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Tundra Technical Solutions · 1 week ago

Contract & Compliance Specialist

United States

Contract

Remote

Mid Level

$20/hr - $30/hr

3+ years exp

Tundra Technical Solutions is seeking a Contract & Compliance Specialist to support contract compliance and product documentation initiatives within the insurance industry. This role focuses on annual portfolio updates and ensuring regulatory compliance for health insurance products.

EmploymentRecruitingStaffing Agency

Hiring Manager

Kasey Paxton SHRM-CP

Responsibilities

Support annual portfolio updates for commercial markets

Update and maintain benefit booklets and related materials (approximately 300 pages)

Execute system updates to cost shares

Update contract language, tables, and documentation within enterprise systems

Perform regression testing and User Acceptance Testing (UAT)

Review documents for accuracy, formatting, and regulatory compliance

Ensure alignment with Florida and federal health insurance legislation

Support development and maintenance of contract language and materials, including benefit booklets, schedules of benefits, endorsements, and custom/non-standard benefits

Translate business requirements and legislative mandates into compliant member-facing contract language

Review business requirements to determine material impacts, timelines, and risks

Update materials to support product lifecycle changes, new programs, services, and benefits

Create and deliver finalized forms, mockups, and redlines to contract fulfillment systems

Support auditing, system testing, and quality reviews of contract materials

Track progress to ensure deadlines, quality standards, and project objectives are met

Collaborate cross-functionally with Product, Legal, Pharmacy Programs, Sales, and other stakeholders

Maintain contract databases, libraries, and data integrity

Coordinate updates to enrollment forms and administrative guides

Identify discrepancies and partner with stakeholders to resolve issues

Support member and group mailings, form mapping, and address validation

Respond to internal requests from Legal, Sales, Grievance & Appeals, and other teams

Support regulatory exams, audits, and investigations with timely document retrieval

Maintain working knowledge of Individual <65 and Group products and applicable regulations

Provide guidance on contract-related questions and issues

Support training efforts related to contracts and products

Provide consultative input for sales partners and external administrators

Support SOP development and process improvement initiatives

Prepare contract materials for regulatory filings

Coordinate with Legal and Actuarial teams to ensure timely and accurate submissions

Support issue resolution to secure filing approvals

Qualification

Healthcare/health insurance experienceLegislationTesting expertise (UAT)Proficiency with Microsoft OfficeAnalytical skillsProject management experienceCRM systemsMedical terminologyCommunication skillsAttention to detailProblem-solving skillsCollaboration skillsTime-management abilitiesConfidentiality