... Premera Blue Cross. The Assistant Medical Director supports clinical programs (disease and case management), and the review and adoption of health plan developed review criteria. What you will do:

53 Premera Blue Cross Program Manager Jobs Hiring Near You
... Premera Blue Cross. The Assistant Medical Director supports clinical programs (disease and case management), and the review and adoption of health plan developed review criteria. What you will do:
Assistant Medical Director- Behavioral Health Focus (.5 Part Time)
Mountlake Terrace, WA · On-site +1
$19.25 - $24.75/hr
... Premera Blue Cross. The Assistant Medical Director supports clinical programs (disease and case management), and the review and adoption of health plan developed review criteria. What you will do:
Assistant Medical Director- Behavioral Health Focus (.5 Part Time)
Mountlake Terrace, WA · On-site +1
$19.25 - $24.75/hr
... Premera Blue Cross. The Assistant Medical Director supports clinical programs (disease and case management), and the review and adoption of health plan developed review criteria. What you will do:
... Premera Blue Cross' Regulatory Compliance & Ethics program through focused advocacy, detailed ... Manage inquiries and exams from state and federal regulators. Develop and mature relationships with ...
... Premera Blue Cross' Regulatory Compliance & Ethics program through focused advocacy, detailed ... Manage inquiries and exams from state and federal regulators. Develop and mature relationships with ...
Working at Premera means you have the opportunity to drive real change by transforming healthcare. ... management programs, and mindfulness programs, just to name a few. * Generous paid time off to ...
Working at Premera means you have the opportunity to drive real change by transforming healthcare. ... management programs, and mindfulness programs, just to name a few. * Generous paid time off to ...
... Premera Blue Cross' Regulatory Compliance & Ethics program through focused advocacy, detailed ... Manage inquiries and exams from state and federal regulators. Develop and mature relationships with ...
... Premera Blue Cross' Regulatory Compliance & Ethics program through focused advocacy, detailed ... Manage inquiries and exams from state and federal regulators. Develop and mature relationships with ...
Accountant
Mountlake Terrace, WA · On-site
... functions for Premera Blue Cross and its subsidiaries, a $3 billion group of companies ... management programs, and mindfulness programs, just to name a few. * Generous paid time off to ...
Accountant
Mountlake Terrace, WA · On-site
... functions for Premera Blue Cross and its subsidiaries, a $3 billion group of companies ... management programs, and mindfulness programs, just to name a few. * Generous paid time off to ...
Learn how Premera supports our members, customers and the communities that we serve through our Healthsource blog: The Program Manager IV, Skills Building is part of a collaborative and integrated ...
Learn how Premera supports our members, customers and the communities that we serve through our Healthsource blog: The Program Manager IV, Skills Building is part of a collaborative and integrated ...
Accountant
Mountlake Terrace, WA · On-site
... functions for Premera Blue Cross and its subsidiaries, a $3 billion group of companies ... management programs, and mindfulness programs, just to name a few. * Generous paid time off to ...
Accountant
Mountlake Terrace, WA · On-site
... functions for Premera Blue Cross and its subsidiaries, a $3 billion group of companies ... management programs, and mindfulness programs, just to name a few. * Generous paid time off to ...
... and management of Premera's strategic provider relationships across the state of Washington ... Consult and educate assigned accounts and internal stakeholders, providing industry and cross ...
... and management of Premera's strategic provider relationships across the state of Washington ... Consult and educate assigned accounts and internal stakeholders, providing industry and cross ...
... and management of Premera's strategic provider relationships across the state of Washington ... Consult and educate assigned accounts and internal stakeholders, providing industry and cross ...
... and management of Premera's strategic provider relationships across the state of Washington ... Consult and educate assigned accounts and internal stakeholders, providing industry and cross ...
As the Manager, Compensation & Executive Total Rewards , you will play a pivotal role in advancing ... Premera's compensation strategy, ensuring our programs reinforce a performance-driven culture that ...
As the Manager, Compensation & Executive Total Rewards , you will play a pivotal role in advancing ... Premera's compensation strategy, ensuring our programs reinforce a performance-driven culture that ...
Working at Premera means you have the opportunity to drive real change by transforming healthcare. ... Retirement programs, including a 401K employer match and, believe it or not, a pension plan that is ...
Working at Premera means you have the opportunity to drive real change by transforming healthcare. ... Retirement programs, including a 401K employer match and, believe it or not, a pension plan that is ...
Director, Total Rewards
Mountlake Terrace, WA · On-site
$135K - $185K/yr
... and benefits programs that support Premera's transformation and growth. This is a unique ... Ten years of progressively responsible professional experience, including five years managing teams.
