Wellmark Blue Cross and Blue Shield

Consultant

• Wellmark is looking for a highly experienced health care professional with at least 10+ years of experience in the industry
• Translate health care and benefits knowledge into actionable influence
• Leverage their industry network to position Wellmark as a top-tier administrator
• Dedicated focus on broad consultant relations critical to success
• Work closely with Sales Directors, Sales Team Leaders, and SMEs across the business to align strategy and drive impact

National Consultant Relations Executive

Full-stack Engineer

• Design, develop, test, implement, maintain, and document software solutions in support of Wellmark’s business strategy and Technology vision
• Ensure completed activities meet project specifications and requirements
• Establish and build working relationships with Technology and business units
• Collaborate with other areas of Technology to ensure solutions improve the user experience
• Participate in determining Technology alternatives and solutions and assist with system integration

Software Engineer – Sr. Level

Customer Support

• Provide daily support to Wellmark care management team members through outbound calls to clinical staff regarding denials for services and admissions
• Schedule peer to peer reviews for Medical Directors
• Complete prompt and professional outbound phone and fax inquiries to obtain member discharge dates
• Support and request clinical information as directed by the Utilization Management Nurses
• Provide backup for other Health Services team members as needed

Health Services Clinical Support Specialist

• Support clinical staff by gathering data to complete medical necessity review process
• Complete outbound inquiries via phone/fax to obtain discharge dates
• Create and send letters to providers and/or members
• Collaborate with other care management teams and stakeholders

National Consultant Relations Executive

Software Engineer – Sr. Level

Health Services Clinical Support Specialist

Health Services Clinical Support Specialist, Remote Eligible After Training