Premera

Member Contract Specialist III

Telecommuter Full time

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 list. Newsweek honored Premera as one of America's Greatest Workplaces, America's Greatest Workplaces for Inclusion, and America's Greatest Workplaces For Mental Well-Being, Forbes ranked Premera among America’s Best Midsize Employers 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/.

As a Member Contract Specialist III, you will be responsible for the development and distribution of custom member and employer contract documents. You will handle contract documents for all product types including fully insured, self-funded, medical, dental, personal funding, and national. You will create and submit regulatory filings for custom contract documents and establish/maintain the group's legal file.


What you'll do:

  • Develop and distribute assigned complex new and renewing custom member and employer contract documents using appropriate tools and systems.
  • Complete a detailed analysis of incoming requests to ensure correct documents are issued.
  • Ensure that all completed documents comply with federal and state statutes and regulations as well as Premera guidelines.
  • Research and respond to all general and group-specific contract issues and questions.
  • Participate in cross-departmental implementation meetings for assigned groups.
  • Create and submit regulatory filings for custom contract documents.
  • Develop and maintain a strong positive working relationship with partner departments.
  • Work with outside clients including Producers and Group Benefit Administrators as needed.
  • Update standard operating procedures as needed.
  • Provide feedback and training to partner departments in issues relating to contracting.
  • Create legal files and ensure appropriate documents are included.
  • Support the posting of contract documents to secure company portals for assigned groups.
  • Develop custom language to support customer service quoting and other customer-facing processes.


What you'll bring:

  • High school diploma or GED (Required)
  • Five (5) years combined experience in a customer service/public contact role or other similar role with experience in health plan document writing and interpretation (Required)

Additional preferred skills/experiences include:

  • Familiarity with BQTs and/or SBCs is a plus
  • Exposure to Kaizen/Lean methods and a strong attention to detail.
  • Ability to adapt to change quickly and strong problem-solving skills
  • Demonstrated passion for the customer
  • Excellent verbal and written communication skills and experience working across groups/departments
  • Ironclad experience

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 careers@premera.com 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:

$51,000.00 - $76,500.00

National Plus Salary Range:

$58,100.00 - $87,200.00

*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.