Use Your Strengths at Wellmark as our National Accounts Analysis Manager!

About the Role: Reporting to the Director of Key Account Strategy, the National Accounts Analysis Manager is integral to Wellmark’s ability to strengthen our market position and maintain a leading edge in our markets. Through collaborative engagement with key stakeholders, you will lead and provide strategic direction and oversight to the organization for Wellmark’s UDS submission (plan performance data) and results for continued enhancement and optimization of our submission practices. You will provide expertise on data submission requirements, external consultant methodologies and optimization strategies, while working closely with Actuarial Services, Health Networks, Network Economics, Sales, the Blue Cross Blue Shield Association, and external vendors to evaluate and understand impacts to demonstrate the full value of our networks.

Ideal Candidates: You are a strong leader, even when not directly leading a team, with a demonstrated history of building and maintaining meaningful relationships, developed through your ability to communicate and collaborate with a diverse group of team members. Learning energizes you: you are naturally curious and seek out opportunities to improve existing practices, to uncover the ‘why’ and potential impacts, with limited to no direction. Your experience includes the interpretation of large, complex datasets, distilling relevant information into actionable insights through your exceptional consultation skills. You are excited about the idea of having a significant “seat at the table” and driving work critical to the continued success of the organization. If this sounds like you, apply today!

Required:

• Bachelor’s degree or direct and applicable work experience.
• 5+ years of Health care, health insurance, or related experience in a related analytical role – e.g. provider payment/reimbursement, provider compensation, data analytics, finance, etc.
• Intellectually curious and demonstration of strong decision-making skills, as well as business intuition. Must be able to understand the needs of others, ask meaningful questions, and distill large amounts of information into actionable recommendations.
• Demonstrated problem-solving, quantitative, and analytical skills with the ability to recognize inconsistencies, analyze for reasonableness and accuracy, research and come to conclusion in a wide variety of changing analytical situations.
• Experience should include the interpretation of data (e.g., outcomes, trends, assessment of benchmark data) involving large, complex datasets and the ability to consult and distill relevant information into actionable insights.
• Proven ability to continuously improve processes from identification to implementation.
• Strong written and verbal communication skills with the ability to develop, articulate and deliver complex information and recommendations to varying audiences, including senior leadership.
• Ability to establish key business relationships, influence decision makers, resolve conflict, and solicit cooperation and consensus from stakeholders.
• Self-starter with strong organizational skills and the ability to independently manage competing priorities in a fast-paces environment. Flexible and adaptable to change.
• Proficient in Microsoft Excel with a strong emphasis in formulas, vlookups, and pivot tables.
  

a. Provide the strategic direction and leadership for Wellmark’s UDS submission and results through collaborative engagement and competitive market insights with key internal and external stakeholders. Cascade and communicate strategy and initiatives to Wellmark leadership supporting achievement of overall company results.

b. Manage and actively participate in the research, implementation, and monitoring of UDS optimization initiatives, including financial reporting and comprehensive data analysis.

c. UDS Leadership and Stakeholder Governance Oversight - Facilitate and develop a strategic plan with the Stakeholder Governance team to perform routine analysis to monitor UDS submission optimization for effectiveness. This role will facilitate the development of the plans, while key stakeholders will be responsible for the delivery and implementation of the plans.

d. Consultant Benchmarking Result Translation - Work collaboratively with all areas of the company to translate current and future consultant benchmarking results to provide proactive communication of Wellmark’s network strategy and value perception and UDS optimization impacts. Provide timely response to inquiries and support data needs and inquiries. May communicate and attend consultant meetings, if applicable.

e. Collaborate with Wellmark Health Networks leadership and team members to understand current results and the impact of future network and reimbursement strategy and to the impact to the future UDS submission and results.

f. Support Sales Leadership in utilizing consultant benchmarking results. Ensure understanding of consultant’s methodologies and help seek clarifications of misrepresentations and/or misunderstandings of our network value in the market. Provide business knowledge and expertise in UDS projects, if applicable.

g. Collaborate and engage with internal experts (health networks, data governance, actuary, sales) and external partners and interested parties (consultants, Consortium Health Plans, BCBSA, other industry experts).

h. Other duties as assigned.

This job requires a non-compete agreement.

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