Team Leader - Clinical Quality & Training (Health Services)

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!  

About the Opportunity: Wellmark is on a mission to make health care better for our members and we are looking for an experienced clinical leader to help us drive this work! As a people-leader, you will coach and mentor the Clinical Quality & Training team through the design and development of Health Services training programs that deliver measurable performance outcomes with a focus on improving member and user experience. You will do this through actively partnering with various areas of the organization to help educate and guide them through their role in program success. You will manage, develop and implement culture, change and engagement programs including, but not limited to, system and performance training, stakeholder engagement, organization design, organizational culture, change management, performance management and talent assessment to achieve the long-term business strategy. You will also ensure standards, documentation and training represent the most up-to-date regulatory and NCQA Accreditation requirements. 

About You: Because this role is a leader of others, this individual will directly impact the success, growth, and development of team members by establishing goals and objectives, setting clear expectations, defining accountabilities, providing regular coaching, facilitating change, and providing an overall positive work environment. Being a role model in behaviors that demonstrate Wellmark’s core competencies is a must. In addition to a passion for developing others, our ideal candidate is skilled at change leadership; effectively managing change will be critical from establishing the business case for change, to operationalizing and communicating evolving business processes both internally and externally. In addition, you are skilled in leading through change and setting your team up for success by actively communicating and managing through ambiguity. You are a “people person” and love building organizational relationships and influencing others in a way that positively impacts the lives of our members.

Qualifications

Preferred Qualifications:

• Knowledge of regulatory standards and regulations - e.g. CMS, State regulations, NCQA, confidentiality
• Experience with training e.g. in health service insurance and/or promotion of Change Management curriculums.

Required Qualifications:

• Minimum of a bachelor’s degree with a clinical license (i.e. Registered Nurse, License Clinical Social Worker)
• 4+ years of management experience in a health care, health insurance, or similar work environment. Experience must reflect two or more of the following: Direct management of a clinical team, management of complex case management; and/or clinical curriculum development.
• 3+ years of experience in the management of utilization management. 
• Leadership skills typically gained through a combination of project or informal leadership that demonstrates knowledge of work processes, services, or leadership competencies.
• Ability to effectively coach/mentor and lead a diverse team through change.
• Demonstrated ability to think strategically and execute operationally/tactically from the big picture to tactics/implementation.
• Strong verbal and written communication skills, including the ability to guide, influence others and negotiate care with members, physicians, care facilities, or similar audiences.
• Proactive, resourceful self-starter. Demonstrates strong understanding of established resources, processes, and guidelines, yet is able to independently make decisions or recommendations under ambiguity.
• Organized, structured approach to change management and continuous process improvement.
• Ability to succeed in and lead others in a dynamic work environment where member experience and engagement production or quality goals are measured. Lead change, inspire others, develop people, etc.

Additional Information

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