Provider Network Executive III

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 Provider Network Executive III, you will develop and maintains effective relationships with strategic or core provider accounts, generally custom or complex in nature, to achieve Premera’s operational and strategic goals, product development strategies, and continuity of Premera’s vision and values. This position negotiates standard to complex agreements, often with innovative funding arrangements, and manages ongoing provider relationships.

This will be a virtual/telecommuter position, working from home, but you will be expected to align with working hours in the Pacific Time Zone.

What you’ll do:

• Develop and execute ongoing account management and service strategy to meet corporate strategic / financial objectives.
• Serve as main point of contact for the provider and coordinate all Premera interactions with assigned provider accounts.
• Build and maintain positive physician/provider relationships, generally with more complex accounts. Utilize consultative skills, industry knowledge, and Premera product knowledge to foster a collaborative approach to quality care, network stability and cost containment. Monitor and analyze network performance.
• Develop and maintain effective provider networks (standard and custom), often with complex payment methodologies. Participate in payment and delivery systems innovation initiatives.
• Lead negotiation and implementation of complex or custom provider contracts.
• Complete negotiations within preplanned rate targets, meet timelines, ensure the established implementation period and perform implementation audits for accuracy of assigned accounts.
• Collaborate with Healthcare Economics in rate development and proposal analysis.
• Establish and lead a multi-disciplinary team to provide operationally excellent service and support to assigned accounts.
• Consult and educate assigned accounts and internal stakeholders, providing industry and cross account expertise. Create provider specific and public presentations.
• Proactively communicate with Provider Strategy & Solutions (PS&S) …