Join Our Team: Do Meaningful Work and Improve People’s Lives

Our purpose, to improve customers’ lives by making healthcare work better, is far from ordinary. And so are our employees. Working at Premera means you have the opportunity to drive real change by transforming healthcare.

To better serve our customers, we’re creating a culture that promotes employee growth, collaborative innovation, and inspired leadership. We are committed to creating an environment where employees can do their best work and where best-in-class talent comes, stays, and thrives! As a result of these efforts we are proud to share that Forbes ranked Premera among America’s 2023 Best Midsize Employers and America's 2023 Best Employers By State.

Learn how Premera supports our members, customers and the communities that we serve through our Healthsource blog: https://healthsource.premera.com.

As the Manager GSU (Group Set-up) & Product Configuration, you will play a critical role in helping Premera achieve a differentiated and competitive advantage in the marketplace. Leadership in this role focuses on excellence in accurate and timely configuration and efficient administration of benefit products and group set up. This role is essential to achieving key operational service levels and performance indicators, as well as driving continuous improvement across the entire operational value chain. The position must balance business process and customer needs, providing consultative support to senior management across the organization to assess feasibility of strategic direction, identify configuration risks, and provide recommendations and alternatives to support the strategies.

This is a virtual/telecommuter position working from home. However, you will be expected to align with Pacific standard working hours.

What you’ll do:

• Interview, hire, and coach staff, providing professional development opportunities through work assignments, special projects, further education, and feedback, and provide appropriate and timely performance feedback to staff both informally and during formal review processes; review and recommend merit, promotion, and equity pay increases.

• Responsible for the day-to-day operations for product and benefit configuration and group set up, which could include large and highly complex accounts, offshore team management, or interfacing with large third parties to consistently achieve or exceed all performance measures.

• Manage configuration and downstream impacts to ensure the quality of functional components and integrity of data to support all company targets and limit Premera's financial, reputational, and regulatory risk.

• Support product and group set up activities to ensure groups are set up accurately and within targeted timelines that meet the BCBSA metrics and customer expectations.

• Provide thought leadership and direction to senior management and key employer groups on configuration related activities to support implementation of new requirements.

• Work collaboratively with Product Strategy and Development department, Sales, Sales Operations, and the IT teams to ensure accurate and timely product implementation.

• Collaborate with IT Product Management and other teams to provide input on use cases, business value, outcome, and priority of technology requests and initiatives.

• Ensure that ongoing configuration and maintenance is performed timely and accurately in compliance with all corporate policies, Model Audit Rules, and SAE-16 Audits; responsible for timely review and approval of corporate policies that have system impacts or dependencies.

• Use monthly forecasting and planning for all areas of responsibility (budget for multiple cost centers, staffing, projects/mandates). Decisions are made with a high level of independence.

• Anticipate the impact of the changing business environment and ensure assigned work areas, work assignments, and processes are adjusted as necessary.

• As part of this role, you may be assigned internal controls derived from Premera’s internal controls framework; you will be accountable for understanding the controls assigned to you, their impacts on Premera, and to ensure that they are operating effectively.

What you’ll bring:

• Bachelor's Degree or (4) years of work experience. (Required)

• (5) years of people management experience. (Required)

• (5) years of operations or healthcare system configuration and implementation experience​. (Required)

• TriZetto Facets software experience preferred.

• Experience/knowledge of high volume, automated operational business practices; demonstrated process improvements gained through automation/technology.

• Demonstrated experience in Continuous Process Improvement (e.g., Lean or Six Sigma).

• Experience in setting goals for a production environment.

• Demonstrated expertise managing multifunctional remote teams in multiple locations including offshore.

• Experience providing and implementing innovative solutions and recommendations.

• Ability to effectively and professionally communicate and influence others through strong verbal and written communication and presentation skills, within and outside of the department and at all levels of the organization.

• Excellent analytical and research skills with the ability to conduct and interpret quantitative/qualitative analysis.

• Ability to effectively lead large, functionally complex teams to successful achievement of corporate initiatives.

• Demonstrated ability to implement and successfully lead teams though change using quality improvement and process redesign principles.

• Strong decision making and problem-solving skills. Ability to take calculated risks and challenge the status quo to develop innovative solutions that meet the business objectives and customer expectations.

• Ability to lead large cross functional projects/workgroups with the responsibility to make decisions.

• Outstanding interpersonal skills leadership/organizational credibility and ability to level up when required.

• History of taking accountability for own work and results, including confronting tough issues and situations.

What we offer

• Medical, vision and dental coverage
• Life and disability insurance
• Retirement programs (401K employer match and pension plan)
• Wellness incentives, onsite services, a discount program and more
• Tuition assistance for undergraduate and graduate degrees
• Generous Paid Time Off to reenergize
• Free parking

Equal employment opportunity/affirmative action:

Premera is an equal opportunity/affirmative action employer. Premera seeks to attract and retain the most qualified individuals without regard to race, color, religion, sex, national origin, age, disability, marital status, veteran status, gender or gender identity, sexual orientation, genetic information or any other protected characteristic under applicable law.

If you need an accommodation to apply online for positions at Premera, please contact Premera Human Resources via email at careers@premera.com or via phone at 425-918-4785.

Premera is hiring in the following states, with some limitations based on role or city: Alaska, Arizona, Arkansas, California, Colorado, Florida, Georgia, Idaho, Iowa, Kansas, Kentucky, Maine, Michigan, Minnesota, Missouri, Montana, Nevada, New Hampshire, New Mexico, North Carolina, Oklahoma, Oregon, South Carolina, South Dakota, Tennessee, Texas, Utah, Washington, Wisconsin.

The pay for this role will vary based on a range of factors including, but not limited to, a candidate’s geographic location, market conditions, and specific skills and experience.

National Salary Range:

National Plus Salary Range:

*National Plus salary range is used in higher cost of labor markets including Western Washington and Alaska.