Premera Blue Cross

Operations

• Help redefine how claims work gets done—at scale and with purpose.
• Lead the design and operational delivery of automation and AI-enabled workflow solutions that replace manual, repetitive work with reliable digital decisioning.
• Partner across Product, Technology, and Configuration to build well-controlled process automations, performance dashboards, and data-driven improvements that shorten cycle times, strengthen accuracy, and elevate the member experience.
• Drive the digitization and automation of priority Claims Operations workflows—using process automation and AI-enabled decisioning—to improve cycle time, accuracy, and customer experience.
• Design scalable, well-controlled automated workflows and decision paths that are aligned to operational needs and enterprise claims strategy.
• Build and maintain dashboards and operational reporting to measure workflow performance, automation effectiveness, and post-implementation outcomes.
• Use data to identify bottlenecks and continuously optimize workflows through targeted automation and process improvements.
• Own end-to-end delivery for claims automation and operational change (requirements, testing/UAT coordination, defect management, readiness sign-off, and implementation).

Manager, Digital Claims Operations

AI Engineer

• Develop comprehensive systems and frameworks for AI applications and products.
• Construct prototypes and minimum viable products to validate AI/ML solutions before committing substantial resources.
• Develop, refine, and productionize AI systems using cloud resources such as Azure OpenAI, Azure ML, and Cognitive Services.
• Contribute to the creation of robust data pipelines for model evolution and production systems.
• Develop specifications for low latency APIs and services necessary to deploy AI models and incorporate them into applications.
• Supervise and sustain AI systems in production to guarantee consistent model accuracy and reliability.
• Actively participate in a team that exercises principled, agile-like development practices.
• Create and maintain thorough documentation that is consistent with team procedures, corporate policies, and expectations.
• Ensure peer review on all assigned work, as well as conduct peer reviews over the work of others as requested.
• Guide junior AI engineers on AI/ML and industry best practices and methodologies.
• Keep abreast of new tools and concepts through reading documentation or literature and actively practicing skills development.
• Support and participate in meetings with external stakeholders.

AI Engineer – III

Underwriter

• Strategize with clients ranging from Fortune 10 to Fortune 500 companies that want to differentiate themselves in the marketplace via their benefits offerings and ensure that underwriting can support their benefits strategies sustainably.
• Strategically partner with actuaries and our pharmacy division that develops in-house formularies, pricing, and product design that strategically align with our mission to make healthcare work better and be more cost-effective.
• Provide underwriting oversight for the unique Alaska market where Premera has a close partnership with providers, hospitals, brokers, employer groups, unions, public entities, and native corporations.
• Oversee stop-loss renewals, working closely with self-insured groups in this complex market.

Director, Underwriting

Security Engineer

• Applies advanced understanding HITURST engineering and controls standards.
• Performs risk and severity assessment on cybersecurity events and incidents and then properly escalate or handle in accordance with experience and current processes.
• Act as a technical contributor with advanced knowledge and experience in one or more areas: PICERL (Planning, Investigation, Containment, Eradication, Lessons Learned) process HR related Investigative and Legal Processes Conflict resolution and Clear Partnership.
• Analyzing gaps found in hunting exercises and minimizing the overall threat landscape.
• Set the tempo, priorities, and proper workflow of the team in the day-to-day operations.
• Reviews and report out to the team IT security threat assessments for major changes to systems, applications, and networks. This requires applying knowledge of vulnerability assessment and penetration testing tools.
• Maintains current expertise in security hacks and network penetration methods.
• Defines and documents defensive tactics.
• Defines and oversees implementation plans for security configuration changes.
• Provides advanced technical analysis and evidence capture as Level 3 technical support for security incident response.
• Defines IT policies, standards, and procedures to assure technical compliance with enterprise security policies and promote consistent use of best practices in information security. This includes regulatory standards such as SOX, HIPAA, PCI, GLBA, and various state and federal privacy laws.
• Mentor and guide junior Information Security Engineers in day-to-day operations and tasks.
• Exhibit skills of leadership and be able to perform duties with little or no supervision.
• Perform other duties as assigned.

