Senior Manager, Claims Quality and Workforce Readiness

Job overview

The Senior Manager, Claims Quality and Workforce Readiness role is classified as telecommuter, with Mountlake Terrace, WA listed as the location. The posted national salary range is $89,300–$151,800 per year; the posting also identifies a higher national-plus range for Western Washington and Alaska. The role supports Premera’s Claims transformation and its work to improve healthcare for members. The role exists to build and lead claims quality, knowledge management, training, workforce readiness, and performance monitoring capabilities. It helps claims teams adapt to automation, AI, analytics, and process changes while improving quality, consistency, and operational outcomes.

What you'll do

• Build a systematic claims quality improvement approach using quality findings, operational data, and customer feedback
• partner with quality assurance and claims production leaders on corrective actions
• work with Claims Optimization and IT on automation, analytics, AI, and technology
• govern knowledge management, documentation, training, and workforce support
• lead training specialists
• monitor operational performance and inventory health
• build and develop a team
• coach employees and lead through change.

What we're looking for

Skills & competencies

premera blue cross

senior manager

claims quality

workforce readiness

claims operations

knowledge management

training

continuous improvement

mountlake terrace wa

$89,300–$151,800/year national range

telecommuter

full-time

healthcare transformation

Work arrangement

• Weekend coverage required

Benefits & perks

• Medical, vision, and dental coverage
• pet insurance
• life and disability insurance
• 401(k) match and pension
• wellness resources
• paid time off
• tuition assistance
• employee recognition
• commuter perks and on-campus amenities for hybrid employees.

Why this role

Opportunity to build new claims quality and workforce readiness capabilities as Premera’s Claims function evolves.

About the employer

Premera Blue Cross is hiring for this role. Industry: Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds. Sector: 52.