Contract & Rate Analyst - Health Insurance

Do you have experience in the health or life insurance industry such as claims administration, underwriting, auditing, contracts, consumer services, or compliance? Do you have knowledge of insurance laws and regulations?  Are you able to communicate effectively in written and verbal form?  If you answered yes to these questions join our team as a Health Insurance Contract & Rate Analyst in the Health & Life Division of the Utah Insurance Department!
 
The Contract & Rate Analyst will primarily be tasked with reviewing health or life insurance contract filings. This is a great opportunity for individuals who are detail oriented and have a comprehensive knowledge of health insurance. Most of the contract review work is done independently with ample opportunities for collaboration with a larger team to discuss issues or policy questions as they arise. Organization skills as well as the ability to clearly communicate compliance issues with companies are integral to the position.
 
Principal Duties
 As a Contract & Rate Analyst for health insurance, you will:

• Advocate for health insurance consumers to ensure health insurance contracts contain required consumer protections.
• Review and analyze health insurance contracts to ensure compliance with federal and state laws.
• Effectively communicate with insurers regarding objections and recommendations identified during an analysis of a health insurance contract. 
• Negotiate compliant and reasonable solutions.

The Best Qualified Candidate
 The best-qualified candidate for this position will have:

• 3 or more years of experience in the health insurance industry including experience in:
  • insurance contract and product development;
  • claims administration; 
  • consumer services; or
  • conflict resolution.
• Knowledge of health insurance laws.
• Strong, well-rounded computer and writing skills.
• Ability to work both independently and within a team environment.
• Able to read, understand, apply, and explain federal and state laws.

Individuals with life insurance experience may also be considered.

Why You Should Join Our Team
This is an opportunity to make a difference in protecting Utah consumers by conducting a thorough review of insurance contracts for compliance with applicable laws. Employees of the Insurance Department enjoy a flexible work schedule to promote a healthy work/life balance, the satisfaction of serving the residents of our great state, and the chance to work from home up to 3 days a week. We offer great health benefits and retirement plans, along with generous paid time off.
 
The Agency
The Utah Insurance Department's mission is to foster a healthy insurance market by promoting fair and reasonable practices that ensure available, affordable and reliable insurance products and services. To learn more about the Insurance Department, click here.
 

• Risks found in the typical office setting, which is adequately lighted, heated and ventilated, e.g., safe use of office equipment, avoiding trips and falls, observing fire regulations, etc.
• Typically, the employee may sit comfortably to perform the work; however, there may be some walking; standing; bending; carrying light items; driving an automobile, etc. Special physical demands are not required to perform the work.
• If you are currently licensed with the Utah Insurance Department, your license will be suspended while you are employed by the Department. Your license can be reactivated once you are no longer employed by the Department.
• DHRM rules apply for promotions/transfers.

Salary : $24 - $38