Talent.com
Provider Network Executive II

Provider Network Executive II

Premera Blue CrossMountlake Terrace, WA, US
job_description.job_card.variable_days_ago
serp_jobs.job_preview.job_type
  • serp_jobs.job_card.full_time
job_description.job_card.job_description

Provider Network Executive II

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, and 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 / .

About the Role of Provider Network Executive II

The Provider Network Executive (PNE II) develops and maintains effective relationships with Premera's providers in the Alaska market to achieve Premera's operational and strategic goals, product development strategies, and continuity of Premera's vision and values. In this role, the PNE II operates in a complex environment, negotiating standard and non-standard agreements, and manages the ongoing provider relationships with an eye on meeting our commitment to reducing the total cost of care.

What You'll Do

  • Serve as the main point of contact for the provider and coordinate all Premera interactions with assigned provider accounts.
  • Build and maintain positive physician / provider account relationships. Utilize consultative skills, industry knowledge, and Premera product knowledge to foster a collaborative approach to quality care, network stability and cost containment.
  • Develop and maintain effective standard provider networks with standard fee schedules, monitoring the adequacy of those networks under the guidance of management.
  • Lead negotiation and implementation of standard provider agreements.
  • Consult and educate assigned accounts, provide industry and cross account expertise, train on Premera tools / resources, and participate in provider specific and public presentations.
  • Proactively communicate with Provider Strategy & Solutions (PS&S) leadership and internal stakeholders on account status to facilitate proper internal support of account management efforts to ensure that the resulting final contract supports Premera's operational and strategic goals.
  • Engage providers to promote the concept and understanding of patient engagement adherence and cost savings preventative programs.
  • Collaborate with Healthcare Economics (HCE) in rate development and proposal analysis.
  • Other duties and projects as assigned.

What You'll Bring

  • Bachelor's degree or four (4) years of experience in a provider or payer environment. (Required)
  • Two (2) years of experience in managing provider relationships in the health care or insurance industry. (Required)
  • Project management experience. (Preferred)
  • Knowledge of regulatory issues such as Health Insurance Portability and Accountability Act (HIPAA) and Patient Bill of Rights (PBR).
  • Knowledge of network development and provider / vendor recruitment.
  • Knowledge of provider community and market anomalies.
  • Demonstrated ability to effectively manage standard rate and language contract negotiations.
  • Familiarity with contracting terminology.
  • Demonstrated ability to develop and execute strategy.
  • Self-motivated with ability to lead with minimal direction.
  • Successful verbal and written communication skills with the demonstrated ability to develop presentations, speak in public, make group presentations, and conduct training.
  • Demonstrated analytical skills and problem-solving skills.
  • Proven ability to lead small teams.
  • Strong organizational, planning and administrative skills.
  • Ability to work under pressure with limited resources, competing priorities and managing specific project timelines.
  • Working Environment :

  • Work is performed within a normal office environment with ambient temperatures.
  • Ability to travel; overnight as required.
  • Ability to attend scheduled meetings at providers' offices.
  • Physical Requirements :

  • The following have been identified as essential physical requirements of this job and must be performed with or without an accommodation : This is primarily a sedentary role which requires the ability to exert up to 10 lbs. of force occasionally and / or a negligible amount of force frequently or constantly to lift, carry, push, pull, or otherwise move objects, including the human body. This role requires the ability to keyboard and to communicate clearly and understandably in person and over the telephone.
  • 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

    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 : $78,000.00 - $111,200.00

    National Plus Salary Range : $78,000.00 - $126,800.00

  • 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

    serp_jobs.job_alerts.create_a_job

    Provider Network • Mountlake Terrace, WA, US

    Job_description.internal_linking.related_jobs
    • serp_jobs.job_card.promoted
    Consultant Engineer I - Seattle

    Consultant Engineer I - Seattle

    FMMAPLE VALLEY, Washington, United States
    serp_jobs.job_card.full_time
    FM is one of the world’s largest risk management and industrial property insurance organizations.With 76 office locations in over 60 countries worldwide, FM provides specialized property protection...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    IT Services Application Supervisor

    IT Services Application Supervisor

    Fred Hutchinson Cancer CenterSeattle, WA, US
    serp_jobs.job_card.full_time
    Clinical Informatics It Application Supervisor.Fred Hutchinson Cancer Center is an independent, nonprofit organization providing adult cancer treatment and groundbreaking research focused on cancer...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    OSP / ISP Telecom Foreman

    OSP / ISP Telecom Foreman

    TruFit Staffing, Inc.Federal Way, WA, US
    serp_jobs.job_card.full_time +1
    Pay Range : $35 – $45 per hour (DOE).Employment Type : Full-Time (Direct Hire).We are seeking an experienced OSP / ISP Telecom Foreman to lead field construction crews in the installation, main...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    IDN Manager

    IDN Manager

    DanaherSeattle, WA, US
    serp_jobs.job_card.full_time
    Are you ready to accelerate your potential and make a real difference within life sciences, diagnostics and biotechnology?. At Radiometer, one of Danaher's 15+ operating companies, our work saves li...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    McGraw Hill is hiring : Sr. User Experience Designer, AI in Seattle

