Wellmark, Inc.

Lead system design and hands-on development of prototypes and MVPs while mentoring engineers and collaborating with stakeholders. | Bachelor's degree with 5+ years development experience, expertise in rapid prototyping, cloud platforms, and AI/LLM integration. | 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 85 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! Why Wellmark Technology? Wellmark is building innovative, modern solutions using cutting edge technology. We are driving organizational transformation and business strategy by empowering our technology team to innovate new and elegant solutions to enhance the customer experience. Together, we are leaning into the future, owning the outcome, and driving organizational change to transform how we work. Job Description Leads system design and hands-on development for Wellmark’s Technology Incubation initiatives—turning ambiguous ideas into working prototypes and MVPs at speed. Operates as a builder and technical catalyst, rapidly experimenting, iterating, and shipping proof-of-value solutions that explore new capabilities (including agentic and AI-enabled development) and unlock future business outcomes. Partners closely with product, design, architecture, security, and business stakeholders to shape concepts, validate assumptions, and translate opportunities into scalable paths forward. Serves as a subject matter expert and mentor to other engineers, establishing lightweight patterns and guardrails that maintain quality and security while enabling “build fast, learn faster” delivery. Qualifications Preferred Qualifications: Demonstrated experience in innovation, incubation, or rapid prototyping environments, delivering prototypes/MVPs quickly and iterating based on feedback. Proven ability to take ambiguous problems from concept to working solution—shaping hypotheses, building proof-of-value demos, and communicating learnings to stakeholders. Strong hands-on development experience with Node.js/TypeScript building APIs, services, and lightweight front-end or full-stack prototypes. Experience designing and deploying workloads in AWS and/or Azure, including core services for compute, storage, networking, identity, and serverless patterns. Experience building with AI/LLM tools and services, such as prompt engineering, retrieval-augmented generation (RAG), orchestration/agent frameworks, and integrating AI capabilities into products. Experience delivering production-minded prototypes using modern practices (CI/CD, IaC, observability basics, automated testing, security-first patterns). Comfort presenting demos, facilitating workshops, and influencing cross-functional partners (product, architecture, security, business) through clear storytelling and working software. Required: Bachelor’s degree in Computer Science, MIS, or related field of study and at least 5 years of development experience (ex. Angular, NodeJS, Python, C++, .NET, SQL) OR 9 years of related and applicable experience. Strong analytical problem-solving skills. Accuracy and high attention to detail. Previous experience troubleshooting and developing creative technical solutions. Ability to provide innovative solutions to complex issues. Demonstrated experience in software development lifecycle methodologies. Demonstrated ability to communicate with and coach/mentor team members, while setting an example in maintaining a positive attitude, staying calm under pressure, being approachable, and respectful and taking responsibility for failures. Big picture thinker with the ability to translate the value of the Wellmark as a Service (WaaS) strategy to company strategy when making design and development decisions. Demonstrated, strong ability to gather information, perform necessary research needed for root cause analysis, problem definition and formulation, recommend solution implementation, verification, and ongoing optimization, using data to support recommendations. Demonstrated ability to build relationships to reach outcomes that gain the support and acceptance of all parties. Ability to communicate key information in a timely manner to the appropriate stakeholder audience with the ability to adjust communication style that will best suit the audience. Ability to thrive in fast-paced environment with changing priorities. Excellent organizational skills. Strong time management skills with the ability to set and meet established timeframes with little direction, while assuring data and information integrity. Eagerness to learn and stay current on industry trends and have a continuous learning mindset. Ability to collaborate and work as a team to accomplish goals and/or solve problems. Ability to earn trust and respect from peers, leadership, and stakeholders. Ability to learn by actively listening and applying coaching feedback. Ability to lead, support and work within a diverse development team model including global staffing, crowd sourcing, etc. Additional Information a. Lead system development and engineering for highly complex programs. Coordinate the preparation, coding, testing, and debugging of complex programs; including the analysis and development of workflows that utilize emerging technology and meet and exceed Wellmark’s evolving business needs. b. Serve