Jobs in Brockton, MA

Who We Are

Point32Health is a leading not-for-profit health and well-being organization dedicated to delivering high-quality, affordable healthcare. Serving nearly 2 million members, Point32Health builds on the legacy of Harvard Pilgrim Health Care and Tufts Health Plan to provide access to care and empower healthier lives for everyone. Our culture revolves around being a community of care and having shared values that guide our behaviors and decisions. We've had a long-standing commitment to inclusion and equal healthcare access and outcomes, regardless of background; it's at the core of who we are. We value the rich mix of backgrounds, perspectives, and experiences of all of our colleagues, which helps us to provide service with empathy and better understand and meet the needs of the communities where we serve, live, and work.

We enjoy the important work we do every day in service to our members, partners, colleagues and communities. Learn more about who we are at Point32Health.

Job Summary

The Care Manager - Nursing Field (RN CM) will ensure that all members receive timely care management (CM) across the continuum, including transitions of care, care coordination and navigation, complex case management, population health and wellness interventions, and disease/chronic condition management per department guidelines. The nurse care manager possesses strong clinical knowledge, critical thinking skills, and ability to facilitate a care plan which ensures quality medical care for the member. The RN CM works closely with the member, the caregiver/authorized representative, and providers to meet the targeted member-specific goals. Based on national standards for CM practice, the RN CM focuses on empowering the member to support optimal wellness and improved self-management.

Job Description

Key Responsibilities/Duties - what you will be doing

• Perform telephonic member outreach and/or face-to-face encounter utilizing key motivational interviewing skills to facilitate program enrollment. Perform departmental assessments and evaluate member holistically to identify needs, health goals, and barriers to wellness. Through assessment and collaboration with member/caregiver and providers, develop a member-specific plan of care, implement member-specific care manager interventions, and revise plan of care as needed. Complete documentation in applicable platform according to departmental policy and regulatory standards.
• Provide targeted health education, proactive strategies for condition management, and communication with key providers and vendors actively involved in the member's care.
• Collaborate with member/caregiver and the facility care team to coordinate a safe transition to the next level of care, which includes but is not limited to ensure understanding post-hospital discharge instructions, facilitate needed services and follow-up, and implement strategies to prevent re-admission.
• Collaborates and liaises with the interdisciplinary care team, to improve member outcomes (i.e., Utilization Management, Medical Director, pharmacy, community health workers, dementia care specialists, wellness, and Behavioral Health CM). Attending and presenting (as appropriate) high risk members at interdisciplinary rounds forum.
• Maintain professional growth and development through self-directed learning activities.

Qualifications - what you need to perform the job

Certification and Licensure

• Registered Nurse with current unrestricted license in state of residence
• May be required to obtain other state licensure in states where Point32Health operates
• Understand and follow the provisions of state-specific Nurse Practice Act(s) where Point32Health operates
• National certification in Case Management desirable

Education

• Required (minimum): Bachelor's degree or relevant equivalent experience
• Preferred: Bachelor's degree in nursing

Experience

• Required (minimum): 5 years' relevant clinical experience
• Preferred: Experience in home care or case management.
• Proficiency in a second language desirable.
• Experience in specialty areas a plus.

Skill Requirements

• Skill and proficiency in Microsoft applications, technical concepts and principles; computer software applications
• Work cooperatively as a team member across multiple levels within the organization
• Skilled in assessment, planning, and managing member care
• Advanced communication and interpersonal skills
• Independent and autonomous with key job functions
• Ability to address multiple complex issues
• Flexibility and adaptability to changing healthcare environment
• Ability to organize and prioritize work and member needs
• Demonstration of strong clinical and critical thinking skills
• Regard for confidential data and adherence to corporate compliance policy

Working Conditions and Additional Requirements (include special requirements, e.g., lifting, travel):

• Must be able to work under normal office conditions and work from remote office as required.
• Work may require simultaneous use of a telephone/headset and PC/keyboard and sitting for extended durations.
• Ability to make face to face visits (member home, provider practices, facilities) as needed to meet the member needs and produce positive outcomes
• Valid Driver's license and vehicle in good working condition as travel is required
• May be required to work additional hours beyond standard work schedule.
• Other duties as assigned and needed by the department

COVID Policy

Please note: We encourage all Point32Health colleagues to follow CDC guidance about COVID-19 vaccines, boosters, isolation, and masking. Point32Health reserves the right to adjust its requirements in response to COVID-19 trends in the communities we serve.

