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!
The Nurse Outreach Consultant contributes to the goals of the Medicare Advantage Quality/HEDIS programs through implementation of member engagement tactics (outbound calls, digital media, mail campaigns, etc.), and actively participates in quality and process improvement activities.
This position is in a hybrid workforce classification with required work on cite at our Mountlake Terrace campus in WA state with additional... flex to work from home 2 days a week.
Serves as a project manager and consultant for member engagement strategy implementation, making sure individual campaigns or projects consistently deliver against established clinical, business, and corporate objectives.
Engage members and utilize a culturally sensitive approach that addresses barriers to clinical HEDIS measures and promotes improved health outcomes, including performing medication reconciliation post-discharge.
Document a plan for achieving member engagement goals, objectives, and deliverables in partnership with business leaders and support functions.
Perform a wide variety of technical tasks such as drafting materials, promotional activities, coordinating program with internal and external resources, facilitating utilization of external resources, etc.
Provide progress reports to stakeholders and modify plan due to changes in priorities
Capture regular reporting of metrics associated with performance related to member engagement work. Track outcome measures, evaluation tools, and protocols for member engagement program.
Work with other areas of the company to improve member engagement activities using observed concerns, member complaints, and provider feedback as the foundation for quality improvement.
Facilitate communication and coordination among the health care team to minimize fragmentation, eliminate duplication and maximize delivery of appropriate care.
Provide interventions focused on removing the member's barriers to health improvement; promote positive behavior change using motivational interviewing techniques.
Registered Nurse plus 4 additional years of relevant experience (Required)
Active WA state RN license (Required)
Master's Degree in population health, healthcare administration, or other relevant field (Preferred)
4 years of experience in the health insurance or healthcare field, including work with member/customer engagement (Preferred)
Demonstrated experience in quantitative analysis, HEDIS Quality, and/or project management.
SNF Nurse experience (Preferred)
Acute or Ambulatory Care Nurse experience (Preferred)
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
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@example.com or via phone at 425-918-4785.
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