Healthcare Network Strategist
4 weeks ago
Wellmark, Inc. is seeking a skilled Healthcare Network Strategist to drive initiatives that support the development, innovation, and maintenance of our Health Care Network Contracting strategy for Commercial and Government programs.
As a Provider Network Contract Manager, you will work collaboratively with internal stakeholders to gather data and insights to aid in this work. You will also provide input for decisions related to the composition of Wellmark's health care provider networks to develop new provider networks and strategies.
Key responsibilities include:
- Analyze data to design and recommend provider contract methodology strategies and provider specific strategies.
- Analyze data to design and recommend contract amendments. Perform network analysis, strategy development and implementation; obtain data, verify validity, and analyze network availability/access for contracting opportunities.
- Work collaboratively with contract team and HCI leadership regarding provider contracting requirements and to draft new provider contracts and amendments to existing provider contracts.
You thrive when you are thinking 'outside of the box' and have a creative mind when it comes to negotiating and creating sophisticated and complex healthcare provider agreements and amendments. You have strong communication skills, both verbally and written, and are able to effectively articulate complex information to a variety of audiences.
The ideal candidate will have:
- Bachelor's degree or direct and applicable work experience.
- 4+ years of managed care, healthcare provider negotiation or contracting related experience that demonstrates knowledge of contracting strategies, provider reimbursement methodologies, contract administration, setup, and maintenance.
- Strong analytical and critical thinking skills. Thinks creatively and uses data to drive positive outcomes and improvements.
This position requires a non-compete agreement.
We are an equal opportunity employer and welcome applications from all qualified candidates.
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