Director, Total Rewards
Mountlake Terrace, WA · On-site
$135K - $185K/yr
... and benefits programs that support Premera's transformation and growth. This is a unique ... Ten years of progressively responsible professional experience, including five years managing teams.
As the Manager, Compensation & Executive Total Rewards , you will play a pivotal role in advancing ... Premera's compensation strategy, ensuring our programs reinforce a performance-driven culture that ...
As the Manager, Compensation & Executive Total Rewards , you will play a pivotal role in advancing ... Premera's compensation strategy, ensuring our programs reinforce a performance-driven culture that ...
... management programs, and mindfulness programs, just to name a few. * Generous paid time off to ... Premera is an equal opportunity/affirmative action employer. Premera seeks to attract and retain ...
... management programs, and mindfulness programs, just to name a few. * Generous paid time off to ... Premera is an equal opportunity/affirmative action employer. Premera seeks to attract and retain ...
Working at Premera means you have the opportunity to drive real change by transforming healthcare. ... Retirement programs, including a 401K employer match and, believe it or not, a pension plan that is ...
Working at Premera means you have the opportunity to drive real change by transforming healthcare. ... Retirement programs, including a 401K employer match and, believe it or not, a pension plan that is ...
Account Specialist
Spokane, WA · On-site
$19.25 - $26.25/hr
... management programs, and mindfulness programs, just to name a few. * Generous paid time off to ... Premera is an equal opportunity/affirmative action employer. Premera seeks to attract and retain ...
Account Specialist
Spokane, WA · On-site
$19.25 - $26.25/hr
... management programs, and mindfulness programs, just to name a few. * Generous paid time off to ... Premera is an equal opportunity/affirmative action employer. Premera seeks to attract and retain ...
Working at Premera means you have the opportunity to drive real change by transforming healthcare. ... Retirement programs, including a 401K employer match and, believe it or not, a pension plan that is ...
Working at Premera means you have the opportunity to drive real change by transforming healthcare. ... Retirement programs, including a 401K employer match and, believe it or not, a pension plan that is ...
Working at Premera means you have the opportunity to drive real change by transforming healthcare. ... Retirement programs, including a 401K employer match and, believe it or not, a pension plan that is ...
Working at Premera means you have the opportunity to drive real change by transforming healthcare. ... Retirement programs, including a 401K employer match and, believe it or not, a pension plan that is ...
Director, Total Rewards
Mountlake Terrace, WA · On-site
$135K - $185K/yr
... and benefits programs that support Premera's transformation and growth. This is a unique ... Ten years of progressively responsible professional experience, including five years managing teams.
Director, Total Rewards
Mountlake Terrace, WA · On-site
$135K - $185K/yr
... and benefits programs that support Premera's transformation and growth. This is a unique ... Ten years of progressively responsible professional experience, including five years managing teams.
Premera Blue Cross Jobs Information
Do workers at Premera Blue Cross get paid breaks?
88% of people say they get paid breaks.
Based on data from 16 people who took the Breakroom Quiz between January 2025 and March 2026.
Does Premera Blue Cross pay people when they’re sick?
88% of people say they would get paid if they were sick but scheduled to work.
Based on data from 16 people who took the Breakroom Quiz between January 2025 and May 2026.
At Premera Blue Cross, are sick days and vacation days separate paid time off?
90% of people say they have to use vacation days when they’re out sick.
Based on data from 10 people who took the Breakroom Quiz between May 2025 and May 2026.
Is the health insurance from Premera Blue Cross affordable enough for their workers?
100% of people say the health insurance costs are okay
Based on data from 13 people who took the Breakroom Quiz between April 2025 and May 2026.
Do people get paid time off at Premera Blue Cross?
100% of people say they get paid time off.
Based on data from 10 people who took the Breakroom Quiz between May 2025 and May 2026.
Do workers at Premera Blue Cross worry about hours?
100% of people report they don’t worry about getting enough hours.
Based on data from 12 people who took the Breakroom Quiz between January 2025 and October 2025.
How easy is it to get time off at Premera Blue Cross?
75% of people report it’s easy to get time off.
Based on data from 16 people who took the Breakroom Quiz between January 2025 and May 2026.
Do Premera Blue Cross managers change 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 12 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?
8% of people report that their job takes up time that they don’t get paid for.
Based on data from 12 people who took the Breakroom Quiz between January 2025 and October 2025.
How easy is it to take sick days at Premera Blue Cross?
