Operations Director

7 days ago


Des Moines, Iowa, United States Wellmark, Inc. Full time

Estimated Salary: $120,000 - $150,000 per year

About Wellmark, Inc.

We are a mutual insurance company owned by our policy holders across Iowa and South Dakota, with a reputation built on 85 years of trust. Our mission is to provide best-in-class service and put the well-being of our members first.

Learn about our unique benefit offerings and life at Wellmark to see if this leadership position is right for you.

Job Description

This senior leadership role oversees staff and functions that support provider credentialing and data management. As an Operations Director, you will lead a team of Credentialing & Contracting Specialists, focusing on provider data accuracy and a positive provider experience.

You will manage business processes within the department to optimize credentialing performance against aging goals and regulatory criteria. This includes promoting teamwork and strong collaborative relationships across the organization and with external healthcare providers and vendors.

Qualifications
  • Bachelor's degree or direct and applicable work experience
  • 4+ years of proven effective leadership in a medium to high complexity organization
  • Ability to coach and mentor others, lead teams through change, and improve performance
  • Demonstrated ability to communicate effectively and professionally, verbally and in writing
  • Process management knowledge and experience leading multi-division projects
Responsibilities
  1. Provide leadership and day-to-day management of financial and human resources for the team
  2. Lead activities such as policies, procedures, knowledge management, and program manuals
  3. Represent the department and corporation on topics related to provider credentialing
  4. Support the maintenance and analysis of provider credentialing and network status data
  5. Meet or exceed reporting standards for department activities
  6. Maintain successful NCQA accreditation and participate in BCBSA surveys
  7. Drive problem solving and continuous process improvement strategies
Requirements
  • Strong leadership and communication skills
  • Ability to work in a fast-paced environment
  • Excellent analytical and problem-solving skills
  • Experience working with healthcare providers and vendors
About the Team

As an Operations Director, you will be part of a dynamic team that values collaboration and innovation. You will have the opportunity to make a significant impact on the success of Wellmark, Inc. and contribute to the growth and development of our employees.



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