Hybrid Team Leader, Provider Contracting & Strategy

Wellmark, Inc.; Des Moines (IA); Hybrid; USD 90,000 - 135,000; Full time

Job summary

Wellmark, Inc. in Des Moines, IA is seeking a Team Leader to drive the development and maintenance of the network contracting strategy and the contract management database.

You will lead a team, partner with stakeholders, and ensure contracting processes align with Wellmark and BCBS Association programs. You will coach and develop team members, manage budgeting and performance, and collaborate with Legal, Health Networks and providers to optimize contracts and expand networks while ensuring

Qualifications

• Bachelor's degree or direct and applicable work experience.
• 5+ years of progressively increasing experience in provider contract work that demonstrates expertise with provider network contracting strategies, setup, and regulations.
• Advanced analysis, negotiation, influence, and relationship management skills.
• Proven formal or informal leadership experience; ability to lead, coach, engage, and develop team members in a dynamic work environment.
• Operational problem solving/troubleshooting with the ability to understand industry and solve problems.

Responsibilities

• Provide leadership and day-to-day management of financial and human resources for the team.
• Oversee Blue Distinction Centers, Care Sourcing, and other contracting initiatives with internal stakeholders.
• Build relationships with National Providers to develop contracting strategies.
• Lead team to support network contracting policies, procedures, and program manuals.
• Represent department and organization to external audiences including health systems and providers.
• Serve as SME and escalate provider contract issues as needed.
• Oversee provider contract verbiage collaboration with Legal.
• Analyze provider networks to meet adequacy and customer needs and develop expansion recommendations.
• Develop policy and procedure documentation for work instructions and processes.
• Coordinate communication about contracting initiatives with internal and external partners.
• Oversee single case agreements and collaborate with internal stakeholders.
• Lead interdepartmental projects using process management tools.

Skills

Provider contract expertise

Leadership experience

Analytical skills

Negotiation skills

Communication skills

Education

Bachelor's degree or equivalent experience

Job description

Wellmark, Inc. in Des Moines, IA is seeking a Team Leader to drive the development and maintenance of the network contracting strategy and the contract management database.

You will lead a team, partner with stakeholders, and ensure contracting processes align with Wellmark and BCBS Association programs. You will coach and develop team members, manage budgeting and performance, and collaborate with Legal, Health Networks and providers to optimize contracts and expand networks while ensuring