as subject matter expert in the implementation of innovative and cost-effective business solutions for multiple applications and systems utilizing information technology, business, and industry trends. c. Provide leadership, training, and guidance to others on the team in the gathering of information, necessary research needed for root cause analysis, problem definition and formulation, solution implementation, verification, and ongoing optimization. Ensure analysis of defects to find root cause and guide others in the identification of potential improvement opportunities. d. Mentor, guide and problem-solve with other technology areas in the development and implementation of solutions, including how to use new or enhanced software/applications. e. Coordinate with company resources to accomplish integration of products and processes and complex solutions. Provide timely and accurate results, and exceptional customer service. f. Utilize established relationships with Wellmark leaders and acts as a primary consultant on business status, issues, process improvements and technology enhancements or capabilities. g. Participate in project proposals, estimates and proof-of-concept activities as needed. h. Maintain awareness of industry’s best practices and standards and proactively participates in industry/knowledge reference groups relative to role. Provide direction for enterprise standards. Conduct code reviews and monitor standard adherence. i. Other duties as assigned. All your information will be kept confidential according to EEO guidelines. 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 Wellmark supports and expects the responsible use of AI for our workforce! We welcome the responsible use of these tools by job seekers as well and are interested in learning from you; you will have an opportunity in the application process to share which tools you used and how you applied them. Department: Technology Work Environment: Hybrid Pay Grade: 25

Lead design and maintenance of FHIR systems and software solutions while mentoring development teams and driving best practices. | Bachelor's degree or equivalent experience with strong analytical skills and mentoring ability in software development. | 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! Why Wellmark Technology? Wellmark is building innovative, modern solutions using cutting edge technology. We are driving organizational transformation and business strategy by empowering our technology team to innovate new and elegant solutions to enhance the customer experience. Together, we are leaning into the future, owning the outcome, and driving organizational change to transform how we work. Learn more about our unique benefit offerings here. Want to know more? You can learn about life at Wellmark here. Job Description Conducts Fast Healthcare Interoperability Resources (FHIR) systems analysis, design, and maintenance; leading analysis and programming related to systems analysis, design, and integration maintenance. Conducts high level systems analysis and implementation of high performing software solutions that are efficient and cost effective, and which support Wellmark’s business and Technology applications. Leads system development and guides the team in the design, development, code testing and debugging necessary to ensure successful completion - or resolution of issues while focusing on utilization of emerging technologies. Contributes to and drives adoption of best practices (development standards, automated testing, CI/CD pipelines, etc.) across various platforms. Leads and supports a diverse development resourcing model which includes Wellmark staff, global onshore/offshore staffing, crowdsourcing, etc. Builds relationships with Wellmark leaders and acts as consultant on business process improvements and technology enhancements or capabilities. Qualifications Required: Bachelor’s degree in Computer Science, MIS, or related field of study, and at least 2 years of software development experience (ex. Angular, NodeJS, TypeScript, C++, .NET, Java, SQL) OR 6 years of related and applicable experience. Strong analytical problem-solving skills. Accuracy and high attention to detail. Previous experience troubleshooting and developing creative technical solutions. Ability to provide innovative solutions to complex issues. Demonstrated experience in software development lifecycle methodologies. Big picture thinker with the ability to translate the value of the WaaS strategy to company strategy when making design and development decisions. Demonstrated, strong ability to gather information, perform necessary research needed for root cause analysis, problem definition and formulation, recommend solution implementation, verification, and ongoing optimization, using data to support recommendations and best practices. Demonstrated ability to build relationships to reach outcomes that gain the support and acceptance of all parties. Ability to communicate key information in a timely manner to the appropriate stakeholder audience with the ability to adjust communication style that will best suit the audience. Ability to communicate with and coach/mentor team members, while setting an example in maintaining a positive attitude, staying calm under pressure, being