Director - Government Network Strategy & Performance

Wellmark, inc. - Township Of Des Moines
new offer (23/06/2024)

job description

Job Description
About the opportunity:
Wellmark’s Director of Government Network Strategy &
Performance will provide leadership and strategic direction for Wellmark's government programs network performance strategy, value-based payment and provider incentive programs requiring coordination across the enterprise and with joint venture (JV) partners. This Director will be accountable for the oversight and coordination of health network initiatives and strategies focused on developing and executing on government products strategy, Medicare Advantage Stars quality measures, risk adjustment accuracy and overall provider network performance strategy.In addition, this critical role will serve as lead facilitator in program development to ensure effective implementation, compliance, and contractual arrangements to fulfill regulatory requirements, communication, and monitoring of designated programs. This people-leader will be responsible for management of the Government and Medicare Advantage health networks team who builds and maintains collaborative provider relationships to achieve network performance results and goals in support of the value-based payment model and financial incentives strategies. This leader will promote teamwork and strong collaborative relationships internally and externally while ensuring we are building and driving comprehensive network strategies across all areas of scope.
Use your strengths at Wellmark:
As a leader of others, they will directly impact the success, growth, and development of team members by setting clear expectations, coaching to each team member’s strengths, and fostering a team-centric work environment. Being a role model in behaviors that demonstrate Wellmark’s Leader Success Expectations and inclusion are essential.
Our strongest candidates believe health care can be better and are passionate about finding ways to influence this important work. They have well-rounded network strategy experience, including knowledge of government programs (such as Medicare Advantage), STARS measures and risk adjustment, and value-based care. They are analytical, innovative, and partner effectively internally and externally using their strong communication skills to influence and drive strategic work forward. From design to implementation and maintenance - they bring structure to ideas.
This position will work a hybrid schedule of at least 3 days in Wellmark's Des Moines office, with 2 days remote option. As a leader, there may be additional days in the office to meet business needs.

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Director - Government Network Strategy & Performance

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