Disclaimer

The above statements are intended to describe the general nature and level of work being performed by employees assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of employees assigned to this position. Management retains the discretion to add to or change the duties of the position at any time.

Salary Range

$84,143.20 -$126,214.80

Compensation & Total Rewards Overview

The annual base salary range provided for this position represents a range of salaries for this role and similar roles across the organization. The actual salary for this position will be determined by several factors, including the scope and complexity of the role; the skills, education, training, credentials, and experience of the candidate; as well as internal equity. As part of our comprehensive total rewards program, colleagues are also eligible for variable pay. Eligibility for any bonus, commission, benefits, or any other form of compensation and benefits remains in the Company's sole discretion and may be modified at the Company's sole discretion, consistent with the law.

Point32Health offers their Colleagues a competitive and comprehensive total rewards package which currently includes:

• Medical, dental and vision coverage

• Retirement plans

• Paid time off

• Employer-paid life and disability insurance with additional buy-up coverage options

• Tuition program

• Well-being benefits

• Full suite of benefits to support career development, individual & family health, and financial health

For more details on our total rewards programs, visit welcome all
All applicants are welcome and will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status.

Scam Alert: Point32Health has recently become aware of job posting scams where unauthorized individuals posing as Point32Health recruiters have placed job advertisements and reached out to potential candidates. These advertisements or individuals may ask the applicant to make a payment. Point32Health would never ask an applicant to make a payment related to a job application or job offer, or to pay for workplace equipment. If you have any concerns about the legitimacy of a job posting or recruiting contact, you may contact

PDN-a00193b2-ae25-4b14-93dc-0b03e9f436cb

Who We Are

Point32Health is a leading not-for-profit health and well-being organization dedicated to delivering high-quality, affordable healthcare. Serving nearly 2 million members, Point32Health builds on the legacy of Harvard Pilgrim Health Care and Tufts Health Plan to provide access to care and empower healthier lives for everyone. Our culture revolves around being a community of care and having shared values that guide our behaviors and decisions. We've had a long-standing commitment to inclusion and equal healthcare access and outcomes, regardless of background; it's at the core of who we are. We value the rich mix of backgrounds, perspectives, and experiences of all of our colleagues, which helps us to provide service with empathy and better understand and meet the needs of the communities where we serve, live, and work.

We enjoy the important work we do every day in service to our members, partners, colleagues and communities. Learn more about who we are at Point32Health.

Job Summary

Under the supervision of the Utilization Management Supervisor, the Behavioral Health (BH) Utilization Management (UM) Inpatient Clinician is responsible for conducting benefit coverage reviews and utilization management according to applicable regulatory guidelines and Enterprise contract requirements. This is VERY IMPORTANT, the schedule for this role is Tuesday - Saturday 8:30 AM - 5 PM The BH UM Clinician works collaboratively with the Behavioral Health leadership within the Behavioral Health department and other appropriate Point32Health staff to identify and address opportunities to improve service, reduce administrative cost, ensure clinically appropriate delivery of benefit covered services, and support department and organizational business goals. The UM BH Clinician escalates urgent issues and concerns that could potentially impact member needs, program compliance and or acute situations that pose risk. The UM BH Clinician must be committed to clinical and service excellence, including demonstrating the behaviors that support teamwork, collaboration, and professionalism. The BH UM clinician works under the direction of the UM Supervisor and in collaboration with the BH Operation Manager to ensure ongoing competency and learning needs are met that they are performing to applicable regulatory and clinical requirements.

