Wellmark, Inc.
Hiring now
Hybrid · Des Moines, Iowa, United StatesFull-timePosted 5 weeks ago
Wellmark, Inc.
ApplyWhy 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.
The health care industry is evolving and Wellmark is working to help change it for the better. Help shape network performance products that support better decisions about health care cost, quality, and value.
About the Role: Also known internally as a Senior Network Innovation Analyst, you will be a senior analytical partner on a cross-functional product team supporting Network Payment Strategy and Network Performance. You will combine complex internal and external data with stakeholder and customer insights to identify opportunities, independently frame ambiguous business problems, evaluate solution options, and measure outcomes. Your analyses and recommendations will influence product priorities, value-based payment initiatives, and network performance strategies. You will also translate technical findings into clear data stories for health care organizations, leaders, and internal partners. Success in this role requires analytical depth, business curiosity, strong stakeholder consultation, and the ability to independently frame ambiguous business problems, lead complex analyses, and translate findings into actionable, evidence-based recommendations.
About You: You are inquisitive and focused on making data-driven conclusions, decisions, and recommendations to achieve business goals. You feel effective when you can extract, analyze, interpret, and integrate data to monitor and implement strategic, innovative initiatives. You thrive as part of an agile product team, partnering across disciplines, adapting to changing priorities, contributing to planning and refinement activities, and incorporating stakeholder feedback into iterative solutions. In addition, you have strong written and verbal communication skills that aid you in consulting, collaborating and effectively communicating complex concepts to varied audiences. You enjoy mentoring, coaching, sharing knowledge, and providing guidance to others, while building and maintaining collaborative relationships with internal and external stakeholders.
Candidates currently residing in the Des Moines, IA metro area preferred.
This position will work a hybrid schedule of at least 3 days in Wellmark's Des Moines office (Tuesday-Thursday), with Monday & Friday remote option.
Required Qualifications - Must have:
What you will do:
a. Develop new cost and quality initiatives and reporting using internal data sources and vendor relationships.
b. Provide actionable data and recommendations to providers as it relates to medical cost and quality. The Analyst will meet with assigned ACO’s to review performance and assist with cost and quality initiatives that drive ACO performance.
c. Develop opportunity projections and determine the viability of various opportunities to support strategic decision making as it relates to medical cost and quality and drive Wellmark’s value proposition to stakeholders.
d. Support other Network Innovation Analysts by mentoring and providing guidance and industry expertise.
e. Serve as a business liaison for Network Innovation on project initiatives.
f. Extract, analyze, interpret and integrate data using internal and external data sources to develop initiatives, support recommendations and draw conclusions to internal and external stakeholders to achieve business goals.
g. Ensure data integrity by performing quality assurance checks for vendor reporting. Will collaborate with other analysts to conduct monthly verification of the vendor dashboards.
h. Maintain collaborative relationships with internal and external stakeholders, including providers and vendors, to communicate Wellmark’s value-based reimbursement strategy and present utilization, financial and clinical information clearly and accurately.
i. Support the Network Engagement team in creating and maintaining relationships with provider groups by identifying, initiating and establishing appropriate internal and external contacts and sources needed for information sourcing.
j. Support stakeholders in monitoring progress towards goals by demonstrating the comprehensive impact of recommendations (e.g., illustrate and explain results of return on investment and/or program evaluation analyses).
k. Support Network Innovation initiatives by documenting and monitoring value based provider reimbursement initiatives.
l. Perform routine analysis for Wellmark leadership to monitor reimbursement methodologies for effectiveness. Apply qualitative and quantitative techniques to interpret provider reimbursement data, identify opportunities and provide recommendations as appropriate.
m. Other duties as assigned.
An Equal Opportunity Employer
The policy of Wellmark Blue Cross Blue Shield is to recruit, hire, train and promote individuals in all job classifications without regard to race, color, religion, sex, national origin, age, veteran status, disability, sexual orientation, gender identity or any other characteristic protected by law.
Applicants requiring a reasonable accommodation due to a disability at any stage of the employment application process should contact us at careers@wellmark.com
Please inform us if you meet the definition of a "Covered DoD official".
At this time, Wellmark is not considering applicants for this position that require any type of immigration sponsorship (additional work authorization or permanent work authorization) now or in the future to work in the United States. This includes, but IS NOT LIMITED TO: F1-OPT, F1-CPT, H-1B, TN, L-1, J-1, etc. For additional information around work authorization needs please refer to the following resources:Nonimmigrant Workers and Green Card for Employment-Based Immigrants
Wellmark supports and expects the responsible use of AI for our workforce! We welcome the responsible use of these tools by job seekers as well and are interested in learning from you; you will have an opportunity in the application process to share which tools you used and how you applied them.