Director of Operations (Enrollment, Billing, and Stoploss)

Director of Operations (Enrollment, Billing, and Stoploss)

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 and America's 2023 Best Employers By State.

As the Director of Operations (Enrollment, Billing, and Stoploss), you’ll play a critical role in our healthcare payer operations, driving innovation and excellence for our customers. This is a significant leadership role that is more than overseeing day-to-day operations; it’s about shaping the future of healthcare and delivering on the promises made to our customers.

We are seeking a talented leader to inspire a dynamic workforce, steering employees and strategic partners toward a common vision. Through strategic planning and breakthrough business insights, you’ll empower your team to reach new levels of operational success, execute strategic initiatives, and transform the healthcare experience for our customers.

What you will do:

Lead the Organization: Provide strategic direction, business planning, and overall leadership for Premera’s healthcare payer operations across various customer segments within our organization.

1. Establish department objectives and key results aligned with the corporate strategy and objectives. Provide transparency and visibility to progress, risks, and mitigations.
2. Partner across multiple levels and departments to drive improvements to process and/or technology, promoting a culture of learning and continuous improvement within the department.
3. Prepare and manage the department’s operating budget, controlling expenditures within approved budgets. Provide clarity on the drivers of operational costs and implement long-range strategies for managing and reducing operations costs where practical.
4. Anticipate the impact of the changing business environment and make timely pivots, both strategic and tactical, to achieve enterprise objectives utilizing strong organizational change management practices.

Oversee Organizational Operations: Work closely with both leadership and front-line staff to discover areas for process improvement and efficiency enhancements, promoting a culture of continuous improvement within the department.

1. Manage and continually improve the oversight of key strategic outsourced vendors. This includes contract management and negotiation, monitoring the accuracy and timeliness of deliverables; ensuring the vendor meets Premera’s business objectives, performance standards, and contractual obligations.
2. Manage the technology and vendor relationships for Software as a Service (SaaS) operations solutions throughout the entire product life cycle from ideation, design, build, test, deploy, as well as the ongoing run, grow, and transform activities.
3. Ensure operational compliance with member policies, government regulations, and other internal and external governance bodies.

People Leadership: Lead an effective, high-performing team, focused on our members.

1. Provide leadership and coaching to the Operations leadership teams, fostering a culture of accountability, professional development, learning, high-performance, and ethical behavior.
2. Coach, direct, and develop a high-performing team.
3. Demonstrate social responsibility leadership and promote community service for all employees.

What you will bring:

1. Bachelor’s degree in business or related area or four years of work experience. (Required)
2. Eight years of experience in an operations environment, preferably in the healthcare industry. (Required)
3. Eight years of successful leadership experience, preferably in the healthcare industry. (Required)

Additional preferred skills/experiences include:

1. Master’s degree.
2. Experience executing large scale initiatives.
3. Experience managing outsourced vendors.
4. Experience with quality and production management tools, strategies, and systems.
5. Experience managing Software as a Service (SaaS) solutions.
6. Experience leading Enrollment & Billing and Stoploss functions.

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 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.

Salary Range:$150,000.00 - $300,000.00

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