Premera Blue Cross

Full-stack Engineer

• Design, develop, and support enterprise workflow automation solutions using Appian, Microsoft technologies, and related automation platforms
• Partner with Product Owners, Business Analysts, Architects, and stakeholders to translate business requirements into scalable technical solutions
• Lead complex business process automation initiatives, including case management, workflow orchestration, document processing, and system integrations
• Develop and maintain integrations with internal and external systems using RESTful APIs, web services, and event-driven architectures
• Leverage Appian AI and intelligent automation for classification, extraction, summarization, routing, and decision support
• Provide technical leadership and engineering guidance to developers
• Drive operational excellence through code reviews, performance tuning, troubleshooting, and production support
• Promote engineering best practices, reusable components, and platform governance standards
• Collaborate with cross-functional teams to improve business processes and customer experiences
• Monitor industry trends and emerging technologies and bring innovative ideas to the team

Software Development Engineer IV – Appian Developer

• Lead the architecture, design, and implementation of large-scale React Native mobile applications.
• Design solutions that support long-term scalability, maintainability, performance, and security.
• Build and enhance shared mobile frameworks, reusable components, design systems, and platform capabilities.
• Collaborate with Product, UX, Security, and Engineering partners to translate business requirements into technical solutions.
• Architect and implement integrations with REST APIs, GraphQL services, authentication platforms, and cloud-based services.
• Drive adoption of CI/CD, automated testing, release automation, and modern engineering practices.
• Improve application reliability through observability, monitoring, crash analytics, logging, and performance optimization.
• Troubleshoot and resolve complex production issues across Android and iOS platforms.
• Evaluate emerging technologies and make recommendations that improve developer productivity and user experience.
• Perform technical design reviews and provide guidance across multiple engineering teams.
• Mentor and coach engineers while fostering a culture of technical excellence and continuous improvement.
• Influence engineering standards, mobile architecture strategy, and platform roadmaps.

Software Development Engineer IV, React Native

General

• Plan, write, and manage multiple RFP/RFI requests simultaneously under tight timelines, compiling and organizing information from various functional areas to write compelling, comprehensive, and persuasive responses to the requests which speak directly to prospects’ needs and preferences.
• Proposals consider all written aspects of the responses, including content, style, consistency, tone, appearance, and accuracy.
• Ensure accurate and appropriate responses by working collaboratively with representatives from multiple functional areas, including Sales, Product Development, Research, Medical Management, Operations, eBusiness, IT, Legal and Corporate Communications.
• Work as part of a creative team to execute concepts through final product such as final proposal or finalist presentation.
• Shares responsibility as a member of the team for ensuring response data housed in the team database is appropriate, up to date and relevant per each line of business (LOB).
• Leads efforts to help win new business and retain existing strategic accounts for Premera and its affiliates.
• Provide assistance on projects led by other team members.
• Provide editorial consulting services to other departments to ensure consistency and accuracy of messages across LOBs.
• Perform other duties as assigned.

Proposal Development Specialist – Level II

Enrollment Specialist

• Responsible for reviewing plan provisions and applying specific rules inherent to Individual or Group enrollment scenarios.
• Apply contractual, state and federal guidelines as appropriate, ensuring work is in compliance with federal and state regulations.
• Provide technical support to assigned teams/strategic implementation partners by researching and/or troubleshooting issues related to processing, system, and software applications.
• Serve as a resource for customers by researching complex systems issues impacting member eligibility and determining appropriate course of action.
• Escalate issues or concerns to ensure desired results.
• Conduct performance audits to ensure transaction compliance, accuracy and timeliness.
• Identifies, recommends and implements process improvements.
• Represent department on cross-functional teams and meets with external customers as required.
• Regularly reviews procedures and training material for in-team and strategic implementation partner training, through partnership with the training and quality coaching teams, to outline and implement improvements for increased efficiency.
• Provide back-up and peak-load assistance across Enrollment & Billing as needed; complete special projects and perform other duties as assigned.
• Track, monitor, update, and follow-up with strategic implementation partner on audit findings, action plans, and information requests to ensure each item on the action plan is completed in a timely and accurate manner.
• Process plan changes, dependent add-ons, direct transfers, transfer accumulators and more challenging types of enrollments.
• Update eligibility, enrollment and/or billing of accounts.
• Contact customers or Producer agents for enrollment clarification and/or to provide administrative/regulatory guidelines. This may include creating written correspondence regarding complex billing and enrollment issues.
• Must meet or exceed department production and quality standards and remain current on company/departmental policies and procedures.
• Educate agents and members on general membership and billing processes and administrative rules; may include Web portal usage and contract or regulation interpretation.
• Perform other duties as assigned.

