Interplan Consultant, Senior

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/ . Interplan Consultant, Senior Job Summary The Senior Interplan Consultant serves as a strategic liaison between Premera, Blue Cross Blue Shield Plans, brokers, consultants, employer groups, and internal business partners. This role is responsible for retaining and growing Participating Plan business through the development of renewal strategies, contract negotiations, operational oversight, and regulatory compliance activities. The Senior Interplan Consultant provides expertise in Inter-Plan operations, multi-state healthcare solutions, and Blue Cross Blue Shield Association requirements while supporting business growth, operational excellence, and customer satisfaction. Telecommuter What You'll Do Develop and execute renewal and growth strategies for Participating Plan business, including responses to RFIs and RFPs. Negotiate Participating Plan and Control Plan contracts and renewals, including service levels, funding arrangements, reimbursement methodologies, and related business terms. Partner with underwriting, operations, sales, account management, network management, and external stakeholders to achieve retention and growth objectives. Ensure compliance with Blue Cross Blue Shield Association requirements and contractual obligations. Serve as a liaison for National Labor Office and Taft-Hartley business activities. Develop and implement operational and business solutions that support Control Plan and Participating Plan requirements. Coordinate compliance activities related to Medicare Advantage and other BCBSA requirements, including required reporting and survey responses. Represent Premera on Blue Cross Blue Shield Association and Consortium Health Plans committees, workgroups, and governance forums. Coordinate and facilitate Inter-Plan activities involving Premera departments and other Blue Cross Blue Shield Plans. Oversee operational processes supporting Inter-Plan business, including plan profile management, reimbursement accuracy, and service delivery requirements. Monitor emerging industry, regulatory, and BCBSA…