approachable, and respectful and taking responsibility for failures. Ability to thrive in fast-paced environment with changing priorities. Excellent organizational skills. Strong time management skills with the ability to set and meet established timeframes with little direction, while assuring data and information integrity. Eagerness to learn and stay current on industry trends and have a continuous learning mindset. Ability to collaborate and work as a team to accomplish goals and/or solve problems. Ability to earn trust and respect from peers, leadership, and stakeholders. Ability to learn by actively listening and applying coaching feedback. Ability to lead, support and work within a diverse development team model including global staffing, crowd sourcing, etc. Preferred: Bachelor’s degree. Experience working within an Agile team environment. Ability or interest in mentoring/coaching others. Experience partnering with global staffing vendors to deliver projects. Proficiency in HROR highly preferred Additional Information Job Responsibilities a. Provide high-level analysis and implementation of innovative, efficient, and cost-effective business solutions for multiple platforms, while utilizing information technology, business, and industry trends. b. Guide other engineers in the design, development, code testing, debugging and resolution of issues that utilize emerging technology and meet and exceed Wellmark's evolving business needs. c. Provide advanced support in the gathering of information, necessary research needed for root cause analysis, problem definition and formulation, solution implementation, verification, and ongoing optimization. Ensure analysis of defects to find root cause and guide others in the identification of potential improvement opportunities. d. Mentor, guide and problem-solve with other technology areas in the development and implementation of solutions, including how to use new or enhanced software/applications. e. Use data and cost measures (AWS, infrastructure, labor, etc.) to influence timely decisions, build consensus, and take actions to successfully deliver project or production support objectives and support benefits realization. Identify known issues, impacts to project or production outcomes if not resolved, and escalate as necessary. f. Build relationships with Wellmark leaders and acts as consultant on business status, issues, process improvements and technology enhancements or capabilities. g. Participate in project proposals, estimates and proof-of-concept activities as needed. h. Maintain awareness of industry’s best practices and standards and proactively participates in industry/knowledge reference groups relative to role. i. 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 Wellmark supports and expects the responsible use of AI for our workforce! We welcome the responsible use of these tools by job seekers as well and are interested in learning from you; you will have an opportunity in the application process to share which tools you used and how you applied them. Department: Technology Work Environment: Hybrid Pay Grade: 23

Design and develop data-centric software solutions and maintain data pipelines for healthcare data ecosystems. | Bachelor's degree and 1+ year experience or 5+ years applicable experience with proficiency in software development and data engineering. | 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. Why Wellmark Technology? Wellmark is building innovative, modern solutions using cutting edge technology. We are driving organizational transformation and business strategy by empowering our technology team to innovate new and elegant solutions to enhance the customer experience. Together, we are leaning into the future, owning the outcome, and driving organizational change to transform how we work. Job Description We are seeking a Software Engineer to join our Technology organization, supporting the HEDIS and quality measurement ecosystem. This role is ideal for an engineer who enjoys building data-centric solutions in a regulated environment and turning complex healthcare data into reliable, consumable assets. In this role, you will design and develop software that supports the ingestion, transformation, and movement of HEDIS-related data across systems. You’ll partner closely with clinical, quality, and analytics teams to ensure data pipelines are accurate, auditable, and fit for downstream measurement and reporting. What You’ll Do Design, develop, and maintain data-focused software solutions supporting HEDIS and quality initiatives Build and support data integrations and pipelines using APIs, automation, and event-driven patterns Transform and model data with a data-as-a-product mindset, ensuring quality, traceability, and usability Collaborate with Technology and business partners to translate quality requirements into scalable technical solutions Ensure solutions meet Wellmark engineering, security, and compliance standards What You Bring Experience in software and data engineering (APIs, integrations, ETL/ELT patterns) Strong automation and scripting skills (Python, PowerShell, JavaScript, or similar) Familiarity with working in regulated or data-intensive environments A collaborative approach and the ability to