What are the responsibilities and job description for the Health Services Quality Coach (Remote Eligible) position at Wellmark Blue Cross and Blue Shield?
Job Description
Use your strengths as a Health Services Quality Coach for Wellmark’s Federal Employee Program (FEP):
About the role: As an integral partner in upholding Wellmark’s compliance and consistency within utilization management and case management processes, you will be responsible for auditing the work of both clinical and non-clinical team members in support of Wellmark’s business portfolio, including FEP. Your primary focus will be to support internal and external performance metrics by auditing, researching, reporting, and analyzing Health Services activities to ensure alignment with established standards, policies, and procedures. Additionally, you will deliver individualized and group coaching to guide team members in achieving and surpassing company and FEP expectations and metrics. Serving as an expert in Wellmark’s clinical quality assurance review, you will identify and recommend improvements to Health Services procedures and ensure accurate documentation of processes. Building strong relationships and credibility within the organization will be critical to your success in this role.
About you: You are a resourceful analyst with a passion for examining trends, identifying process gaps and opportunities, and leading coaching initiatives to achieve organizational objectives. You excel at auditing documentation and adeptly assist team members in continuous improvement. Detail-oriented and naturally curious, you possess strong active listening skills that facilitate effective, constructive feedback to colleagues. Your transparent and articulate communication—both verbal and written—combined with mentoring capabilities, enables you to motivate and foster growth among team members.
Candidates located in Iowa or South Dakota preferred. Top candidates will have quality assurance and coaching experience, and/or health plan experience. Prior remote work experience a plus!
Use your strengths as a Health Services Quality Coach for Wellmark’s Federal Employee Program (FEP):
About the role: As an integral partner in upholding Wellmark’s compliance and consistency within utilization management and case management processes, you will be responsible for auditing the work of both clinical and non-clinical team members in support of Wellmark’s business portfolio, including FEP. Your primary focus will be to support internal and external performance metrics by auditing, researching, reporting, and analyzing Health Services activities to ensure alignment with established standards, policies, and procedures. Additionally, you will deliver individualized and group coaching to guide team members in achieving and surpassing company and FEP expectations and metrics. Serving as an expert in Wellmark’s clinical quality assurance review, you will identify and recommend improvements to Health Services procedures and ensure accurate documentation of processes. Building strong relationships and credibility within the organization will be critical to your success in this role.
About you: You are a resourceful analyst with a passion for examining trends, identifying process gaps and opportunities, and leading coaching initiatives to achieve organizational objectives. You excel at auditing documentation and adeptly assist team members in continuous improvement. Detail-oriented and naturally curious, you possess strong active listening skills that facilitate effective, constructive feedback to colleagues. Your transparent and articulate communication—both verbal and written—combined with mentoring capabilities, enables you to motivate and foster growth among team members.
Candidates located in Iowa or South Dakota preferred. Top candidates will have quality assurance and coaching experience, and/or health plan experience. Prior remote work experience a plus!
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