Provider Performance Manager (Commercial / Value-Based)

Company Description

Why Wellmark: We are a mutual insurance company owned by our policy holders across Iowa and South Dakota, and we’ve built our reputation on over 80 years’ worth of trust. We are not motivated by profits. We are motivated by the well-being of our friends, family, and neighbors–our members. If you’re passionate about joining an organization working hard to put its members first, to provide best-in-class service, and one that is committed to sustainability and innovation, consider applying today! 

Learn more about our unique benefit offerings here. 

Want to know more? You can learn about life at Wellmark here.

Job Description

Use Your Strengths at Wellmark! 

Internal Job Title: Network Performance Manager  

About the Role: As a Performance Manager, you will develop and maintain strong, positive relationships with key health care organizations, physicians, physician aggregators, and other key stakeholders. You will leverage these consultative relationships to inform, develop and drive collaborative action plans and value-based performance outcomes, supporting the evolution of a quality, efficiency and total cost of care focused value-based network payment model. With this as a foundation, you will be responsible for facilitating, supporting, and coordinating strategic initiatives with key health care organizations in support of driving improved quality and efficiency of care. You will be an advocate for commercial value-based programs, both internally and externally. 

In this key individual contributor role, you’ll need to be inquisitive; data will inform your decisions, and a deep intellectual curiosity will drive you to regularly ask questions that further our understanding of what drives performance, where gaps exist and how to best fill them. This analysis will be a primary input into the design, negotiation and deployment of value-based contracts and action plans that enhance provider performance. You will serve as a resource and partner to internal teams across Wellmark, while building and sustaining relationships with our provider network.  

About you: Using your strong healthcare network knowledge and passion for making health care better, you are at your best when you can balance your analytical side with your relational side. You have strong verbal and written communication skills, including a keen ability to effectively communicate complex information in a compelling manner. You are comfortable delivering a formal presentation to healthcare executives and internal stakeholders, with the ability to adjust to various audiences quickly. You are detailed and thorough. For you solving a complex problem means being innovative and creative, asking all the right questions and effectively digging into the data along the way. You have a knack for managing health care organization relationships and multiple priorities. You enjoy working in an environment that isn't always defined or straightforward - working 'in the gray' is exciting to you. From time-to-time there may be difficult conversations and scenarios to work through, but the variety and challenge drives you to succeed as you have a hunger to learn and grow in your career!  

If this sounds like you, apply for this opportunity today! 

This position will work a hybrid schedule of at least 3 days (Tuesday, Wednesday, Thursday) in Wellmark's Des Moines office, with 2 days (Monday, Friday) remote option. 

Qualifications

Preferred Qualifications:

• Experience in value-based contract management, network performance and contracting. Experience also in roles focused on relationship management (e.g. physician, hospital), strategy, consultation, and analysis of data/information.

Required Qualifications:

• Bachelor's degree or direct and applicable work experience.
• 4+ years of related healthcare industry experience that reflects analysis of health care quality data and network management or provider relations.
• Ability to build and maintain relationships with colleagues and external stakeholders.
• Effective consultation skills, including the ability to persuade and influence key decision makers.
• Demonstrated ability to communicate effectively verbally and in writing, expressing complex concepts clearly and concisely with multiple levels of an organization, including external stakeholders and professional organizations. Ability to develop and facilitate presentation as needed.
• Ability to apply strong analytical, problem solving, and critical and strategic thinking to work with vendors and internal departments. Willingness to take an innovative, c