build solutions that balance technical rigor with business needs. Proficiency in HROR highly preferred You will contribute to the design and delivery of efficient, maintainable, and secure software solutions that support Wellmark’s HEDIS data workflows and Technology strategy. Qualifications Required Bachelor’s degree in Computer Science, MIS, or related field of study and at least 1 year of software development experience (ex. Angular, NodeJS, TypeScript, C++, .NET, Java, SQL) OR 5+ years of related and applicable experience. Strong analytical problem-solving skills. Accuracy and high attention to detail. Previous experience troubleshooting and developing creative technical solutions. Strong ability to gather information, perform necessary research needed for root cause analysis, problem definition and formulation, recommend solution implementation, verification, and ongoing optimization, using data to support recommendations. Demonstrated ability to build relationships to reach outcomes that gain the support and acceptance of all parties. Ability to communicate key information in a timely manner to the appropriate stakeholder audience with the ability to adjust communication style that will best suit the audience. Ability to communicate with and coach/mentor team members, while setting an example in maintaining a positive attitude, staying calm under pressure, being approachable, and respectful and taking responsibility when needed. Ability to thrive in fast-paced environment with changing priorities. Excellent organizational skills. Strong time management skills with the ability to set and meet established timeframes with little direction, while assuring data and information integrity. Eagerness to learn and stay current on industry trends and have a continuous learning mindset. Ability to collaborate and work as a team to accomplish goals and/or solve problems. Ability to earn trust and respect from peers, leadership, and stakeholders. Ability to learn by actively listening and applying coaching feedback. Ability to support and work within a diverse development team model including global staffing, crowd sourcing, etc. Preferred Proven experience working in an Agile development environment. Experience partnering with global staffing vendors to deliver value. Hands-on experience designing and building ETL pipelines and data integration solutions using Informatica IDMC and PowerCenter or other similar tools. Solid understanding of SQL and data processing across diverse data sources. Preferred experience with healthcare data, analytics, or HEDIS reporting. Familiarity with cloud platforms AWS preferred and modern data engineering and automation practices. Practical experience working with AWS S3 and cloud-based data workflows. Experience working with APIs to fetch, integrate, and process data from external and internal systems. Strong understanding of the software development lifecycle, including testing and documentation best practices. Experience using GitHub for source control and collaborative development. Strong communication, collaboration, and problem-solving skills. Demonstrated ability to learn quickly and adapt to new tools and technologies. Additional Information Job Responsibilities a. Provide development and/or production support for key software applications and systems. Define, analyze, estimate, develop, test, implement, document, and maintain programs and systems that meet business requirements. b. Contribute to solutions architecture deliverables and decisions, through interpretation of architectural diagrams as inputs to the design deliverable. Apply the reference architecture, contribute to reusable assets, and produce technical specifications sufficient for development teams. c. Partner and problem-solve with the UX team in the development of solutions that improve the user experience, pass minimum accessibility or usability criteria. d. Work to resolve technical problems for on premise, cloud native, and hybrid applications and solutions. e. Support the gathering of information, necessary research needed for root cause analysis, problem definition and formulation, solution implementation, verification, and ongoing optimization. Provide analysis of defects to find root cause. f. Provide recommended solution(s) that promote successful delivery of business project objectives or production support objectives and support benefits realization. g. Identify issues and think through challenges in the form of options and solutions. Partner with others to identify resolutions to known issues, impacts to project or production outcomes if not resolved, and determine when to escalate when necessary. h. Communicate and provide regular updates and key information in a timely manner to leadership as well as the appropriate stakeholder audience. Collaborate and work as a team to accomplish goals and/or solve problems. i. 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 Wellmark supports and expects the responsible use of AI for our workforce! We welcome the responsible use of these tools by job seekers as well and are interested in learning from you; you will have an opportunity in the application process to share which tools you used and how you applied them. Department: Technology Work Environment: Hybrid Pay Grade: 21

