Why Wellmark: We are a mutual insurance company owned by our policy holders across Iowa and South Dakota, and we’ve built our reputation on over 80 years’ worth of trust. We are not motivated by profits. We are motivated by the well-being of our friends, family, and neighbors–our members. 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! 

Learn more about our unique benefit offerings here. 

Want to know more? You can learn about life at Wellmark here.

The health care industry is evolving and Wellmark is working to help change it for the better. Help us lead the change as we expand our System Configuration Team at Wellmark!

Job Level: This role can be filled at the Network Economics Systems Analyst or Sr Network Economics Systems Analyst level depending on work experience, skills, and demonstrated ability. Please apply if you have the minimum experience required below or if you have much more experience! 

About the Role: While closely partnering with internal departments and other Network Economics team members, you will work to define, review, develop, test and analyze business system solutions. You will ensure compliance standards are met, while confirming member, plan and provider payments are paid timely, accurately and appropriately.

About You: You are a technically strong, self-starter who is intrinsically motivated to ‘dig deep’ to find creative ways to solve problems. You enjoy working autonomously, while also regularly collaborating with your team and other departments to meet business goals. For you, the status quo is something to be challenged in order to find better, innovative ways of working. In addition, you have a thorough understanding of plan pricing methodologies and claims pricing/payment. You have strong written and verbal communication skills that aid you in articulating complex information or solutions to others. You thrive on building and maintaining relationships, and partnering with various teams to improve outcomes. An analytic mindset is a must – for you problem solving means getting innovative and anticipating obstacles.  If this sounds like you and you’re ready to be a part of making health care better, apply today!

Top candidates will apply their in-depth Excel knowledge and will have familiarity with Facets and Federal Employee Program (FEP) knowledge.

Required:

• Associate’s Degree or direct and applicable work experience.
• Minimum 4+ years of related experience:
  • In a business analyst, systems analyst, or related role.
  • Experience combining technical acumen with knowledge of operational business processes demonstrated through documentation or translation of business requirements, system testing, business process improvement, etc.
• Strong communications skills (verbal/written) with the ability to articulate complex information or solutions to internal and external stakeholders, including vendors.
• Ability to analyze and assess business requirements for new or existing system capabilities and contribute to the design and structure of system parameters.
• Demonstrated critical thinking, problem solving/troubleshooting and continuous process improvement skills.
• Workflow management skills, including an understanding of sequential progression of tasks or processes and their respective impacts.

a. Define, review and scrutinize all business requirements for system solutions; new and existing system capabilities. Take direction in the planning, development and testing of all phases all of business system solutions. Maintain documentation of the technology solution and communicate changes as appropriate.

b. Interact and partner with project/program managers and stakeholders. Ensure the correct stakeholders are actively participating to clarify understanding of high level business needs and requirements.

c. Coordinate and facilitate strong internal partnerships with BTS and vendor personnel, to ensure timing of all technical deliverables/projects (e.g. modifications, interfaces, upgrades, conversions, etc.)

d. Keep informed, support and adhere to regulations, Wellmark’s software development lifecycle (SDLC), operational procedures and other business analysis protocols. Ensure that system conversion and release upgrades are implemented timely with associated business documentation and training prior to the implementation.

e. Work with company resources to accomplish changes to programs and systems. Ensure that processing system infrastructures are kept stable and in compliance with regulating bodies and entities. Assist other business staff in determining best practices for business process improvement.

f. Other duties as assigned.

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 [email protected]