94% of people report that it’s easy to take time off if they are sick.
Based on data from 18 people who took the Breakroom Quiz between January 2025 and May 2026.
Do people at Premera Blue Cross feel treated with respect by their managers?
88% of people say they’re treated with respect by their managers.
Based on data from 16 people who took the Breakroom Quiz between January 2025 and May 2026.
Do people at Premera Blue Cross get to take their breaks without interruption?
83% of people report that they get to take their breaks without interruption.
Based on data from 18 people who took the Breakroom Quiz between January 2025 and May 2026.
Is it stressful to work at Premera Blue Cross?
94% of people say they often feel stressed out at work.
Based on data from 18 people who took the Breakroom Quiz between January 2025 and May 2026.
Do people at Premera Blue Cross enjoy their jobs?
76% of people report they enjoy their job.
Based on data from 17 people who took the Breakroom Quiz between January 2025 and May 2026.
Do people at Premera Blue Cross 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 18 people who took the Breakroom Quiz between January 2025 and May 2026.
Do people get enough training when they start at Premera Blue Cross?
76% of people report they got enough training when they started working here.
Based on data from 17 people who took the Breakroom Quiz between January 2025 and May 2026.
Do people get support to advance at Premera Blue Cross?
In the last year, 40% of people report not being given support to advance their career here.
Based on data from 15 people who took the Breakroom Quiz between January 2025 and May 2026.
Do people think Premera Blue Cross’s headquarters understands what’s happening where they work?
81% 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 16 people who took the Breakroom Quiz between January 2025 and May 2026.
Do workers feel well informed about how Premera Blue Cross 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 15 people who took the Breakroom Quiz between January 2025 and May 2026.

Assistant Medical Director- Behavioral Health Focus (.5 Part Time)
Premera Blue CrossMountlake Terrace, WA • On-site
Part-time
Medical, Dental, Vision, Life, Retirement, PTO
Posted 14 days ago
Premera Blue Cross rating
8.7
Based on 18 frontline employees who took The Breakroom Quiz
62nd of 260 rated insurance
Job description
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 the Assistant Medical Director, you will provide benefit coverage determinations based on medical necessity and contract language for health plan members, including a review of clinical documentation using medical policy criteria, guidelines, and member contracts at Premera Blue Cross. The Assistant Medical Director supports clinical programs (disease and case management), and the review and adoption of health plan developed review criteria.
What you will do:
- Perform clinical review of various case types as assigned. These may include pre-service, post-service, and concurrent behavioral health services, which may be outpatient or facility based. Consult with clinical staff on specific case reviews. Act as the final decision maker for coverage decisions based on medical necessity, investigational status, other contractual exclusion, or network structure.
- Support the peer-to-peer discussion process by communicating with external physicians and providers about denial determinations and collecting additional clinical history pertinent to case determinations.
- Consult with nursing and other clinical staff to assess and explore care options for members enrolled.
- Participate in the development, annual review, and approval of company medical review criteria as a Premera Medical Policy Committee member.
- Participate in Inter-Rater Reliability evaluations to ensure consistency in clinical decision-making.
- Respond in a professional manner to all requests for consultation from within Premera Blue Cross and from contracted practitioners and facilities.
- Support member and provider appeals by participating in the appeals process and conducting secondary reviews as needed.
- Fulfill all professional continuing education requirements and participate in ongoing education/training as appropriate.
This role will be part-time, 20 hours a week.
What you will bring:
- Licensed Physician with an MD or DO degree (Required)
- Unrestricted Washington MD or Alaska DO state licensure, or ability to obtain within 90 days.
- Current board certification in psychiatry from the American Board of Psychiatry and Neurology.
- Five (5) years of clinical experience in psychiatry (Required)
- Previous experience performing medical necessity and clinical reviews in a health plan setting. (Preferred)
- Familiarity or experience with clinical criteria sets and clinical pathways, such as MCG (Milliman Care Guidelines) or InterQual. (Preferred)
- Familiarity or experience with CPT, ICD, and HCPCS code sets and resource-based relative value scale (RBRVS) pricing concepts. (Preferred)
#LI-SS1
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.
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:
$214,500.00 - $386,100.00
National Plus Salary Range:
$214,500.00 - $386,100.00
*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.
What Premera Blue Cross employees say
Pay
Benefits
Hours and flexibility
Workplace
Get the full story on Breakroom
About Premera Blue Cross
Sourced by ZipRecruiter
Industry
Insurance services
Company size
1,001 - 5,000 Employees
Headquarters location
Mountlake Terrace, WA, US
Year founded
1945