Design, develop, test, implement, and maintain complex Microsoft Dynamics 365 solutions and lead solution design discussions. | Bachelor's degree and 3 years experience in software development including Dynamics CRM and related technologies. | Job Description DUTIES: Wellmark Inc. seeks a Sr Software Engineer – Dynamics CRM based out of our U.S. headquarters in Des Moines, Iowa; however, this is a purely telecommuting/work-from home position whereby the employee may reside anywhere within the U.S. Responsibilities include design, develop, test, implement, maintain, and document highly complex Microsoft Dynamics 365 solutions to ensure they are efficient and cost effective and in support of Wellmark’s business strategy and Technology vision; ensure completed activities meet project specifications, requirements and Wellmark standards; lead discussions with Technology and business units on solution design and implementation; collaborate with other areas of Technology to ensure solutions improve the user experience, pass minimum accessibility or usability criteria; recommend Technology alternatives and solutions. Lead design and development of the aligned system integration; define, analyze, estimate, develop, test, implement, document, and maintain programs and systems that meet business requirements; contribute to solutions architecture deliverables and decisions, through interpretation of architectural diagrams as inputs to the design deliverable; partner and problem-solve with the UX team in the development of solutions that improve the user experience, pass minimum accessibility or usability criteria; work to resolve technical problems for on premise, cloud native, and hybrid applications and solutions; lead problem-solving with other technology areas in the design, development and implementation of aligned solutions, including how to use new or enhanced software/applications that are on premise, cloud native, or hybrid to accomplish business needs; support the gathering of information, necessary research needed for root cause analysis, problem definition and formulation, solution implementation, verification, and ongoing optimization. Provide analysis of defects to find root cause; provide recommended solution(s) that promote successful delivery of business project objectives or production support objectives and support benefits realization; take on the role of primary consultant on business status, issues, process improvements and technology enhancements or capabilities for the aligned solutions; serve as subject matter expert in the implementation of innovative, cost-effective business solutions for multiple applications, while utilizing information technology, business and industry trends; other duties as assigned. Qualifications REQUIREMENTS: Bachelor’s degree in Computer Science, MIS, or related field of study and 36 months of experience in job offered or related in a health or financial services industry. 36 months of experience in software development, data mining, ETL Processing, and configuration in Dynamics CRM; 24 months of experience in design and development in Angular, NodeJS, TypeScript, C++, .NET, Java, SQL; experience in troubleshooting and developing creative technical solutions; experience with gathering information, performing necessary research needed for root cause analysis, problem definition and formulation, recommending solution implementation, verification, and ongoing optimization, using data to support recommendations; Experience supporting legacy Dynamics CRM systems. Note: Applicants must also acknowledge the following: all answers provided in their application are true and complete; information may be verified as part of Wellmark Inc.’s standard background check process; false or misleading information provided in the application process may result in the rejection of the application; unless otherwise defined by applicable law, any employment relationship with Wellmark, Inc. is an at will nature; in the event of employment, I understand that false or misleading information given in my application, interview(s), or any supplemental information in the employment process may result in discharge; if employed by Wellmark Inc., it is required to abide by its Code of Conduct and all other rules, regulations, and policies of Wellmark, Inc. All application submissions will be subjected to two “captcha” tests to ensure that the applications are being submitted by a person instead of a bot; applications that fail one or both of the “captcha” tests and thus are indicative of bot activity will not be considered. OTHER: Employer: Wellmark, Inc. Job Site: 1331 Grand Avenue, Des Moines, IA 50309. 40 hours per week. Additional Information All your information will be kept confidential according to EEO guidelines. Remote Eligible: You will have the flexibility to work where you are most productive. This position is eligible to work fully remote. Depending on your location, you may still have the option to come into a Wellmark office if you wish to. Your leader may ask you to come into the office occasionally for specific meetings or other ‘moments that matter’ as well. 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". • Department: Technology • Work Environment: Remote Eligible *see job footer for more info • Pay Grade: 21

