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Premera Blue Cross
Premera Blue Cross

57 Premera Blue Cross Program Manager Jobs Hiring Near You

Premera Blue Cross

Case Manager, RN

Spokane, WA · On-site

Premera Blue Cross, a nationally recognized leader in the practice of integrated case management ... Since 2012, Premera has been a NCQA accredited program earning full credit for our case management ...

Premera Blue Cross

Team Lead, Training

Spokane, WA · On-site

Working at Premera means you have the opportunity to drive real change by transforming healthcare. ... change management, strategic planning, and cross-functional partnership-making this an exciting ...

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Premera Blue Cross Jobs Information

Do workers at Premera Blue Cross get paid breaks?

Yes. Most people get paid breaks.
83% of people say they get paid breaks.
Based on data from 18 people who took the Breakroom Quiz between January 2025 and June 2026.

Does Premera Blue Cross pay people when they’re sick?

Yes. Most people get paid when they’re sick.
83% of people say they would get paid if they were sick but scheduled to work.
Based on data from 18 people who took the Breakroom Quiz between January 2025 and June 2026.

At Premera Blue Cross, are sick days and vacation days separate paid time off?

Sick days and vacation days are used from the same paid time off.
91% of people say they have to use vacation days when they’re out sick.
Based on data from 11 people who took the Breakroom Quiz between May 2025 and June 2026.

Is the health insurance from Premera Blue Cross affordable enough for their workers?

Most people say the health insurance costs are okay.
100% of people say the health insurance costs are okay
Based on data from 15 people who took the Breakroom Quiz between April 2025 and June 2026.

Do people get paid time off at Premera Blue Cross?

Most people get paid time off work.
100% of people say they get paid time off.
Based on data from 11 people who took the Breakroom Quiz between May 2025 and June 2026.

How far ahead of time do people find out their work schedule?

Only some people find out their schedule four weeks ahead of time.
  • 50% of people with changing schedules find out their shifts one week or less ahead of time.
  • 17% of people with changing schedules find out their shifts two weeks ahead of time.
  • 0% of people with changing schedules find out their shifts three weeks ahead of time.
  • 33% of people with changing schedules find out their shifts four weeks or more ahead of time.

Based on data from 6 people who took the Breakroom Quiz between January 2025 and October 2025.

Do workers at Premera Blue Cross worry about hours?

Most people don’t worry about getting enough hours.
100% of people report they don’t worry about getting enough hours.
Based on data from 13 people who took the Breakroom Quiz between January 2025 and October 2025.

Do Premera Blue Cross workers get to choose the shifts they work?

Most people get to choose which shifts they work.
86% report that they have enough control over which shifts they work.
Based on data from 7 people who took the Breakroom Quiz between January 2025 and September 2025.

How easy is it for Premera Blue Cross workers to change shifts?

Most people find it easy to change shifts.
80% of people report that it’s easy to change shifts if they need to.
Based on data from 10 people who took the Breakroom Quiz between January 2025 and October 2025.

How easy is it to get time off at Premera Blue Cross?

Most people find it easy to get time off.
72% of people report it’s easy to get time off.
Based on data from 18 people who took the Breakroom Quiz between January 2025 and June 2026.

Do Premera Blue Cross managers change schedules at the last minute?

Most managers don’t change people’s schedules at the last minute.
100% of people say their manager doesn’t change their shift schedule at the last minute.
Based on data from 13 people who took the Breakroom Quiz between January 2025 and October 2025.

Do jobs at Premera Blue Cross spill into time workers aren’t paid for?

Rarely. The job doesn't usually spill into unpaid time.
8% of people report that their job takes up time that they don’t get paid for.
Based on data from 13 people who took the Breakroom Quiz between January 2025 and October 2025.

How easy is it to take sick days at Premera Blue Cross?

Most people find it easy to take sick days.
95% of people report that it’s easy to take time off if they are sick.
Based on data from 20 people who took the Breakroom Quiz between January 2025 and June 2026.

Is working at Premera Blue Cross good if you’re a parent or caregiver?

Most parents and caregivers say this is a good place to work.
100% of people who care for a child or other relative report this is a good place to work.
Based on data from 10 people who took the Breakroom Quiz between January 2025 and January 2026.

Do people at Premera Blue Cross feel treated with respect by their managers?

Most people feel treated with respect by their managers.
89% of people say they’re treated with respect by their managers.
Based on data from 18 people who took the Breakroom Quiz between January 2025 and June 2026.

Do people at Premera Blue Cross get to take their breaks without interruption?

Most people get breaks without interruption.
85% of people report that they get to take their breaks without interruption.
Based on data from 20 people who took the Breakroom Quiz between January 2025 and June 2026.

Is it stressful to work at Premera Blue Cross?

Most people feel stressed here.
95% of people say they often feel stressed at work.
Based on data from 20 people who took the Breakroom Quiz between January 2025 and June 2026.

Do people at Premera Blue Cross enjoy their jobs?

Most people enjoy their job.
79% of people report they enjoy their job.
Based on data from 19 people who took the Breakroom Quiz between January 2025 and June 2026.