Cybersecurity Threat Intelligence Engineer II

Program Manager

• Support the design, delivery, and continuous improvement of our employees’ developmental programs.
• Update and design development programs using best practices to improve effectiveness.
• Develop and facilitate impactful presentations and initiatives in collaboration with business leaders.
• Determine methods for evaluating the effectiveness of development initiatives.
• Collaborate with leaders to assess and identify essential skills for success at Premera.
• Combine knowledge of adult learning principles with diverse perspectives for innovative activities.
• Leverage expert facilitation skills in virtual and hybrid environments.
• Develop impact measurements demonstrating gains from learning experiences.
• Participate in or provide support for relevant new initiatives as they arise.

Program Manager IV, Skills Building

Data Analyst

• Design, develop, and implement operational reporting and trend analysis for internal and external customers.
• Collect, validate, and maintain data from internal and external sources.
• Analyze data sets as appropriate for reporting and analytics using Excel, business intelligence tools, SAS, and Python.
• Provide routine and ad hoc data reports and models for management using visualization and statistics to understand and solve business problems.
• Troubleshoot issues as they arise and solve problems independently or collaboratively with other teammates.
• Perform thorough review of data products and processes for content and accuracy and identify associated problems.
• Work with stakeholders and teams to understand business questions and problems and to scope data and reporting requests.
• Prepare documentation on all projects to enable peer review and ensure continuity of data product quality.

Healthcare Data Analyst II

Product Manager

• Own and drive the direction of assigned products or capabilities.
• Define and maintain roadmaps for one or more low-complexity products or capabilities.
• Balance and prioritize feature needs and roadmap commitments, partnering closely with business stakeholders and technology teams.
• Lead the definition and management of business requirements, process design, and related deliverables.
• Collaborate with peers, managers, and directors across the enterprise to gather input and align priorities.
• Define success criteria, track results, and provide insights and recommendations.
• Communicate progress against roadmaps and outcomes to leadership and business partners.
• Champion a customer-focused mindset.
• Partner with stakeholders on change management and training strategies.
• Serve as a mentor and coach for Product Owners.

Capability Product Manager III

Full-stack Engineer

• Define and drive AI‑enabled DevSecOps automation, including solution design and implementation of fully automated CI/CD pipelines for application and infrastructure delivery (IaC).
• Lead initiatives in AI‑driven quality engineering, observability, monitoring, and AI‑assisted operations to improve reliability, productivity, and delivery flow.
• Provide technical leadership to drive engineering excellence, governance, and quality gates across teams.
• Define, design, and implement complex features with a focus on architecture, quality, usability, performance, and data‑driven decision making.
• Partner with business and IT leaders to identify and solve complex, cross‑functional problems and improvement opportunities.
• Collaborate closely with development teams, architects, business partners, and customers to translate requirements into high‑quality technical solutions.
• Participate in live site operations, including incident response, production support, and continuous improvement of service reliability.
• Serve as a primary engineering and implementation partner, ensuring clear, timely, and effective communication across stakeholders.
• Oversee code reviews to ensure compliance with Premera standards, architectural guidelines, and best practices.
• Provide vendor technical oversight, including code review and sign‑off, to ensure quality outcomes and effective partnerships.
• Monitor key performance indicators and analyze delivery metrics to identify trends and recommend improvements.
• Train, enforce, and evolve governance processes to ensure compliance with enterprise standards and regulatory requirements.
• Ensure appropriate technical and architectural documentation is completed, including SDLC artifacts and production change records.
• Act as a technical leader and mentor, sharing knowledge across teams and contributing to the broader Premera engineering community.
• Stay current with technology trends, best practices, and business needs, continuously evolving expertise and mentoring other engineers.
• Perform other duties as assigned.

Software Development Engineer IV

Business Analyst

• Drive implementation and coordinate projects involving medical policy transformation using multiple new systems.
• Manage the increasing number and proliferating complexity of medical policy formats and versions using new tools.
• Be the link between appropriate clinical policy content and the technical manifestation of digital policies for use access, ensuring version integrity on all platforms.
• Manage FEP policy incorporation and code management in Coding and Medical Policy System (CAMPS) and export code list reports.
• Partner with Payment Integrity and external vendors to manage Routine Test Management policy versions.
• Partner with IT, other departments, and external vendors to ensure successful implementation and ongoing business and system support.
• Ensure business requirements are met.
• Maintain system training materials.
• Monitor and report on system testing.
• Generate and maintain reports on transformation activities, as needed.
• Investigate system problems, process flow concerns, and new enhancements.
• Provide recommendations for improvement based on system knowledge.