Lead utilization management initiatives, oversee clinical decision-making, manage and develop physician teams, collaborate on cost of care projects, and ensure compliance with medical necessity policies. | Must have an MD or DO with active medical license, board certification, 3-5 years utilization management experience in commercial managed care, leadership skills, and strong communication and analytical abilities. | 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. Job Description As a Sr Medical Director, you will be eligible to work remotely from your home location, with the expectation of the following travel to the Des Moines, Iowa office: • First 6 months/Onboarding: Every other week in Des Moines, IA • After 6 months: Quarterly in Des Moines, IA • Additional travel may be required to meet business needs Candidates in the Central Time Zone and/or with a direct flight to Des Moines, Iowa are preferred. About the opportunity: As Senior Medical Director for Utilization Management (UM), you will be an effective change leader and help develop and guide the strategic direction for Utilization Management initiatives at Wellmark. As a leader of others, you will directly impact the success, growth, and development of team members by setting clear expectations, coaching to each team member's strengths, and fostering a team-centric work environment. Being a role model in behaviors that demonstrate Wellmark's Leader Success Expectations and inclusion are essential. A top candidate will be a self-directed and results-oriented physician who leads by example to serve as Wellmark's subject matter expert on effective and efficient processes to reduce overuse and improve quality for our members. You will strategically collaborate with the Health Services team and across the organization to develop and maintain accountability for initiatives to reduce overuse with results that are validated by Wellmark's analytical team and are grounded in evidence-based care. Internal + external relationship and trust building is essential for success. About you: You believe health care can be better and are passionate about finding ways to influence this important work. You are proactive, analytical, innovative, and partner effectively with internal and external stakeholders. You are a skilled communicator and enjoy collaboration with other cross-functional leaders. You are someone who can pivot easily: from performing UM and appeals case reviews, to driving employee engagement and collaboration amongst your team and others, to strategically partnering to develop new total cost of care (TCOC) initiatives. You enjoy variety in your day. You are confident in your decision-making skills and can jump in to assist the team with utilization management while also leading high-level initiatives. You see yourself as a forward-thinking professional and thrive when your work allows you to tap into your creative side to build impactful work from the ground up. Qualifications Preferred Qualifications - Great to have: • Board certified in Internal Medicine. • Experience working in a Hospitalist capacity. • Involvement in transformational health care initiatives/projects. Required Qualifications - Must have: • M.D. or D.O. degree. • Active and unrestricted license to practice medicine in Iowa and/or South Dakota is required within 3 months from date of hire OR an administrative license; must be licensed in the state in which you reside. In the meantime, while obtaining license, the incumbent will participate in training, provide operational guidance and advice, and participate in projects as assigned while licensure is pending approval. • Current Board Certification approved by the American Board of Medical Specialties or American Osteopathic Association. • 3-5 years of Utilization Management experience in Commercial programs at a large and complex managed care organization. A track record of accomplishment as a clinical leader demonstrating increasing responsibilities and expertise is essential. • Masterful at delivering timely UM decisions based on evidence, cogent clinical reasoning, benefit information, applicable policies, and other relevant information. • Demonstrated formal or informal leadership experience. • Strong interpersonal skills are mandatory, including clear and concise written and verbal communication. Inquisitive nature, enthusiastic by developing and enacting new processes. • Proven ability to set clear goals/expectations and motivates teams to achieve success with an eye toward promoting a culture of collegiality and excellence. • Demonstrated sense of ownership, drive and initiative to continuously improve outcomes. • Serve as change champion to inspire and influence stakeholders to achieve an organization initiative. • Track record of teamwork including sharing accountability, influencing without direct authority, effectively listening to others, and effectively leading cross-functional teams to deliver results. • General understanding of medical policy development, including the need as a health insurer to establish a balance within policy of the appropriate level or care for an individual and the overall population of covered members. • Demonstrated