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Provider Network Executive II
- Premera Blue Cross (Mountlake Terrace, WA)
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Workforce Classification:
Telecommuter
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 are fostering a culture that emphasizes employee growth, collaborative innovation, and inspired leadership. We are dedicated to creating an environment where employees can excel and where top talent is attracted, retained, and thrives. As a testament to these efforts, Premera has been recognized on the 2025 America's Dream Employers (https://www.forbes.com/lists/americas-dream-employers/) list. Newsweek honored Premera as one of America's Greatest Workplaces (https://www.newsweek.com/rankings/americas-greatest-workplaces-2024) , America's Greatest Workplaces for Inclusion (https://rankings.newsweek.com/americas-greatest-workplaces-diversity-2025) , and America's Greatest Workplaces For Mental Well-Being (https://rankings.newsweek.com/americas-greatest-workplaces-for-mental-well-being-2025) , Forbes ranked Premera among America’s Best Midsize Employers (https://www.forbes.com/lists/best-midsize-employers/?sh=58210f5e210f) for the fourth time.
Learn how Premera supports our members, customers and the communities that we serve through our Healthsource blog: https://healthsource.premera.com/ .
_About the role of Provider Network Executive II_
The **_Provider Network Executive (PNE II)_** develops and maintains effective relationships with Premera’s providers in the Alaska market to achieve Premera’s operational and strategic goals, product development strategies, and continuity of Premera’s vision and values. In this role, the **_PNE II_** operates in a complex environment, negotiating standard and non-standard agreements, and manages the ongoing provider relationships with an eye on meeting our commitment to reducing the total cost of care.
_What you’ll do_
+ Serve as the main point of contact for the provider and coordinate all Premera interactions with assigned provider accounts.
+ Build and maintain positive physician/provider account relationships. Utilize consultative skills, industry knowledge, and Premera product knowledge to foster a collaborative approach to quality care, network stability and cost containment.
+ Develop and maintain effective standard provider networks with standard fee schedules, monitoring the adequacy of those networks under the guidance of management.
+ Lead negotiation and implementation of standard provider agreements.
+ Consult and educate assigned accounts, provide industry and cross account expertise, train on Premera tools/resources, and participate in provider specific and public presentations.
+ Proactively communicate with Provider Strategy & Solutions (PS&S) leadership and internal stakeholders on account status to facilitate proper internal support of account management efforts to ensure that the resulting final contract supports Premera's operational and strategic goals.
+ Engage providers to promote the concept and understanding of patient engagement adherence and cost savings preventative programs.
+ Collaborate with Healthcare Economics (HCE) in rate development and proposal analysis.
+ Other duties and projects as assigned.
_What you’ll bring_
+ Bachelor’s degree or four (4) years of experience in a provider or payer environment. (Required)
+ Two (2) years of experience in managing provider relationships in the health care or insurance industry. (Required)
+ Project management experience. (Preferred)
+ Knowledge of regulatory issues such as Health Insurance Portability and Accountability Act (HIPAA) and Patient Bill of Rights (PBR).
+ Knowledge of network development and provider/vendor recruitment.
+ Knowledge of provider community and market anomalies.
+ Demonstrated ability to effectively manage standard rate and language contract negotiations.
+ Familiarity with contracting terminology.
+ Demonstrated ability to develop and execute strategy.
+ Self-motivated with ability to lead with minimal direction.
+ Successful verbal and written communication skills with the demonstrated ability to develop presentations, speak in public, make group presentations, and conduct training.
+ Demonstrated analytical skills and problem-solving skills.
+ Proven ability to lead small teams.
+ Strong organizational, planning and administrative skills.
+ Ability to work under pressure with limited resources, competing priorities and managing specific project timelines.
Working Environment:
+ Work is performed within a normal office environment with ambient temperatures.
+ Ability to travel; overnight as required.
+ Ability to attend scheduled meetings at providers’ offices.
Physical Requirements:
+ The following have been identified as essential physical requirements of this job and must be performed with or without an accommodation:This is primarily a sedentary role which requires the ability to exert up to 10 lbs. of force occasionally and/or a negligible amount of force frequently or constantly to lift, carry, push, pull, or otherwise move objects, including the human body. This role requires the ability to keyboard and to communicate clearly and understandably in person and over the telephone.
Premera total rewards
Our comprehensive total rewards package provides support, resources, and opportunities to help employees thrive and grow. Our total rewards are more than a collection of perks, they're a reflection of our commitment to your health and well-being. We offer a broad array of rewards including physical, financial, emotional, and community benefits, including:
+ Medical, vision, and dental coverage with low employee premiums.
+ Voluntary benefit offerings, including pet insurance for paw parents.
+ Life and disability insurance.
+ Retirement programs, including a 401K employer match and, believe it or not, a pension plan that is vested after 3 years of service.
+ Wellness incentives with a wide range of mental well-being resources for you and your dependents, including counseling services, stress management programs, and mindfulness programs, just to name a few.
+ Generous paid time off to reenergize.
+ Looking for continuing education? We have tuition assistance for both undergraduate and graduate degrees.
+ Employee recognition program to celebrate anniversaries, team accomplishments, and more.
For our hybrid employees, our on-campus model provides flexibility to create your own routine with access to on-site resources, networking opportunities, and team engagement.
+ Commuter perks make your trip to work less impactful on the environment and your wallet.
+ Free convenient on-site parking.
+ Subsidized on-campus cafes make lunchtime connections with colleagues fun and affordable.
+ Participate in engaging on-site activities such as health and wellness events, coffee connects, disaster preparedness fairs and more.
+ Our complementary fitness & well-being center offers both in-person and virtual workouts and nutritional counseling.
+ Need a brain break? Challenge someone to a game of shuffleboard or ping pong while on campus.
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 [email protected] 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.
The salary range for this role is posted below; we generally target up to and around the midpoint of the range.
National Salary Range:
$78,000.00 - $111,200.00
National Plus Salary Range:
$78,000.00 - $126,800.00
_*National Plus salary range is used in higher cost of labor markets including Western Washington and Alaska_ _._
We’re happy to discuss compensation further during the interview because we believe that open communication leads to better outcomes for all. We’re committed to creating an environment where all employees are celebrated for their unique skills and contributions.
At Premera, we make healthcare work better. By focusing on improving our customers’ experience purposefully and serving their needs passionately, we make the process easier, less costly, and more positive. Through empathy and advocacy, we change lives.
As the leading health plan in the Pacific Northwest, we provide comprehensive health benefits and services to more than 2 million customers, from individuals to Fortune 100 companies. Our services include innovative programs focused on health management, wellness, prevention, and patient safety. We deliver these programs through health, life, vision, dental, disability, and other related products and services.
Premera Blue Cross is headquartered in Mountlake Terrace, WA, with operations in Spokane and Anchorage. The company has operated in Washington since 1933 and in Alaska since 1952. With more than 80 years of experience in the region, we deliver innovation, choice, and expertise.
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Provider Network Executive II
- Premera Blue Cross (Mountlake Terrace, WA)