What are the responsibilities and job description for the Director of Quality Risk and Management position at Premera Blue Cross?
Our purpose is to improve customers' lives by making healthcare work better. This means driving real change by transforming healthcare.
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.
We were honored by Newsweek as one of America's Greatest Workplaces, America's Greatest Workplaces for Inclusion, and America's Greatest Workplaces For Mental Well-Being. Forbes ranked us among America's Best Midsize Employers.
We seek an experienced and dynamic Claims Operations Director to join our team and oversee our claims management organization. This position offers an exceptional opportunity to contribute to a forward-thinking health insurance organization, where your expertise will play a crucial role in enhancing the quality and efficiency of our claims processes.
Key Responsibilities:
- Lead a strong claims team, drive strategic initiatives and vendor partnerships
- Create collaborative partnerships with Product and Technology teams to deliver optimized operational workflows
- Provide transparency and visibility to progress, risks, and mitigations
- Work collaboratively with staff throughout the enterprise to improve efficiency, enhance capabilities, and improve performance
- Prepare and manage the department's operating budget
- Establish governance and utilization of Artificial Intelligence within operational processes
- Anticipate the impact of the changing business environment and make timely pivots to achieve enterprise objectives
Culture:
We promote a culture of continuous improvement, where employees discover areas for process improvement and efficiency enhancements.
Total Rewards Package:
Our comprehensive total rewards package provides support, resources, and opportunities to help employees thrive and grow. Our total rewards include physical, financial, emotional, and community benefits, such as medical, vision, and dental coverage, life and disability insurance, retirement programs, wellness incentives, and tuition assistance.
Diversity and Inclusion:
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.
