Team Leader - Provider Performance (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. 

Job Description

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, physician aggregators, and other strategic stakeholders. You will work collaboratively with key health care organizations, 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 successfully collaborate and partner with Network Payment Strategy, Network Relations, Medicare Advantage, Legal, and other internal stakeholders that support the relationships with key external health care organizations.

Because this role will be a leader of others, you will directly impact the success, growth, and development of team members. It is critical that you are a role model for behaviors that demonstrate Wellmark’s Leader Success Expectations, which includes setting clear expectations, defining accountabilities, providing regular coaching, facilitating change, and providing an overall positive work environment. In addition to outstanding leadership skills, you have a passion for healthcare and leading positive change. 

*This position will work a hybrid schedule: Tuesday through Thursday in Wellmark's Des Moines office, with the option to work remotely Monday and Friday. As a leader, there may be additional days in the office to meet business needs.  

Internal Job Title: Team Leader - Network Performance

This job requires a non-compete agreement.

Qualifications

Required Qualifications - Must have:

• 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 with colleagues and external stakeholders – e.g., health care organizations, physicians, physician aggregators, hospitals, and Accountable Care Organizations.
• Leadership skills typically gained through a combination of project or informal leadership that demonstrates knowledge of work processes, products and services, and leadership competencies.
• Proven skills in motivating and influencing others; ability to build collaborative relationships across the organization.
• 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, creative approach to solving problems and developing solutions.
• Self-starter motivated by the opportunity to work in fast-paced environments and driven by measurable outcomes. Ability to operate independently yet cooperatively