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Medical Policy Business Solutions
Medical Policy Business Solutions-March 2024
Virtual
Mar 31, 2026
About Medical Policy Business Solutions

  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 (https://www.forbes.com/lists/best-midsize-employers/?sh=58210f5e210f) and America's 2023 Best Employers By State (https://www.forbes.com/lists/best-employers-by-state/?sh=21c7c3d1983b) .

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

  Who We Are

  We are a team comprised of health care professionals, certified medical coders, medical writers, and company key stakeholders who develop and maintain medical policies and other clinical guidelines that provide the Company’s foundation for evidence-based medicine and ensure efficient, accurate, and consistent coverage of services. We additionally publish medical policies on our external Company websites, create plain-language content that is used to explain denial decisions to members, and provide communications about our medical policies.

  We support the Company’s enterprise strategy through planning, strategically consulting and aligning with Premera’s business unit goals and facilitate strategic initiatives. We constantly strive to improve how we provide our services and deliver upon core competencies. We focus on sustainable growth and help to carry out Premera values of doing the right thing, identifying with the customer, and acting with urgency.

  The Medical Policy Business Solutions Analyst acts as an internal consultant and is responsible for the evaluation of business needs to develop new or modified operating methods and systems, analyzing, and developing business requirements and recommending cost effective solutions. This position also supports the team by way of project management and translating materials that are complex in nature into easily understood content.

  What you will do:

  Work with department management to identify key business issues and recommend action plans.

  Act as an internal consultant providing guidance on complex analytical projects and planning resources to meet project deadlines.

  Facilitate cross-functional teams in designing business solutions.

  Interface with management at all levels of the company within the scope of assigned projects to ensure quality and timeliness of projects.

  Perform independent problem analyses and resolution.

  Collect data and provide analyses for a broad array of issues across disciplines and functional areas.

  Sole responsibility for medium to large-size analytical projects.

  Prepare preliminary interpretation of analysis for project teams and/or department management.

  Prepare reports synthesizing results and outlining business cases.

  Support management in presentations to all levels of business management, including senior management translating complicated concepts into information is understandable and actionable.

  What you will bring:

  Bachelor’s Degree or four (4) years’ work experience. (Required)

  Five (5) years’ experience in consulting, or analytical business experience. (Required)

  Prior health care or health industry experience.

  Familiarity with medical terminology and documentation

  Excellent communicator in both written and verbal formats and a strong attention to detail

  #LI-SS1

  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 [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.

  National Salary Range:

  $67,800.00 - $98,400.00

  National Plus Salary Range:

  $67,800.00 - $112,200.00

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

  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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