domain knowledge and ability to be conversant with interpretation and application of data and analysis at the highest level and broadest scope. Possesses superior analytical skills. • Proficiency with Microsoft Office applications - e.g., Word, Outlook. Additional Information What you will do as a Sr Medical Director - Utilization Management: a. Demonstrate ownership of overall effectiveness and efficiency of UM process and outcomes in close partnership with Director, UM in Health Services. b. Demonstrate deep expertise in delivering UM inpatient and outpatient decisions, especially on complex cases. Ensure that decisions are consistent with Wellmark's contractual definition of medical necessity based on (a) high quality clinical evidence; (b) sound clinical reasoning in areas of where the evidence is not definitive; and (c) review of clinical documents submitted by the requesting provider. c. Provide leadership and day-to-day management of financial and human resources, primarily focusing on employee and leader coaching, development, performance improvement, coordination and budgeting for multiple staff, and department specific functions/services. Train and mentor physician team as needed and facilitate ongoing team-based learning within physician UM team using weekly case review rounds as a central two-way learning opportunity (i.e., everyone learns from each other on a team). Ensure that efficient and effective performance of UM physician team as evidenced through meaningful metrics that are tied to key business outcomes for quality, affordability and experience. d. Responsible to perform oversight of independent review organization appeals and ensure effectiveness of end-to-end process for medical appeals in close partnership with nursing leader of appeals process. e. Responsible for providing exemplary engagement on peer-to-peer calls and escalated UM cases. Consult with stakeholders as needed to ensure that UM decision-making is holistic and consistent with Wellmark's contractual definition of medical necessity. Effectively engage with external physicians, health care facility UM leadership, and other stakeholders to improve the efficiency and effectiveness of Wellmark's UM program. f. Responsible for oversight of delegated specialty UM vendor clinical decision-making. Audit UM decisions to ensure compliance with Wellmark's contractual definition of medical necessity. Resolve issues that are identified through auditing, monitoring and feedback. Address root cause and ensure corrective action implemented and audited. g. Partners with and demonstrate effectiveness with Wellmark's Business Analytics team to drive each component of product development/new total cost of care (TCOC) initiatives to reduce overuse using the below model. We use the Product Operating Model, and the core concept related to reducing overuse is: (a) use data to identify actionable overuse opportunities; (b) apply industry experience to identify and validate proposed interventions; (c) build a business case to articulate the impact; and (d) work through implementation to secure the result through measurable outcomes (i.e. Funnel, Reviewing, Analyzing, Ready, Implementing MVP, Implementing Persevere, Value Realization/Closed, etc.). h. Perform other initiatives and projects as required. 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

Design, develop, test, and maintain data integrations, ETL workflows, and APIs to support business-critical data solutions in cloud or hybrid environments. | Bachelor’s degree or 5+ years experience, strong SQL and backend development skills, experience with ETL and data transformation, ability to collaborate and mentor in an Agile environment. | 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! Why Wellmark Technology? Wellmark is building innovative, modern solutions using cutting edge technology. We are driving organizational transformation and business strategy by empowering our technology team to innovate new and elegant solutions to enhance the customer experience. Together, we are leaning into the future, owning the outcome, and driving organizational change to transform how we work. Job Description We are seeking a talented Software Engineer with a strong focus on back-end development and data to join our team. The ideal candidate will have deep experience working with complex datasets, building scalable data pipelines, and developing APIs that support data-driven applications. This role emphasizes proficiency in SQL and ETL processes. Key responsibilities include designing and maintaining robust data integrations, implementing ETL workflows, and developing APIs using Node.js or other backend technologies. Experience with source-to-target mappings (S2Ts), data transformation logic, and working with structured and semi-structured data is essential. Candidates should be comfortable working in cloud or hybrid environments and collaborating with cross-functional teams to deliver business-critical data solutions. In addition, you will support operational and analytic data needs for the Enterprise CRM team by handling complex data projects and ensuring the completion of data analysis and mapping activities. You will use your strong SQL skills to improve the integration of data