The customer is the center of all we do.
Premera is a leading health plan in the Pacific Northwest, providing comprehensive health benefits and tailored services to more than 2.8 million people, from individuals to Fortune 100 companies.
Premera is committed to improving customers’ lives by making healthcare work better.
The company offers innovative health and wellness solutions focused on quality outcomes for patients and controlling costs.
The Premera family of companies are based in Mountlake Terrace, Wash., and provide health, life, vision, dental, stop-loss, disability, workforce wellness and other related products and services.
Premera Blue Cross is an Independent Licensee of the Blue Cross Blue Shield Association serving businesses and residents of Alaska and Washington state, excluding Clark County.
Follow us on Twitter @premera and on Facebook at /premerabluecross!

Premera Blue Cross

Browse and apply for open jobs at Premera Blue Cross.

product-manager

Premera Blue Cross is an independent health insurance provider, serving businesses and residents of Washington State and Alaska as a licensee of the Blue Cross Blue Shield Association. The company offers a range of health plans including individual, family, employer-based, and Medicare Supplement plans. However, it has announced that it will exit the Medicare Advantage market as of January 1, 2025. Premera is committed to advancing health equity and community support, evident through its Social Impact Program focused on behavioral health and homelessness solutions in Washington and Alaska. Additionally, Premera complies with federal and state civil rights laws, offering language assistance services to ensure equitable care.

The customer is the center of all we do.

Premera is a leading health plan in the Pacific Northwest, providing comprehensive health benefits and tailored services to more than 2.8 million people, from individuals to Fortune 100 companies. Premera is committed to improving customers’ lives by making healthcare work better. 

The company offers innovative health and wellness solutions focused on quality outcomes for patients and controlling costs. The Premera family of companies are based in Mountlake Terrace, Wash., and provide health, life, vision, dental, stop-loss, disability, workforce wellness and other related products and services. 

Premera Blue Cross is an Independent Licensee of the Blue Cross Blue Shield Association serving businesses and residents of Alaska and Washington state, excluding Clark County. 

Follow us on Twitter @premera and on Facebook at /premerabluecross!

• Act as the Voice of the Customer to the Agile team.
• Understand the business and product strategies and represent them to the Agile team.
• Facilitate the relationship with the business partners and user community, bringing their voice to the Agile team.
• Demonstrates business and product expertise with deep domain knowledge.
• Act as a liaison with business stakeholders by planning, conducting and leading analysis efforts for new product implementations.
• Lead Agile team backlog refinement sessions to identify scope of work.
• Collaborate with the Manager of Product and other Product Owners to develop a roadmap of features and user stories.
• Collaborate with business partners, IT partners and Agile teams to develop clear and concise measurable outcomes and business value; Identify, define, write, and refine, business requirements in the form of features and user stories with clear acceptance criteria.
• Actively collaborate with the Agile team through solution design and development.
• Coordinate with other Product Owners to ensure alignment on solution, priorities, and dependencies.
• Manage user acceptance testing.
• Approve and accept business user stories, enablers, and tech debt product backlog items (PBIs).
• Facilitate product and release demo, taking accountability for feedback and outcomes.
• Clearly communicate release content and value to business partners and IT leadership.
• Prioritize issues and collaborate to make decisions required to resolve them weighing the pros/cons, risks, and dependencies.
• Leverage data to guide product strategy.
• May lead or guide user acceptance testing with end users.
• Build, own, maintain, prioritize, optimize, and sequence the integrated team (PBI) backlog in collaboration with Engineers and other stakeholders.
• Prioritize backlog of user stories in alignment with product roadmap.
• Collaborate with the Agile team on a regular cadence to refine the backlog.
• Collaborate with the Agile team to identify dependencies on other teams.
• Coordinate dependencies with other Product Owners in preparation for Program Increment Planning.
• Provide guidance in assessing product opportunities and risks and utilize KPIs and metrics to optimize product.
• Identify ways to improve processes and accelerate value to our customers.
• Identify ways to continually improve on quality standards.
• Identify opportunities to improve efficiency.
• Mentor more junior staff within the team.
• Perform other duties as assigned.

