Provider Network Contract Manager

Bachelor’s degree or direct and applicable work experience.
4+ years of managed care, health care provider negotiation or contracting related experience that demonstrates:
Knowledge of contracting strategies, provider reimbursement methodologies, contract administration, setup, and maintenance.
Understanding of compliance and adequacy requirements.
Strong negotiation, influence, and relationship management skills.
Strong written and verbal communications skills with the ability to share recommendations with varying audiences, including providers. Adapts communication based on audience.
Strong analytical and critical thinking skills. Thinks creatively and uses data to drive positive outcomes and improvements.
Proactive self-starter with effective time management and prioritization skills. Successfully manages and tracks projects. Attentive to details and quality.
Proven ability to thrive in a dynamic environment and drive results through collaboration. Partners effectively with different business areas.
Proficiency with Microsoft Office, such as Word, PowerPoint or Excel, and other applications. Learns new systems quickly.
Ability to travel.

Drive initiatives that support the development, innovation and maintenance of Wellmark’s Health Care Network Contracting strategy for Commercial and Government programs.
Lead on building and maintaining relationships with health care organizations and network providers to aid in successful development and negotiation of contracts.
Collaborate with internal stakeholders to gather data and insights to aid in this work.
Provide input for decisions related to the composition of Wellmark’s health care provider networks to develop new provider networks and strategies.