Enrollment Oversight – Quality Specialist

• Design, build, and maintain CRM capabilities in Microsoft Dynamics 365 customer service (Canvas Apps, model-driven apps, Power Automate).
• Support integrations with telephony platforms (e.g., Genesys), Facets, and other internal systems to move toward a single-pane-of-glass experience.
• Build and maintain plug-ins, custom workflows, Power Platform components, and data integrations via Dataverse and external APIs.
• Optimize performance, usability, and automation for CSR call, chat, and email flows.
• Enable AI-driven experiences through virtual agents, case summarization, and intelligent routing.
• Monitor, troubleshoot, and improve reliability and adoption of D365 features.
• Confer with stakeholders and IT leaders to understand business problems or improvement opportunities and identify software solutions.
• Analyze moderate risk business needs to determine solutions.
• Design solutions on various platforms by studying requirements and information needs.
• Translate moderately complex system requirements into code using multiple programming languages and/or tools.
• Develop and modify code and system set-up based on program specifications.
• Apply CICD (Continuous Integration/Continuous Deployment).
• Perform testing using both unit testing and test automation and document test results.
• Participate in testing associated with cross-functional project team efforts.
• Produce appropriate technical documentation and notifications for changes to production systems or fixes to production problems.
• Create SDLC (Software Development Lifecycle) artifacts.
• Analyze and resolve moderate risk production problems related to assigned applications. Includes performance tuning, technical troubleshooting, debugging, call-rotation, and root cause analysis.
• Support project initiatives collaborating with the rest of the design team ensuring that development milestones and deadlines are met.
• Begin to provide feedback to peers on designs.
• Provide input to standardization of IT processes and ensure application of IT standard processes and requirements.
• Participate in continuing education opportunities and proactively improve your level of knowledge about Premera’s business and relevant technologies.

Software Development Engineer III, Microsoft Dynamics 365

• Design, build, and maintain CRM capabilities in Microsoft Dynamics 365 customer service (Canvas Apps, model-driven apps, Power Automate).
• Support integrations with telephony platforms (e.g., Genesys), Facets, and other internal systems to move toward a single-pane-of-glass experience.
• Build and maintain plug-ins, custom workflows, Power Platform components, and data integrations via Dataverse and external APIs.
• Optimize performance, usability, and automation for CSR call, chat, and email flows.
• Enable AI-driven experiences through virtual agents, case summarization, and intelligent routing.
• Monitor, troubleshoot, and improve reliability and adoption of D365 features.
• Confer with stakeholders and IT leaders to understand business problems or improvement opportunities and identify software solutions.
• Analyze moderate risk business needs to determine solutions.
• Design solutions on various platforms by studying requirements and information needs.
• Translate moderately complex system requirements into code using multiple programming languages and/or tools.
• Develop and modify code and system set-up based on program specifications.
• Apply CICD (Continuous Integration/Continuous Deployment).
• Perform testing using both unit testing and test automation and document test results.
• Participate in testing associated with cross-functional project team efforts.
• Produce appropriate technical documentation and notifications for changes to production systems or fixes to production problems.
• Create SDLC (Software Development Lifecycle) artifacts.
• Analyze and resolve moderate risk production problems related to assigned applications.
• Support project initiatives collaborating with the rest of the design team ensuring that development milestones and deadlines are met.
• Begin to provide feedback to peers on designs.
• Provide input to standardization of IT processes and ensure application of IT standard processes and requirements.
• Participate in continuing education opportunities and proactively improve your level of knowledge about Premera’s business and relevant technologies.

