Interplan Consultant, Senior

Mountlake Terrace WA

Full time

R29083

Workforce Classification:

Telecommuter

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.

Premera is committed to being a workplace where people feel empowered to grow, innovate, and lead with purpose. By investing in our employees and fostering a culture of collaboration and continuous development, we’re able to better serve our customers. It’s this commitment that has earned us recognition as one of the best companies to work for. Learn more about our recent awards and recognitions as a greatest workplace. (https://www.premera.com/visitor/careers#awards)

Learn how Premera supports our members, customers and the communities that we serve through our Healthsource blog: https://healthsource.premera.com/ .

Interplan Consultant, Senior

Job Summary

The Senior Interplan Consultant serves as a strategic liaison between Premera, Blue Cross Blue Shield Plans, brokers, consultants, employer groups, and internal business partners. This role is responsible for retaining and growing Participating Plan business through the development of renewal strategies, contract negotiations, operational oversight, and regulatory compliance activities.

The Senior Interplan Consultant provides expertise in Inter-Plan operations, multi-state healthcare solutions, and Blue Cross Blue Shield Association requirements while supporting business growth, operational excellence, and customer satisfaction.

Telecommuter

What You'll Do

• Develop and execute renewal and growth strategies for Participating Plan business, including responses to RFIs and RFPs.

• Negotiate Participating Plan and Control Plan contracts and renewals, including service levels, funding arrangements, reimbursement methodologies, and related business terms.

• Partner with underwriting, operations, sales, account management, network management, and external stakeholders to achieve retention and growth objectives.

• Ensure compliance with Blue Cross Blue Shield Association requirements and contractual obligations.

• Serve as a liaison for National Labor Office and Taft-Hartley business activities.

• Develop and implement operational and business solutions that support Control Plan and Participating Plan requirements.

• Coordinate compliance activities related to Medicare Advantage and other BCBSA requirements, including required reporting and survey responses.

• Represent Premera on Blue Cross Blue Shield Association and Consortium Health Plans committees, workgroups, and governance forums.

• Coordinate and facilitate Inter-Plan activities involving Premera departments and other Blue Cross Blue Shield Plans.

• Oversee operational processes supporting Inter-Plan business, including plan profile management, reimbursement accuracy, and service delivery requirements.

• Monitor emerging industry, regulatory, and BCBSA developments and communicate business impacts to leadership.

• Deliver exceptional service to internal and external business partners while supporting Inter-Plan operational effectiveness.

• Perform other duties as assigned.

Telecommuter

What You’ll Need

Required Qualifications

• Bachelor's degree in Business Administration, Healthcare Administration, or a related field, or an equivalent combination of education and experience.

• Eight (8) years of experience in healthcare, health insurance, account management, provider contracting, operations, InterPlan services, or related business functions.

• Experience supporting large employer groups, complex healthcare arrangements, or multi-state health plan operations.

• Must obtain and maintain a Washington State insurance agent license and additional state licenses as required.

Preferred Qualifications

• Experience working within a Blue Cross Blue Shield environment.

• Experience managing Participating Plan or Inter-Plan business relationships.

• Knowledge of provider networks, benefit structures, funding arrangements, and healthcare operations.

• Experience supporting large employer groups and multi-state healthcare solutions.

Knowledge, Skills, and Abilities

• Demonstrated negotiation, influencing, and relationship-management skills.

• Strong understanding of healthcare funding arrangements, stop-loss products, utilization trends, and renewal strategies.

• Strong business acumen and analytical capabilities.

• Ability to work independently and make sound business decisions.

• Excellent problem-solving and critical-thinking skills.

• Strong verbal, written, and presentation communication skills.

• Ability to manage multiple priorities and stakeholders effectively.

• Ability to build effective partnerships across internal and external organizations.

• Strong customer-service orientation and consultative approach.

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/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 [email protected] 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:

$80,200.00 - $125,600.00

National Plus Salary Range:

$84,200.00 - $143,100.00

*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’re committed to creating an environment where all employees are celebrated for their unique skills and contributions.

At Premera, we make healthcare work better. By focusing on improving our customers’ experience purposefully and serving their needs passionately, we make the process easier, less costly, and more positive. Through empathy and advocacy, we change lives.

As the leading health plan in the Pacific Northwest, we provide comprehensive health benefits and services to more than 2 million customers, from individuals to Fortune 100 companies. Our services include innovative programs focused on health management, wellness, prevention, and patient safety. We deliver these programs through health, life, vision, dental, disability, and other related products and services.

Premera Blue Cross is headquartered in Mountlake Terrace, WA, with operations in Spokane and Anchorage. The company has operated in Washington since 1933 and in Alaska since 1952. With more than 80 years of experience in the region, we deliver innovation, choice, and expertise.