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Director - Provider Network Development & Contracting
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Full-time
- If you’re passionate about joining an organization working hard to put its members first, to provide best-in-class service, and one that is committed to sustainability and innovation, consider applying today!
- Job DescriptionAbout the opportunity: Wellmark’s Director of Provider Network Development & Contracting will provide leadership and strategic direction for Wellmark’s provider network development and contracting, network innovation analytics, network intelligence, and commercial network performance teams.
- This role will actively partner with multiple areas of the division and broader organization, including Network Economics, Provider Relations, Payment Integrity and Government Network teams, to identify & implement initiatives related to provider network contracting, provider payment, and Wellmark’s sustainability goals.
- Use your strengths at Wellmark: Our ideal candidate will have strong knowledge of the healthcare landscape and extensive experience with hospital, physician, and other health care organizations payment and contracting strategies, specifically fee-for-service and value-based arrangements, shared savings/shared risk, and financial incentive models, and network performance for commercial and government lines of business.
- They should be skilled at analyzing, forecasting, and modeling, including interpreting clinical outcomes, claims data, and trends to understand provider network utilization and cost trends, and total cost of care to be able to set internal standards and determine benchmarks.
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