Job Description

Key Responsibilities/Duties - what you will be doing (top five):

• Adherence to established behavioral and administrative review guidelines and criteria
• Adherence to timelines, standards, and elements associated with organizational determinations and notifications
• Daily interactions with UM Support staff and providers to ensure clinical information and support are available and applicable to the review process
• Appropriate prioritization of authorization requests
• Achievement of expected productivity goals
• Review of all assigned prior authorization requests including but not limited to inpatient admissions, specialty referrals, outpatient procedures, VNA or outpatient therapies as specified in the prior authorization list using specified clinical criteria sets.
• Concurrent review of Behavior Health Services
• Identification and determination of benefit coverage for behavioral health coverage requests.
• Identifies and determines medical necessity of out of network requests for services.
• Effective communication with the Medical Director, regarding identified variances for specific members according to criteria utilized for medical review.
• Professional growth and development through self-directed learning activities and/or involvement in professional, civic, and community organizations
• Ongoing referrals to and interactions with the case management team to ensure efficient and safe care transitions and member access to supportive programs and services
• Works collaboratively with external providers to facilitate member access to high quality cost effective behavioral health services
• Adheres to all regulatory and contractual requirements
• Participates in department projects and special assignments as needed.
• Attends scheduled meetings, training session in both classroom and computer-based required training sessions. Assist in development and updating of department workflows.
• Other projects and duties as assigned.

Qualifications - what you need to perform the job

Certification and Licensure

• Current unrestricted Massachusetts license in a behavioral health area of practice

Education

• Required (minimum): BS Nursing; LICSW, LMHC, or other behavioral health profession qualified to practice independently.
• Preferred:

Experience (minimum years required):

• Required (minimum): Direct practice clinical experience in area of credential. Must demonstrate sound knowledge of utilization management and care management principles. Health Plan experience performing utilization review activities. Experience with McKesson's InterQual Clinical Screening Criteria.
• Preferred: 3 years in a managed care environment in managed care systems and operations.

Skill Requirements

• Ability to work cooperatively as a team member across multiple levels within the organization
• Results orientation - strives to meet business goals
• Critical and Analytic thinking, i.e., must understand cause and effect as it relates to workflow design and implications to policies, procedures, and other departmental functions
• Comfort adapting to changes to business, market, regulatory, and strategic needs
• Ability to influence others and serve as role model
• Strong communications skills (formal and informal, written and verbal
• Ability to handle multiple demands--must be able to balance multiple priorities
• Regard for confidential data and adherence to corporate compliance policy
• Proficiency with or ability to learn technology for initiating and participating in web/system-based communications: webinar, instant messaging, thin client, soft phone, or others
• Proficiency with or ability to learn technology-based programs such as Microsoft Office Word and Excel; other programs as needed

Working Conditions and Additional Requirements (include special requirements, e.g., lifting, travel):

• Fast paced office environment handling multiple demands.
• Must be able to exercise appropriate judgment when necessary and work and communicate with customers in a telephonic office environment
• Must be able to work under normal office conditions and work from home as required.
• Work may require simultaneous use of a telephone/headset and PC/keyboard and sitting for extended durations.
• May be required to work additional hours beyond standard work schedule.

Disclaimer

The above statements are intended to describe the general nature and level of work being performed by employees assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of employees assigned to this position. Management retains the discretion to add to or change the duties of the position at any time.

Salary Range

$76,114.60 -$114,171.90

Compensation & Total Rewards Overview

The annual base salary range provided for this position represents a range of salaries for this role and similar roles across the organization. The actual salary for this position will be determined by several factors, including the scope and complexity of the role; the skills, education, training, credentials, and experience of the candidate; as well as internal equity. As part of our comprehensive total rewards program, colleagues are also eligible for variable pay. Eligibility for any bonus, commission, benefits, or any other form of compensation and benefits remains in the Company's sole discretion and may be modified at the Company's sole discretion, consistent with the law.