Product Owner

Product Owner III acting as a critical voice of the customer within Agile teams at Premera. Eliciting business requirements and driving innovation through clear communication and collaboration.

business-analyst

• Translate ambiguous business needs into solid business and functional requirements for small to large projects with moderate complexity utilizing AI.
• Assess and analyze existing business processes across departments to identify inefficiencies, bottlenecks and opportunities for automation or optimization using AI-driven solutions.
• Manage requirements across the lifecycle of a project to ensure end user satisfaction, business stakeholder buy-in, and scope integrity.
• Partner with business stakeholders to understand operational goals, pain points, and success metrics, translating business needs into AI-enabled process improvements.
• Partner with business unit and IT or other departments as needed to ensure successful implementation and ongoing business and / or systems support when appropriate.
• Design and recommend AI-based solutions, including workflow automation, predictive analytics, natural language processing, and decision-support tools, aligned with organizational strategy.
• Facilitate meetings and Joint Application Development (JAD) sessions in a positive way to drive cross-functional stakeholders to reach agreements and effective solutions. Meetings may include leadership.
• Conduct research and interviews subject matter experts to create "As-is" and "To-be" process flows.
• Apply critical thinking to evaluate cross functional dependencies, including upstream and downstream impacts.
• Develop business cases and ROI analyses for proposed AI initiatives, outlining cost, impact, risk, and implementation timelines.
• Create business facing test scenarios, test scripts/cases, and mockups of data necessary to conduct testing.
• Create the traceability between requirements and scenarios to ensure business requirements are met.
• May monitor and report on testing activity and results.
• Consult with others in the development of appropriate training materials to support the needs of functional areas.
• May provide support to other entry and junior level Business Analysts.
• May investigate and research system problems and enhancements, working collaboratively with IT and business stakeholders to identify options and provide business and / or technical solutions.
• Other duties as assigned.

Business Analyst III

Business Analyst III at Premera transforming complex business needs into AI-focused outcomes to streamline healthcare. The role involves collaboration across departments and delivery of impactful solutions.

call-center-representative

• Support the Director of Operations by assisting with planning and implementing high-impact initiatives.
• Support cross-functional coordination across OCLD, WFM, Quality, and BPO.
• Enhance communication through structured reporting and SharePoint management.
• Facilitate cross functional teams in designing business solutions.
• Interface with management to ensure quality and timeliness of projects.
• Collect data and provide analyses for broad array of issues across disciplines.

Internal Consultant IV, Contact Center Operations

Internal Consultant IV enhancing operations at Premera, a major healthcare provider. Collaborating on high-impact projects to improve services and efficiencies.

auditor

• Analyze medical claims data and associated documentation to ensure accurate and complete diagnostic risk capture.
• Document findings, including diagnosis changes and opportunities for documentation improvement, and recognize trends.
• Evaluate coding and documentation behavior, providing recommendations for provider improvement.
• Interpret and apply policy and coding standards (e.g., Coding Clinic) that impact financial and operational aspects of risk adjustment coding.
• Collaborate and communicate effectively with internal and external sources to deliver QA findings.

Medical Coding Auditor – Risk Adjustment

Medical Coding Auditor ensuring accuracy in diagnostic coding within healthcare records. Evaluating coding behavior and collaborating on quality assurance for healthcare providers.

The customer is the center of all we do. Premera is a leading health plan in the Pacific Northwest, providing comprehensive health benefits and tailored services to more than 2.8 million people, from individuals to Fortune 100 companies. Premera is committed to improving customers’ lives by making healthcare work better. The company offers innovative health and wellness solutions focused on quality outcomes for patients and controlling costs. The Premera family of companies are based in Mountlake Terrace, Wash., and provide health, life, vision, dental, stop-loss, disability, workforce wellness and other related products and services. Premera Blue Cross is an Independent Licensee of the Blue Cross Blue Shield Association serving businesses and residents of Alaska and Washington state, excluding Clark County. Follow us on Twitter @premera and on Facebook at /premerabluecross!

Premera Blue Cross

About the company

Open jobs

4 jobs found

Product Owner

Premera Blue Cross

Business Analyst III

Premera Blue Cross

Internal Consultant IV, Contact Center Operations

Premera Blue Cross

Medical Coding Auditor – Risk Adjustment

Premera Blue Cross