Perform enrollment activities and complex financial reconciliation analysis across multiple system platforms. Identify process improvements and conduct root cause analysis within an agile work environment.
Premera Blue Cross
7 Remote Job Openings at Premera Blue Cross
Lead the development of persuasive RFP, RFI, and consultant survey responses for mid-market healthcare opportunities. Collaborate with cross-functional subject matter experts to transform complex data into compelling narratives that drive business growth.
Lead clinical and support teams overseeing utilization management operations for the Federal Employee Program. Develop clinical review strategies, manage department budgets, and drive outcomes related to quality and member experience.
Enrollment Oversight & Quality Specialist
Premera Blue Cross
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Full Time
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8 days ago
Premera Blue Cross
Perform complex enrollment, eligibility, and billing reconciliation while ensuring compliance with state and federal regulations. Conduct performance audits and collaborate with strategic partners to implement process improvements and resolve technical system issues.
Responsible for the maintenance, administration, and support of Finance Systems, specifically serving as a subject matter expert for Workday Financials. The role involves streamlining workflows, managing system upgrades, and collaborating cross-functionally to solve complex finance process needs.
Analyze business functions and processes to provide system specifications and solution recommendations within an Agile delivery team. Act as a liaison between business stakeholders and IT to document requirements as epics, features, and user stories.
Enterprise AI & Data Governance Analyst II
Premera Blue Cross
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Full Time
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9 months ago
Premera Blue Cross
The Enterprise AI & Data Governance Analyst II will support the organization through AI & Data Governance policy creation, implementation, compliance monitoring, data lifecycle management, and reporting. This role involves collaborating with cross-functional teams to ensure adherence to governance policies and procedures while proactively identifying risks and opportunities.