Do people at Premera Blue Cross recommend working with their team?

Only some people recommend working with their team.
50% of people report that they wouldn’t recommend working with their immediate team to a friend.
Based on data from 20 people who took the Breakroom Quiz between January 2025 and June 2026.

Do people get enough training when they start at Premera Blue Cross?

Most people got enough training when they started.
74% of people report they got enough training when they started working here.
Based on data from 19 people who took the Breakroom Quiz between January 2025 and June 2026.

Do people get support to advance at Premera Blue Cross?

Only some people are given support to advance their career here.
In the last year, 41% of people report not being given support to advance their career here.
Based on data from 17 people who took the Breakroom Quiz between January 2025 and June 2026.

Do people think Premera Blue Cross’s headquarters understands what’s happening where they work?

Most people think headquarters doesn’t understand what’s happening where they work.
82% of people think that this employer’s headquarters or owners don’t have a good understanding of what’s really happening where they work.
Based on data from 17 people who took the Breakroom Quiz between January 2025 and June 2026.

Do workers feel well informed about how Premera Blue Cross is doing?

Only some people feel well informed about how the company is doing.
47% of people feel that they aren’t kept well informed about how the company is doing as a whole.
Based on data from 17 people who took the Breakroom Quiz between January 2025 and June 2026.

What other companies are hiring for Program Manager jobs?

What are the most popular jobs at Premera Blue Cross?

What are the most popular categories at Premera Blue Cross?

Infographic showing various Program Manager job openings at Premera Blue Cross in the United States as of August 2026, with employment types broken down into 100% Full Time. Highlights an 77% Physical, 20% Hybrid, and 3% Remote job distribution.

Investigator III

Premera Blue Cross

Mountlake Terrace, WA • On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 15 days ago

Premera Blue Cross rating

8.0

Company rating: 8.0 out of 10

Based on 20 frontline employees who took The Breakroom Quiz

170th of 315 rated insurance

Job description

Workforce Classification:
Hybrid
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 member of Premera's Special Investigations Unit (SIU), the Investigator III leads complex investigations into allegations of external fraud, waste, and abuse (FWA). This role manages medium to -high complexity cases from initiation through resolution, producing thorough, -well documented investigative reports that may be subject to legal discovery. The Investigator III conducts detailed analysis, collaborates closely with SIU colleagues, and balances multiple investigations simultaneously. In this role, you will also work to identify and recover improper payments resulting from fraudulent or misrepresentative billing, while ensuring all investigative activities comply with- company policies, regulatory requirements, and applicable laws. As a not-for-profit- organization, Premera offers the opportunity to do this work with a genuine focus on doing what's right for our members-supported by leaders who believe in the impact this team makes, not just the metrics.
This hybrid role can be based in Anchorage, Mountlake Terrace, or Spokane.
What you'll do:
  • Analyze healthcare claim data and vet referrals to detect fraudulent activity and independently determine the most effective and efficient method of investigation for each individual case.
  • Perform investigative field work to include on-site office visits, record collection, and surveillance.
  • Interview suspects and witnesses.
  • Prepare cases, testify and give depositions to law enforcement and regulatory agencies for potential criminal prosecution.
  • Participate in settlement negotiations with attorneys and other responsible parties.
  • Perform root cause analysis of identified issues and prepare post-investigative reports directed towards the prevention of fraud.
  • Make recommendations for creating SIU policies, procedures, workflows and process improvements.
  • Develop and maintain collaborative and liaison relationships with Blue Cross Blue Shield Association (BCBSA), Blue Cross Blue Shield (BCBS) Plans, HHS OIG, other carriers' anti-fraud professionals, law enforcement and regulatory agencies.
  • May attend webinars and conferences like BCBSA, National Health Care Anti-Fraud Association (NHCAA), and Association of Certified Fraud Examiners (ACFE) to keep apprised of developments in health care fraud.

What you'll bring:
  • Bachelor's degree in business administration, health care administration, finance, accounting, nursing or criminal justice or (4) years of work experience in field of study. (Required)
  • (3) years of experience in fraud investigation, special investigation unit, or a related field. (Required)
  • Certified Professional Coder (CPC), Certified Fraud Examiner (CFE), or Accredited Health Care Fraud Investigator (AHFI). (Preferred)
  • (2) years of active experience in auditing and investigating in the healthcare industry. (Preferred)
  • Significant experience with relevant technology, such as background check systems, claims processing platforms, data mining, and fraud detection software.
  • Demonstrated knowledge of institutional and/or professional payment methodologies.
  • Strong understanding of health insurance reimbursement methodologies, including familiarity with International Classification of Diseases (ICD-10 CM), Current Procedural Terminology (CPT), and Healthcare Common Procedure Coding System (HCPCS).
  • Strong computer aptitude and experience with spreadsheet and database software, e.g., Excel, Access, Focus.
  • Demonstrated strong technical writing skills - ability to write reports and business correspondence and to prepare case files.
  • Ability to exercise a very high level of discretion when handling sensitive information.

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 careers@premera.com or via phone at 425-918-4785.
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 Plus Salary Range:
$80,200.00 - $118,300.00
*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.

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