Vice President of Provider Relations & Engagement

Serves as a strategic, highly visible key leader in the representation of Wellmark across the provider network to effectively meet the needs of our clients, members, providers, and other stakeholders. Develops and maintains positive, professional relationships and collaboration with physicians, hospital leaders, clinic administrators, and other healthcare professionals. Develops and maintains positive, productive, professional relationships with healthcare organization leaders (i.e., Iowa Hospital Association, South Dakota Association of Healthcare Organizations, Iowa Medical Society, Healthcare Financial Management Association, etc.). Leads the Provider Relations team with overall accountability in building and maintaining strong, positive relationships with providers participating in Wellmark’s networks. Oversees and directs a network relationship service model that focuses on managing escalated issues and educating and communicating with network providers about strategic initiatives to improve quality, efficiency of care, and administrative performance by providers. Will collaborate and partner with Network Payment Strategy, Network Performance, Health Services, Operations, and other internal stakeholders that affect the relationships with network providers. Creates customer value and competitive advantage through enhanced provider relations which, when coupled with enhanced medical/benefit management techniques, improves health status and provides affordable and accessible health care products and services to customers.