Point32Health offers their Colleagues a competitive and comprehensive total rewards package which currently includes:

• Medical, dental and vision coverage

• Retirement plans

• Paid time off

• Employer-paid life and disability insurance with additional buy-up coverage options

• Tuition program

• Well-being benefits

• Full suite of benefits to support career development, individual & family health, and financial health

For more details on our total rewards programs, visit welcome all
All applicants are welcome and will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status.

Scam Alert: Point32Health has recently become aware of job posting scams where unauthorized individuals posing as Point32Health recruiters have placed job advertisements and reached out to potential candidates. These advertisements or individuals may ask the applicant to make a payment. Point32Health would never ask an applicant to make a payment related to a job application or job offer, or to pay for workplace equipment. If you have any concerns about the legitimacy of a job posting or recruiting contact, you may contact

PDN-a0f4fed4-a922-4f8f-a976-d7aff0bf7640

Who We Are

Point32Health is a leading not-for-profit health and well-being organization dedicated to delivering high-quality, affordable healthcare. Serving nearly 2 million members, Point32Health builds on the legacy of Harvard Pilgrim Health Care and Tufts Health Plan to provide access to care and empower healthier lives for everyone. Our culture revolves around being a community of care and having shared values that guide our behaviors and decisions. We've had a long-standing commitment to inclusion and equal healthcare access and outcomes, regardless of background; it's at the core of who we are. We value the rich mix of backgrounds, perspectives, and experiences of all of our colleagues, which helps us to provide service with empathy and better understand and meet the needs of the communities where we serve, live, and work.

We enjoy the important work we do every day in service to our members, partners, colleagues and communities. Learn more about who we are at Point32Health.

Job Summary

The Director of Contracting is responsible for contract strategy, development, negotiation, and implementation for hospitals, physician groups, and integrated delivery systems across multiple markets and products. The Director will lead a team who negotiates contracts including risk arrangements to enable high performing provider networks that support goals for membership growth, quality, and financial performance. The Director will foster and maintain strong relationships with strategic providers to support achievement of shared plan and provider objectives.

The Director is member of the leadership team and will be actively engaged in division strategy, planning and performance initiatives. This role will manage a team of contract managers and will work in a matrix environment collaborating with functions including risk adjustment, population health, finance, operations, actuarial, and sales.

Job Description

Key Responsibilities/Duties - what you will be doing (top five):

Provider Network Strategy and Development

• Develop provider networks to meet goals for access, membership, quality, medical cost, and earnings. Build and maintain high performing provider networks utilizing risk-based structures and incentives whenever possible. Identify and recommend changes to networks as needed to advance business goals.
• Collaborate with VP and President to develop network strategies, risk sharing and payment models, and performance incentives to support achievement of cost and quality goals.
• Stay abreast of trends and changes in the industry, provider landscape, and federal and state payment policies and methodologies. Utilize this knowledge to refine and advance network development and performance.

Contract Negotiation and Management

• Direct a team of contract managers to negotiate financial, operational, regulatory, and legal contract parameters with physician groups, ACOs, and hospitals to meet business goals and regulatory timelines.
• Coach, support, and train staff to devise proposals, strategies, and options for contract negotiation. Support contract negotiation as needed.
• Devise strategy, lead and negotiate agreements with largest provider systems.
• Develop and maintain optimal provider networks. Assess, monitor, and manage network adequacy to meet federal and state regulations. Proactively identify and close network gaps.
• Collaborate with Enterprise Allied Health Contracting to ensure allied health and BH/SA networks and payment terms support Medicare division needs and goals. Assess and monitor allied payment rates and recommend changes to methodology and rates to align incentives and manage expense trends.
• Collaborate with colleagues in the Enterprise Network Operations to ensure timely and accurate contract implementation, configuration, and accurate ongoing contract administration.

