Healthcare Data Analytics & Reporting Consultant (Open to hiring at Senior level)

Company Description

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.

Job Description

Help us lead change and transform the member experience.

The health care industry is changing, and Wellmark is working to help change it for the better. We recognize that our clients deserve health care with a focus on quality – not quantity – of care. We also recognize that health care is complex. We’re working to ensure our organization is positioned to drive deeper understanding of solutions that help our clients navigate the system and make clear, informed decisions, and we’re ensuring that we take a team-centric approach to providing that analysis to our clients. The work that our Client Solutions teams are doing in collaboration with our business partners will create these changes, all while working to minimize health care costs.

Use your strengths as a Healthcare Data Analytics & Reporting Consultant!

Also known as a Client Solutions Consultant, this position provides unique visibility internally and the opportunity to make a difference to our members by helping clients align benefits to best support their members. Ideal candidates are skilled consultants who can effectively lead discussions to help their clients/stakeholders identify issues, understand root cause, and collaborate with others to problem solve and create solutions. They’re creative in approach and are masters at communicating effectively to diverse audiences, including technical and non-technical stakeholders and clients.

In this role, you’ll develop and deliver integrated comprehensive reports and analyses to internal stakeholders, members, and employer groups. You will leverage utilization, financial, clinical, and benchmark data from multiple internal and external sources. You’ll provide actionable, strategic recommendations to stakeholders (customers, brokers, and members) while adhering to established data governance standards and processes. In addition, you’ll serve as an instrumental part of teams focused on developing strategies for reducing the rate of increase in medical spend and trend in specific employer group customer populations.

Qualifications

Required:

• Bachelor's Degree in related field or direct and applicable work experience.
• Mid-level requirements:
• 4+ years of Insurance, Financial Services, or similar corporate experience, including:
• Interpretation of cost trends, financial and/or clinical data, and assessment of benchmark data involving large, complex datasets.
• Report writing/analysis and data visualization. Technical proficiency with tools such as: Access, Crystal, Report Smith, Business Objects, SAS, SQL Geo Access analysis tools, RFP Machine, or relational databases.
• Senior-level requirements:
• 7+ years of Insurance, Financial Services, or similar corporate experience, including:
• Advanced interpretation of cost trends, financial and/or clinical data, and assessment of benchmark data involving large, complex datasets. Development and delivery of recommendations to key/senior decision makers.
• Report writing/analysis and data visualization. Technical proficiency with tools such as: Access, Crystal, Report Smith, Business Objects, SAS, SQL Geo Access analysis tools, RFP Machine, or relational databases.
• Ability to serve as business owner and subject matter expert.
• Highly effective analytical skills, business intuition, and demonstrated proficiency in distilling large amounts of information into the most relevant insights.
• Consultative skills demonstrated by the ability to make recommendations to stakeholders, members, key employer groups and/or providers regarding benefit designs, product offerings, and clinical/wellness programs. Balances subject matter expertise and business acumen with strong understanding of the customer.
• Ability to manage customer relationships, including effective interpersonal, verbal and written communication skills. Strong presentation skills and the ability to influence others to achieve business results.
• Ability to build and sustain relationships with stakeholders, decision-makers and internal staff based on competence, trust and mutual respect.
• Proven ability to be highly detail oriented.
• Travel required between 20-30%.
  
  

Preferred:

• Bachelor’s Degree in STEM or a related quantitative discipline – e.g., Finance, Accounting.
• Master's Degree
• Health insurance, health care, or related industry experience, including understanding of delivery systems, managed care concepts, reimbursement, contracting, claims processing and/or medical policy.
  
  

Additional Information

• Support the Account Management team in creating and maintaining relationships with representatives of employer groups by identifying, initiating, and establishing appropriate internal and external contacts and sources needed for information sourcing. Serve as an interface between stakeholders, Account/Broker Managers, Underwriting, Health Management, Network Administration and senior leadership to identify and address issues impacting the health care trends and population health status of stakeholders.
• Maintain collaborative relationships with other internal and external stakeholders to communicate Wellmark’s value proposition to external stakeholders and present utilization, financial, and clinical information clearly and accurately. Support the execution and delivery of business intelligence and reporting performance guarantees.
• Interpret, and summarize financial or clinical data from multiple sources to conduct comprehensive, collaborative analysis. Produce concise compilation of the analysis, providing implications and recommendations as appropriate to key decision makers. Develop opportunity projections and determine the attractiveness of targeting various opportunities to support strategic decision making as it relates to medical trend.
• Utilize integrated data from multiple internal and external resources to effectively address business questions/problems in a way that demonstrates value to stakeholders (both internal and external) by making customized recommendations regarding benefit designs, product offerings and clinical/wellness programs that will help stakeholders achieve their goals. Data may include, but is not limited to, utilization and cost trends, industry variation, ROI, risk assessments and benchmarks quality measures, population health, and various models for payment or risk.
• Work collaboratively to develop comprehensive analytical view of actionable trend drivers and predict future trend from the perspective of impacts due to provider reimbursement, member health, misuse/overuse/underuse of services, patient demographics, benefit plan design, and shifts in place of service including geographic analysis.
• Support stakeholders in monitoring progress towards goals by demonstrating the comprehensive impact of recommendations (i.e., illustrate and explain results of Return on Investment and/or program evaluation analyses).
• Guide and collaborate with the Data Analytics & Reporting team in meeting the reporting needs of stakeholders by obtaining voice of the customer feedback through project participation, reporting and data analysis.
• Consult others on the development, design, and implementation of data initiatives, such as the data warehouse, data consumption layer, etc.
• Assess the current and prospective accounts’ health care benefit needs and decision-making processes by meeting regularly with Sales staff and representatives of employer groups to review short and long term goals and planning needs.
• Monitor and research healthcare industry activities and trends to evaluate and address current and emerging issues. Provide consultation and produce executive summaries that will indicate the pulse of the external environment.
• Other duties as assigned.
  
  

This job requires a non-compete agreement.

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