    McGraw Hill is hiring : Sr. User Experience Designer, AI in Seattle

    MediabistroSeattle, WA, United States
    serp_jobs.job_card.full_time
    Do you enjoy testing the limits of possibility? At McGraw Hill, our.If you have the passion and technical expertise to thrive in an innovative and agile environment, we want to learn more about you...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Clinical Testing Psychologist - Snohomish, WA

    Clinical Testing Psychologist - Snohomish, WA

    LifeStance HealthSnohomish, WA, US
    serp_jobs.job_card.full_time +1
    At LifeStance Health, we believe in a truly healthy society where mental and physical healthcare are unified to make lives better. Our mission is to help people lead healthier, more fulfilling lives...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Travel Occupational Therapist (OT) - $1,656 per week in Enumclaw, WA

    Travel Occupational Therapist (OT) - $1,656 per week in Enumclaw, WA

    AlliedTravelCareersEnumclaw, WA, US
    serp_jobs.job_card.full_time
    AlliedTravelCareers is working with Cynet Health to find a qualified Occupational Therapist (OT) in Enumclaw, Washington, 98022!. Job Title : Occupational Therapist Profession : Rehabilitation Thera...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Supervisor, Starlink Technical Support Nights

    Supervisor, Starlink Technical Support Nights

    SpaceXRedmond, WA, US
    serp_jobs.job_card.full_time
    Supervisor, Starlink Technical Support Nights.SpaceX was founded under the belief that a future where humanity is out exploring the stars is fundamentally more exciting than one where we are not.T...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Senior Manager, IT

    Senior Manager, IT

    QualtricsSeattle, WA, US
    serp_jobs.job_card.full_time
    At Qualtrics, we create software the worlds best brands use to deliver exceptional frontline experiences, build high-performing teams, and design products people love. But we are more than a platfor...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Clinical Testing Psychologist - Enumclaw, WA

    Clinical Testing Psychologist - Enumclaw, WA

    LifeStance HealthEnumclaw, WA, US
    serp_jobs.job_card.full_time +1
    At LifeStance Health, we believe in a truly healthy society where mental and physical healthcare are unified to make lives better. Our mission is to help people lead healthier, more fulfilling lives...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Manager, Coding

    Manager, Coding

    Common Spirit HealthSeattle, WA, US
    serp_jobs.job_card.full_time
    The posted compensation range of $40.CommonSpirit in good faith believes it might pay for this particular job, based on the circumstances at the time of posting. CommonSpirit may ultimately pay more...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.new
    Sr Executive & Lab IT Support Engineer - ONSITE

    Sr Executive & Lab IT Support Engineer - ONSITE

    Simple SolutionsRedmond, WA, us
    serp_jobs.job_card.full_time
    serp_jobs.filters_job_card.quick_apply
    Executive & Lab IT Support Engineer.Redmond, WA (onsite Mon-Fri normal business hours, limited hybrid flexibility).This role will ensure friction-free. VIP support for two CVPs and their staff.S...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
    Senior Manager User Experience - Remote Job at Optum in Seattle

    Senior Manager User Experience - Remote Job at Optum in Seattle

    MediabistroSeattle, WA, United States
    serp_jobs.filters.remote
    serp_jobs.job_card.full_time
    Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives.The work you do with our team will directly improve health outcomes by connect...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Senior Systems Integrator

    Senior Systems Integrator

    Albireo EnergyRedmond, WA, US
    serp_jobs.job_card.full_time
    The Sr Systems Integrator executes complex industrial controls projects, with an emphasis on delivering PLC and HMI / SCADA products utilizing industry standard platforms including Rockwell Automatio...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Travel Occupational Therapist (OT) - $1,956 per week in Enumclaw, WA

    Travel Occupational Therapist (OT) - $1,956 per week in Enumclaw, WA

    AlliedTravelCareersEnumclaw, WA, US
    serp_jobs.job_card.full_time
    AlliedTravelCareers is working with AHS Staffing to find a qualified Occupational Therapist (OT) in Enumclaw, Washington, 98022!. AHS Staffing is looking for a SNF Occupational Therapist in Enumclaw...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Travel Occupational Therapist (OT) - $1,452 to $1,646 per week in Enumclaw, WA

    Travel Occupational Therapist (OT) - $1,452 to $1,646 per week in Enumclaw, WA

    AlliedTravelCareersEnumclaw, WA, US
    serp_jobs.job_card.full_time +2
    AlliedTravelCareers is working with Thrive Staffing to find a qualified Occupational Therapist (OT) in Enumclaw, Washington, 98022!. Join Our Team at Thrive Staffing!.Are you a skilled OT, Rehab? Th...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
    • serp_jobs.job_card.promoted
    Provider Network Executive IV

    Provider Network Executive IV

    Premera Blue CrossMountlake Terrace, WA, US
    serp_jobs.job_card.full_time
    Senior Provider Network Executive.Our purpose, to improve customers' lives by making healthcare work better, is far from ordinary. Working at Premera means you have the opportunity to drive real cha...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Service Coordinator II - Energy Systems

    Service Coordinator II - Energy Systems

    GeneracFife, WA, US
    serp_jobs.job_card.full_time
    We are Energy Systems, the leader in industrial power solution sales, service, and rentals.With an ongoing tradition of providing excellent products and outstanding service for our customers, Energ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days