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Manager, Claims Quality & Workforce Readiness
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. Learn how Premera supports our members, customers and the communities that we serve through our Healthsource blog: https://healthsource.premera.com/ . As a Senior Manager, Claims Quality & Workforce Readiness, you will play a critical role in advancing Premera’s Claims transformation. You will lead work across claims quality improvement, knowledge management, training, workforce readiness, and performance monitoring, building stronger and more consistent practices that help our teams deliver high-quality outcomes and continuously improve. As automation, AI, analytics, and new ways of working transform how Claims operates, you will help shape the capabilities our workforce needs to adapt and succeed. This is an opportunity to build something new, influence how the function evolves, and strengthen an important part of the member's healthcare experience. Why Join Us? - Help Shape the Future of Claims: Play a key role in transforming Claims as we expand automation, AI, analytics, and new ways of working to strengthen how we operate. - Build Something New: Help define and build our approach to claims quality, knowledge management, training, and workforce readiness, with the opportunity to shape how these capabilities evolve. - Lead Meaningful Operational Change: Create more consistent, measurable approaches to quality and help our workforce successfully adopt new tools, processes, and ways of working. - Make an Impact for Our Members: Strengthen an essential part of the healthcare experience by helping improve the quality, consistency, and effectiveness of claims processing for the members we serve. What You Will Do - Claims Quality & Continuous Improvement: Build and lead a systematic approach to quality improvement across Claims Operations, using quality findings, operational data, and customer feedback to identify trends, address root causes, and reduce recurring errors and rework. - Partner with Quality Assurance and Claims production leaders to translate quality findings into corrective actions and sustained operational improvement. - Partner with Claims Optimization, IT, and other teams to leverage automation, analytics, AI, and technology solutions that strengthen quality and continuous improvement. - Knowledge Management, Training & Workforce Readiness: Establish and govern a consistent approach to knowledge management, documentation, training, and workforce support across Claims. - Lead training specialists and partner with subject-matter experts to develop effective learning resources and consistent technical support practices. - Prepare employees for new systems, automation, AI-enabled workflows, and