Team Leader - Value-Based Performance & Intelligence

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

Bring your value-based care experience and leadership strengths to Wellmark! 

About the Role: As a people-leader, you will lead and direct a team that supports building and maintaining strong, positive relationships with key health care organizations, clinically integrated provider networks, physician aggregators, and other strategic stakeholders. This team will also lead the building and evolution of our health care and network intelligence work. You will work collaboratively with key health care organizations, clinically integrated provider networks, physician aggregators, and other strategic stakeholders, to develop and achieve action plans, quality performance benchmarks, and total cost of care objectives to enhance health care organization performance and quality outcomes under Wellmark’s value-based payment programs. You will oversee and direct the coordination of strategic initiatives with key health care organizations in support of Wellmark’s Sustainable Healthcare Goal: improved quality and total cost of care. You will collaborate and partner with internal stakeholders that support the network performance and health care and network intelligence strategy that can help inform decision making, negotiations, clinical and relationships with key external health care organizations.  

About You: Because this role will be a leader of others, this individual will directly impact the success, growth, and development of team members by 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 and Leader Success Expectations is a must. Formal leadership experience in a highly matrixed value-based care team a plus! Health plan experience is preferred. 

Along with being a highly effective and influential leader, you will need to be well-versed in commercial value-based care strategies and promote the benefits of this work with internal and external stakeholders. The work won’t always come easy and change management skills will be crucial. Creativity, flexibility, resiliency, dedication, self-motivation, and a positive outlook are essential to success. Our teams thrive in a dynamic environment, so a collaborative and agile approach is a must.  

If this sounds like you, apply to our Team Leader opening today! 

This position will work a hybrid schedule of at least 3 days in Wellmark's Des Moines office, with 2 days remote option. As a leader, there may be additional days in office to meet business needs. 

Internal Job Title: Team Leader - Network Performance & Intel 

Qualifications

Preferred Qualifications:

• Previous sales or account management experience.
• Previous value-based contracting experience.
• Knowledge of contracting and payment strategy, medical policy, benefit designs and product offerings.

Required Qualifications:

• Bachelor’s degree or direct and applicable work experience.
• 6+ years of experience in health insurance, health care, or related industry experience as well as in roles focused on value-based contract management, health care organization value-based performance, relationship management (e.g., physician, hospital), strategic consultation, and analysis of data/information.
• Strong abilities in the interpretation of data (e.g. outcomes, trends, assessment of benchmark data). Demonstrated problem-solving, quantitative, and analytical skills with the ability to recognize inconsistencies, analyze for reasonableness and accuracy, research and come to conclusion in a wide variety of changing analytical situations.
• Ability to build and maintain strategic, ongoing relationships w