Software Development Engineer IV, Microsoft Dynamics 365

Analyst

• Accurately record all payment processing transactions.
• Analyze and interpret accounting data to ensure appropriate coding and recording of transactions.
• Process financial transactions to include PBC splits and transfers.
• Use bank portals and company systems and processes for decisioning and allocation of payments.
• Execute direct debit transactions from group accounts, to include FEP/OPM drawdowns, as directed.
• Partner with various departments throughout the Premera Group companies on questions and issues related to payment processing and overpayment (refund) transactions.
• Identify and address opportunities for process improvements and efficiency gains.
• Use finance best practices to design, develop, and implement policies and procedures.
• Build and maintain databases regarding member mailings and communications.
• Perform work in compliance with federal and state regulations.
• Backup Senior Analyst as needed.
• Perform other duties as assigned.

Payment Processing Analyst

Quality Specialist

• Lead and organize training for all Quality Specialists on audit processes, procedures, and tools.
• Conduct complex audits and verifying quality standards for selected inquiries and make decisions whether discrepant information meets BCBSA and FEP audit requirements, state, and federal mandates.
• Provide second-level support on escalated issues and audit findings.
• Collaborate with team members, OCLD, and management to identify training gaps and business needs and implement actions while partnering to address these issues.
• Review, evaluate, and provide feedback on trainees’ audits and learning processes.
• Act as a consultant with external departments to help resolve high-impact business issues by recommending action plans related to quality assurance.
• Assist the Data Reporting Analyst in collecting data and providing analyses for various issues across the department and other functional areas.
• Foster a training and auditing culture that values diversity of thought, leveraging team member strengths to achieve team goals.
• Assist with external audits and lead special projects.
• Perform other duties as assigned.

Quality Specialist III

Customer Support

• Accountable for inbound and/or outbound phone-based customer service; provides first call and/or email resolution.
• Follow-up, resolve and document issues in a timely manner.
• Route inquiries needing further investigation to the appropriate department and conduct routine research as needed.
• Follow up on pended items and route incoming paperwork to correct departments for completion.
• Performs with reliable and consistent behaviors, performance goals and metrics, and attendance.

Customer Service Representative

Business Analyst

• Confer with business partners on the most complex business topics to determine business needs and report requirements to provide appropriate solutions through extracting and analyzing data for the purpose of increasing revenue, decreasing costs, and/or complying with regulations; organize other analysts and monitor technical efforts to accomplish specific goals.
• Design, develop, document, maintain, and review data extracts reports, and analyses created from complex ad hoc requests submitted by other employees throughout the company.
• Peer review the work of others in the department and others throughout the company; assess the peer review skills and processes of departments throughout the company and work with those departments on process improvements.
• Recommend and evaluate improvements to operational databases, data quality, and productivity; organize and implement changes; train team members.
• Test and document results consistent with department standards; review the work of others for completeness; create and maintain documentation standards.
• Develop dashboards to streamline communication of key data metrics and trends.
• Analyze and resolve complex problems, assessing alternatives as appropriate, and implement solutions; identify, analyze, and research errors found in the course of peer review; evaluate new procedures; direct work with other departments to implement solutions.
• Lead work teams to accomplish specific project goals.
• Prepare estimates of resources and costs needed to accomplish tasks by assessing the complexity and volume of work against the skills of those expected to complete the tasks.

Information Analyst III, Workforce Management

• Accountable for inbound and/or outbound phone-based customer service.
• Provides first call and/or email resolution.
• De-escalate calls and provides caller education through clear and accurate exchange of information.
• Follow-up, resolve and document issues in a timely manner.
• Route inquiries needing further investigation to the appropriate department.
• Conduct routine research as needed.