Political Science, Paralegal certificate, or equivalent experience. Master’s degree in Health Care Administration, Legal degree preferred. If equivalent experience, high school diploma required.
• Minimum 1 year experience in contract development and an emphasis in contract language negotiation and document management.
• Internal Company experience and in depth understanding of Company systems, policies and procedures preferred.
• Experience with health insurance contracts, managed health care, and/or working with health plans and employer groups preferred. Equivalent experience in a regulated industry may be considered.
• Proven experience in reviewing contract documents to issue spot and identify and suggest potential solutions.
• Proficient in MS Office (Word, Outlook, Excel). Proficient in PowerPoint and SharePoint preferred.
• Knowledge of Health Care Regulations and/or vendor contracting preferred.
• Strong verbal communication skills.
• Excellent research skills.
• Strong analytical and expert writing skills.
• Ability to work as an individual and as part of a team.
• Demonstrated ability to issue spot and problem solve, and to assist with identifying and developing effective solutions.

Core Competencies

• Demonstrated ability to interact in a positive, respectful manner and establish and maintain cooperative working relationships.
• Ability to display excellent customer service to meet the needs and expectations of both internal and external customers.
• Excellent listening and interpersonal communication skills to identify critical core competencies based on success factors and organizational environment.
• Ability to effectively organize, prioritize, multi-task and manage time.
• Demonstrated accuracy and productivity in a changing environment with constant interruptions.
• Demonstrated ability to analyze information, problems, issues, situations, and procedures to develop effective solutions.
• Ability to exercise strict confidentiality in all matters.

Mobility

Primarily sedentary, able to sit for long periods of time.

Physical Requirements

Ability to speak, see and hear other personnel and/or objects. Ability to communicate both in verbal and written form. Capable of using a telephone and computer keyboard. Ability to lift up to 10 lbs.

Environmental Conditions

Work-from-home (WFH) environment.

American Specialty Health is an Equal Opportunity/Affirmative Action Employer.

All qualified applicants will receive consideration for employment without regard to sex (including pregnancy, childbirth, related medical conditions, breastfeeding, and reproductive health decision-making), gender, gender identity, gender expression, race, color, religion (including religious dress and grooming practices), creed, national origin, citizenship, ancestry, physical or mental disability, legally-protected medical condition, marital status, age, sexual orientation, genetic information, military or veteran status, political affiliation, or any other basis protected by applicable local, federal or state law.

Please view Equal Employment Opportunity Posters provided by OFCCP here.

If you are a qualified individual with a disability or a disabled veteran, you have the right to request an accommodation if you are unable or limited in your ability to use or access our career center as a result of your disability. To request an accommodation, contact our Human Resources Department at (800) 848-3555 x6702.

ASH will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the Company’s legal duty to furnish information.

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