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Entry LevelFull-timeRust
Salary Range
$25,500 - $34,500 /year
This salary is estimated based on similar roles. The actual salary may vary.
As a Provider Network Program Manager, you will serve as a high-level individual contributor supporting network contracting and network management programs across all lines of business. You will partner closely with division leadership, program management, legal/compliance, technology teams, vendors, and key business functions to drive network contracting objectives and results. You will develop, monitor, and maintain provider network requirements, with a high focus on NSA/IDR, NCQA, QHP, and Medicare Advantage, while supporting network contracting, network management programs, and provider network initiatives in an evolving and dynamic environment. You will ensure compliance with federal and state regulations (such as CMS), BCBSA and Wellmark guidelines, lead cross-functional collaboration and internal education efforts, and act as a trusted “guest star” contributor for the Product Team.
This position will work a hybrid schedule of at least 3 days (Tues-Thurs) in Wellmark’s Des Moines office with 2 days remote option (Mon/Fri).
Internal Job Title: Network Program Manager
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About WellmarkInc
WellmarkInc operates as a leading provider of health insurance and related services, primarily serving the healthcare industry. Based in the United States, the company has established itself as a trusted name in the health insurance sector, offering comprehensive coverage and support to individuals, families, and businesses. With a focus on delivering reliable and accessible healthcare solutions, WellmarkInc has built a reputation for its commitment to quality and customer care, reflecting its deep roots in the communities it serves. The company’s main products and services include a wide range of health insurance plans, such as individual and family coverage, employer-sponsored plans, and Medicare Advantage options. WellmarkInc distinguishes itself through its extensive provider network, competitive pricing, and emphasis on preventive care and wellness programs. Its target audience spans diverse demographics, from young professionals to retirees, with tailored solutions to meet varying healthcare needs. By leveraging technology and data-driven insights, the company ensures efficient claims processing and personalized member support. WellmarkInc has achieved significant milestones, including recognition for its high member satisfaction rates and strong financial stability. As a subsidiary of Blue Cross Blue Shield, it benefits from a robust national network while maintaining a local focus. The company’s unique value proposition lies in its ability to blend comprehensive healthcare coverage with a customer-centric approach, ensuring that members receive both broad access to care and individualized attention. This combination has solidified its position as a preferred healthcare partner in the regions it serves.
