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.
To better serve our customers, we are fostering a culture that emphasizes employee growth, collaborative innovation, and inspired leadership. We are dedicated to creating an environment where employees can excel and where top talent is attracted, retained, and thrives. As a testament to these efforts, Premera has been recognized on the 2025 America's Dream Employers (https://www.forbes.com/lists/americas-dream-employers/) list. Newsweek honored Premera as one of America's Greatest Workplaces (https://www.newsweek.com/rankings/americas-greatest-workplaces-2024) , America's Greatest Workplaces for Inclusion (https://rankings.newsweek.com/americas-greatest-workplaces-diversity-2025) , and America's Greatest Workplaces For Mental Well-Being (https://rankings.newsweek.com/americas-greatest-workplaces-for-mental-well-being-2025) , Forbes ranked Premera among America's Best Midsize Employers (https://www.forbes.com/lists/best-midsize-employers/?sh=58210f5e210f) for the fourth time.
Learn how Premera supports our members, customers and the communities that we serve through our Healthsource blog: https://healthsource.premera.com/ .
The Medical Record Retrieval Specialist , in coordination with Risk Adjustment and Quality Departments, will retrieve electronic medical records from provider systems, copy service systems, and create and generate letter requests to providers. All medical record retrieval efforts will be in support of Commercial, Medicare Advantage, Federal Employee Program or other Quality and Risk Adjustment lines of business initiatives and work efforts. As part of large retrieval projects, may conduct outbound calls to providers to help remove roadblocks for receipt of medical records. Will support other tasks such as data entry, research with multiple EMRs as needed for the overall medical record retrieval initiative, train contingent workers during peak seasons, and support quality audits reviews of contingent workers.
What you'll do:
Retrieve Medical Records from multiple provider EHR systems.
Generate Letter Requests on behalf of Premera Risk and Quality Departments.
Telephone Outreach to providers for status and to help remove retrieval barriers.
Data Entry.
System research as needed (web or internal source systems).
Ability to work with strict deadlines.
Assist with maintaining Job Aides for each provider system and copy service.
Train all new Contingent workers during peak seasons
Other Duties as assigned by Team Lead, Manager, or Director?????
What you'll bring:
High School Diploma or GED (Required)
Two (2) years' relevant experience (Required)
Demonstrated knowledge of HIPAA and Privacy Confidentiality Laws (Required)
High Speed Cable, DSL or Fiberoptic Internet, no less than 20 mbps - Satellite and Wireless connections will not work with our equipment. (Required)
Strongly prefer medical record retrieval experience in EHR systems
Strongly prefer knowledge of HEDIS
Strongly prefer EMR experience (Epic super user)
What you'll love:
No more commute
Work from home, full time (40-hour week)
Premera will provide a one-time allotment of $500 (minus taxes) towards home office furniture.
Generous benefits package that starts on Day 1 including health, dental, vision, PTO (Paid Time Off), and incredible retirement packages.
Schedule:
Set schedule with consistency - Monday-Friday, 8-hour days between 8am and 5pm Pacific Time (PST)
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:
$37,400.00 - $56,100.00
National Plus Salary Range:
$43,200.00 - $64,100.00
*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.
At Premera, we make healthcare work better. By focusing on improving our customers' experience purposefully and serving their needs passionately, we make the process easier, less costly, and more positive. Through empathy and advocacy, we change lives.
As the leading health plan in the Pacific Northwest, we provide comprehensive health benefits and services to more than 2 million customers, from individuals to Fortune 100 companies. Our services include innovative programs focused on health management, wellness, prevention, and patient safety. We deliver these programs through health, life, vision, dental, disability, and other related products and services.
Premera Blue Cross is headquartered in Mountlake Terrace, WA, with operations in Spokane and Anchorage. The company has operated in Washington since 1933 and in Alaska since 1952. With more than 80 years of experience in the region, we deliver innovation, choice, and expertise.
