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.

Use Your Strengths at Wellmark as an InterPlan Market Analyst! 

As an InterPlan Market Analyst, you will identify ways to leverage InterPlan initiatives. This involves the support of new sales and account retention within the national account market, and serving as an expert resource by providing consultation to Wellmark staff on all aspects of BCBSA national programs and policies including networks, products, services, pricing and BlueCard fees. You will participate in internal work groups, corporate initiatives, and BCBSA work groups, which will have you routinely interacting with many Wellmark departments, including National Account Sales, Underwriting, Provider Relations, Claims, Customer and Provider Service, Legal, department leaders, other Blue Plans, Blue Cross Blue Shield Association and Consortium Health Plans (CHP). 

Ideal candidates are strong communicators with a demonstrated history of building successful cross-functional relationships. You thrive in deadline- and timeline-driven environments, with a keen eye for detail. You appreciate work that offers peaks and valleys, you lead with a go-getter attitude, and are driven to get the work done. Your inquisitive mind is on display – you want to know the WHY and the HOW behind your work. You are intellectually curious and a forever learner, eager to grow intrinsically in your career. If this sounds like you, apply today! 

Required:

• Bachelor's Degree in related field or direct and applicable work experience
• 1+ years of experience including health insurance products, benefit design or funding arrangements.
• Ability to identify issues or inconsistencies; obtains relevant information, relates and compares data from different sources, and identifies alternative solutions.
• Effective communication skills, both verbal and written, including the ability to effectively develop and maintain relationships.
• Ability to multitask, prioritize and time management skills.
• Strong critical thinking skills. Ability to collaborate with others to reach resolution; explore alternatives and positions to reach outcomes that gain the support and acceptance from all parties.
• Proficient with Microsoft Office.
• Travel required between 5-10%

Preferred:

• BlueCard experience

a. Facilitate and support national account sales and retention by providing expertise on BCBSA InterPlan Programs (IPP), BCBS networks, products, and services, perform claims disruption and claims re-pricing analysis and reporting, and fee negotiations with other Plans.

b. Review, maintain, analyze, negotiate, and reconcile national account BlueCard fees. Create, document, and maintain records for audit purposes, notify Wellmark departments of fee arrangements, and create Plan Profiles in CBF (Capital Bulk Format) system.

c. Serve as an expert resource for Wellmark staff on all aspects of IPP. Participate and/or facilitate day-to-day meetings with and respond to inquiries from Sales, Underwriting, and Provider Relations teams; BCBSA; CHP; and other Wellmark staff.

d. Assist and support national programs strategic initiatives by actively participating at both the national and Wellmark level to influence national and IPP programs and products. Assist with tactical details and execution.

e. Develop and maintain positive relationships with national account/IPP contacts at Blue Plans to enable favorable negotiations and resolution of IPP issues.

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]

Please inform us if you meet the definition of a "Covered DoD official".

At this time, Wellmark is not considering applicants for this position that require any type of immigration sponsorship (additional work authorization or permanent work authorization) now or in the future to work in the United States. This includes, but IS NOT LIMITED TO: F1-OPT, F1-CPT, H-1B, TN, L-1, J-1, etc. For additional information around work authorization needs please refer to the following resources:Nonimmigrant Workers and Green Card for Employment-Based Immigrants