Hybrid Team Leader: Network Contracting & Strategy

Wellmark-Blue-Cross-and-Blue-Shiel; Des Moines (IA); Hybrid; USD 90,000 - 140,000; Full time

Job summary

Wellmark Blue Cross Blue Shield of Iowa is seeking a Team Leader for network contracting strategy and database management. You will drive initiatives to improve contracting experiences for internal and external stakeholders, and lead a team to optimize business processes and performance.

You will coach, set expectations, and foster a collaborative environment while partnering with legal, network administration, and health networks to implement contracting solutions.

Qualifications

• Bachelor's degree or direct and applicable work experience.
• Advanced analysis, negotiation, influence, and relationship management skills.
• Proven formal or informal leadership experience with coaching and development of team members.
• Strong communication skills tailored to diverse audiences.
• Ability to leverage data to inform decisions and drive improvements.

Responsibilities

• Provide leadership and day-to-day management of financial and human resources for the team.
• Oversee contracting initiatives and collaborate with internal stakeholders to manage agreements.
• Build relationships with National Providers and other partners to inform contracting strategies.
• Lead activities supporting network contracting policies, procedures, and program manuals.
• Represent the department to external audiences including health systems and national organizations.
• Serve as SME for provider contract issues and escalate complex cases as needed.
• Oversee provider contract verbiage in collaboration with Legal.
• Analyze provider networks to ensure adequacy and recommend expansions or changes.
• Develop and document policies to support contracting workflows.
• Coordinate communication about contracting initiatives with stakeholders.
• Provide oversight of single-case agreements in partnership with internal teams.
• Lead department projects using process management tools.

Skills

Leadership

Negotiation

Influence

Relationship management

Data-driven decisions

Communication

Strategic thinking

Education

Bachelor's degree or applicable work experience

Job description

Wellmark Blue Cross Blue Shield of Iowa is seeking a Team Leader for network contracting strategy and database management. You will drive initiatives to improve contracting experiences for internal and external stakeholders, and lead a team to optimize business processes and performance.

You will coach, set expectations, and foster a collaborative environment while partnering with legal, network administration, and health networks to implement contracting solutions.