Strategic Relationship Management

• Develop and implement a proactive relationship management approach that supports long-term, mutually successful relationships with strategic providers.
• Engage with the provider performance team to understand and monitor provider and network performance. Advise on performance improvement plans and identify contract strategies and incentives that support performance improvement.
• Collaborate with operations, professional relations, and other functions to identify and resolve provider issues.

Stakeholder Engagement

• Proactively communicate and engage with function leaders and key stakeholders. Participate in/chair leadership meetings concerning provider strategy, network development and other issues.

Talent Management and Team Building

• Provide ongoing staff development and coaching in negotiation, performance analysis, and relationship management to enable a high-performing team of provider professionals.
• Other duties and projects as assigned.

Qualifications - what you need to perform the job

Certification and Licensure

Education

• Required (minimum): bachelor's degree in business, health care or related field.
• Preferred: Master's degree

Experience

• Required (minimum): 10-15 years of progressively responsible management experience in a complex healthcare setting. Experience in managed care contracting and experience working collaboratively with providers.
• Preferred: 10-15 years of Medicare Advantage experience.

Skill Requirements

• Energetic, goal driven leader with a proven ability to deliver results and lead teams to achieve goals.
• Strong working knowledge of managed care/risk contracting payment methodologies.
• Savvy negotiator with experience in a range of provider payment methodologies including risk. Demonstrated experience in direct, high-level negotiations with the proven ability to close a deal while maintaining relationships.
• Excellent quantitative skills with ability to synthesize financial information, create and evaluate options.
• Excellent interpersonal skills and a high level of diplomacy to anticipate, recognize and deal effectively with complex issues.
• Strong relationship skills to influence and work collaboratively with physicians and other provider leaders.
• Excellent management skills to guide, inspire and develop a high performing team.
• Ability to manage and direct multiple priorities across markets while meeting aggressive deadlines.
• Adaptable to change and ambiguous situations; able to maintain constructive behavior in challenging situations. Requires the ability to think and plan strategically. Ability to assess and address interests of the enterprise and providers
• Strong collaborator able to work effectively across functions.

Working Conditions and Additional Requirements (include special requirements, e.g., lifting, travel):

• Must be able to work under normal office conditions and work from home as required.
• Work may require simultaneous use of a telephone/headset and PC/keyboard and sitting for extended durations.
• May be required to work additional hours beyond standard work schedule.

Disclaimer

The above statements are intended to describe the general nature and level of work being performed by employees assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of employees assigned to this position. Management retains the discretion to add to or change the duties of the position at any time.

Salary Range

$154,856.40 -$232,284.60

Compensation & Total Rewards Overview

The annual base salary range provided for this position represents a range of salaries for this role and similar roles across the organization. The actual salary for this position will be determined by several factors, including the scope and complexity of the role; the skills, education, training, credentials, and experience of the candidate; as well as internal equity. As part of our comprehensive total rewards program, colleagues are also eligible for variable pay. Eligibility for any bonus, commission, benefits, or any other form of compensation and benefits remains in the Company's sole discretion and may be modified at the Company's sole discretion, consistent with the law.

Point32Health offers their Colleagues a competitive and comprehensive total rewards package which currently includes:

• Medical, dental and vision coverage

• Retirement plans

• Paid time off

• Employer-paid life and disability insurance with additional buy-up coverage options

• Tuition program

• Well-being benefits

• Full suite of benefits to support career development, individual & family health, and financial health

For more details on our total rewards programs, visit welcome all
All applicants are welcome and will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status.

