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Job Field: Office Jobs
Location: MOUNTLAKE TERRACE, WA
Salary: $-
Job Type: Part Time

JOB SUMMARY:

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               <td align="left"><font style="font-size: 100%;">At Premera, we do things a bit differently. As a nonprofit organization, our unique culture promotes individual development, fosters innovation, and rewards success! Our visionary spirit and personalized service make our company exceptional with a unique value proposition, built on a strong local presence and national capabilities.  Join us, and feel good about working collaboratively to promote health and provide peace of mind for our members.<BR> <BR>The Provider Network Account Executive has overall accountability to lead, develop, and maintain strong, positive relationships with strategic, complex provider accounts and/or accounts with a significant material impact to the organization.  These responsibilities also include assurance of provider/vendor account satisfaction with Premera, which will facilitate achieving Premera’s operational and strategic goals. This role proactively manages assigned accounts to achieve Premera’s strategy for product and provider contract development.<BR> <BR>Relationship Management<BR><BR>Builds and maintains a positive physician / provider relationship with complex and strategic accounts with a focus on a collaborative approach to quality care, network stability and cost containment. <BR>Fosters relationships between Premera and the provider account at an executive level. <BR>Develops and executes a forward looking account management plan that focuses on account strategy and effective contracting. <BR>Accountable for the relationship management for assigned accounts, which includes establishing a high level multi-disciplinary team to provide operationally excellent service and support to assigned accounts. <BR>Proactively seeks ways to provide value added consulting to assigned provider accounts while focusing on long- term goals of both the provider and Premera. <BR>Consults and educates assigned accounts on Premera’s internal and industry resources. <BR>Provides industry and cross account expertise to strengthen the relationship between Premera and the provider. <BR>Develops and participates in provider specific and public presentations as indicated. <BR>Provider Network/Contract Negotiations<BR><BR>Accountable for network contracting results for assigned accounts and efficiently manages resources to achieve department goals and initiatives.  <BR>Leads negotiation and implementation of provider contracts and acts as the single point of contact for assigned accounts. <BR>Proactively communicates with HCDS leadership on account status to facilitate proper internal support of account management efforts. <BR>Develops and implements contracting strategies which meet corporate financial objectives; working within the budgetary guidelines. <BR>Completes negotiations within preplanned rate targets, meets timelines, ensures the established implementation period and performs implementation audits for accuracy of assigned accounts. <BR>Communicates with internal stakeholders in the impacted markets, the status of contract negotiations and potential impact on operations throughout negotiation process, and obtains feedback as appropriate to ensure that the resulting final contract supports Premera’s operational and strategic goals. <BR><BR>Minimum Qualifications:<BR><BR>Bachelor’s degree in related field or equivalent work experience. <BR>3-5 years experience in managing provider relationships in the health care or insurance industry. <BR>Demonstrated ability to effectively manage complex and multi-faceted contract negotiations. <BR>Demonstrated ability to develop and execute strategy. <BR>Strong experience and expertise in Provider Relations.</font></td>
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