from multiple internal and external sources. You will enjoy looking for alternative system solutions to meet overall business requirements. You will design, develop, test, implement, maintain, and document software solutions in support of Wellmark’s business strategy and Technology vision. Ensure completed activities meet specifications, requirements, and Wellmark standards. In addition, participate in determining Technology alternatives and solutions and assist with system integration. Qualifications Preferred: • Previous experience creating data focused Intergrations between web applications • Experience working within an Agile team environment. • Ability or interest in mentoring/coaching others. • Experience partnering with global staffing vendors to deliver projects. • Minimum 2 years' experience with various data techniques such as: gap analysis, data profiling and source to target mapping for both structured and unstructured data sources (ETL, Widgets, JSON, etc.). • Strong expertise in SQL development including knowledge of joining multiple data sources; hands on experience with advanced SQL functions such as creating sub queries, joining, grouping, and filtering to analyze data sources. Required: • Bachelor’s degree in Computer Science, MIS, or related field of study and at least 1 year of software development experience (ex. Angular, NodeJS, TypeScript, C++, .NET, Java, SQL) OR 5+ years of related and applicable experience. • Strong analytical problem-solving skills. Accuracy and high attention to detail. Previous experience troubleshooting and developing creative technical solutions. • Strong ability to gather information, perform necessary research needed for root cause analysis, problem definition and formulation, recommend solution implementation, verification, and ongoing optimization, using data to support recommendations. • Demonstrated ability to build relationships to reach outcomes that gain the support and acceptance of all parties. Ability to communicate key information in a timely manner to the appropriate stakeholder audience with the ability to adjust communication style that will best suit the audience. • Ability to communicate with and coach/mentor team members, while setting an example in maintaining a positive attitude, staying calm under pressure, being approachable, and respectful and taking responsibility when needed. • Ability to thrive in fast-paced environment with changing priorities. Excellent organizational skills. Strong time management skills with the ability to set and meet established timeframes with little direction, while assuring data and information integrity. • Eagerness to learn and stay current on industry trends and have a continuous learning mindset. • Ability to collaborate and work as a team to accomplish goals and/or solve problems. Ability to earn trust and respect from peers, leadership, and stakeholders. Ability to learn by actively listening and applying coaching feedback. • Ability to support and work within a diverse development team model including global staffing, crowd sourcing, etc. Additional Information a. Provide development and/or production support for key software applications and systems. Define, analyze, estimate, develop, test, implement, document, and maintain programs and systems that meet business requirements. b. Contribute to solutions architecture deliverables and decisions, through interpretation of architectural diagrams as inputs to the design deliverable. Apply the reference architecture, contribute to reusable assets, and produce technical specifications sufficient for development teams. c. Partner and problem-solve with the UX team in the development of solutions that improve the user experience, pass minimum accessibility or usability criteria. d. Work to resolve technical problems for on premise, cloud native, and hybrid applications and solutions. e. Support the gathering of information, necessary research needed for root cause analysis, problem definition and formulation, solution implementation, verification, and ongoing optimization. Provide analysis of defects to find root cause. f. Provide recommended solution(s) that promote successful delivery of business project objectives or production support objectives and support benefits realization. g. Identify issues and think through challenges in the form of options and solutions. Partner with others to identify resolutions to known issues, impacts to project or production outcomes if not resolved, and determine when to escalate when necessary. h. Communicate and provide regular updates and key information in a timely manner to leadership as well as the appropriate stakeholder audience. Collaborate and work as a team to accomplish goals and/or solve problems. i. Other duties as assigned. All your information will be kept confidential according to EEO guidelines. Remote Eligible: You will have the flexibility to work where you are most productive. This position is eligible to work fully remote. Depending on your location, you may still have the option to come into a Wellmark office if you wish to. Your leader may ask you to come into the office occasionally for specific meetings or other ‘moments that matter’ as well. 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