Scam Alert: Point32Health has recently become aware of job posting scams where unauthorized individuals posing as Point32Health recruiters have placed job advertisements and reached out to potential candidates. These advertisements or individuals may ask the applicant to make a payment. Point32Health would never ask an applicant to make a payment related to a job application or job offer, or to pay for workplace equipment. If you have any concerns about the legitimacy of a job posting or recruiting contact, you may contact

PDN-9f6cbaeb-7743-4a8d-8b0a-2fa72a6fc0f4

Who We Are

Point32Health is a leading not-for-profit health and well-being organization dedicated to delivering high-quality, affordable healthcare. Serving nearly 2 million members, Point32Health builds on the legacy of Harvard Pilgrim Health Care and Tufts Health Plan to provide access to care and empower healthier lives for everyone. Our culture revolves around being a community of care and having shared values that guide our behaviors and decisions. We've had a long-standing commitment to inclusion and equal healthcare access and outcomes, regardless of background; it's at the core of who we are. We value the rich mix of backgrounds, perspectives, and experiences of all of our colleagues, which helps us to provide service with empathy and better understand and meet the needs of the communities where we serve, live, and work.

We enjoy the important work we do every day in service to our members, partners, colleagues and communities. Learn more about who we are at Point32Health.

Job Summary

Under the direction of the Director, Clinical Pharmacy Operations, the Senior Manager, Clinical Pharmacy Operations is responsible for managing a team focused on the execution of clinical pharmacy programs and strategies to mitigate cost, improve adherence, and maintain affordability. Leads the implementation and maintenance of evidenced based, cost-effective program for all lines of business in all market segments. Guides clinical pharmacy team in the implementation of clinical programs, aligned with enterprise goals, including medical cost reduction and administrative simplification for members and providers. Ensures compliance with state and federal regulatory and accreditation requirements in all geographies. Collaborates with PBM to optimize member experience and clinical outcomes. Directs support functions for the Pharmacy and Therapeutic's committee in collaboration with the pharmacy medical director. Leads and manages the work of the clinical pharmacy team, effectively delegating as appropriate and holding team members accountable for meeting deliverables and achieving results. Sets priorities and ensures that the key deliverables of the team stay on track.

Job Description

Key Responsibilities/Duties - what you will be doing (top five):

• Lead the maintenance of enterprise formularies and pharmacy programs, for all lines of business and geographies. Lead the annual review of all formularies and clinical pharmacy strategies, including a competitive analysis, cost-benefit review of programs, and trend review by therapeutic class. Work with Pharmacy Benefit Manager (PBM) to monitor pharmacy spend and performance to identify opportunities for improved management. Ensure formulary management activities meet state and federal requirements.
• Identify initiatives for medical cost reduction, administrative cost reduction and/or market competitiveness. Lead the business evaluation and implementation through collaboration and communication with other departments and stakeholders and Pharmacy TCOC (Total Cost of Care) team.
• Represent clinical pharmacy interests at inter-departmental meetings and on project teams. Identify implications for Pharmacy Services department and facilitates/coordinates follow-up with others in the department. Disseminate information and provides periodic updates as needed.
• Hire, train, supervise and evaluate the activities of the Clinical Pharmacy Team staff. Provide coaching, feedback, and direction to staff to insure the successful achievement of their goals and that of Point32Health. Prioritize projects and initiatives and support staff in the resolution of escalated issues. Serve as a role model for staff and foster a collaborative and team-based approach both within the Department and interdepartmentally. Effectively manage change and constant prioritization based on strategic and operating goals
• Direct the research and analysis of identified problems and issues, the validation of findings and the development and communication of plans for problem resolution. Support staff in the identification and verification of problems and provide guidance in the development and implementation of appropriate solutions. Identify for the Director those issues of broader complexity and/or sensitivity which may require action by the Director and recommend solutions for those issues having broader complexity or ramifications.
• Participate in and/or lead departmental and interdepartmental meetings, including but not limited to Pharmacy & Therapeutics Committee, Drug Coverage Committee, Specialty Pharmacy committees, and Pharmacy Compliance.
• Oversees team compliance with all federal and state laws and accrediting bodies and keep abreast of marketplace developments and regulatory and licensing requirements as it relates to Clinical Pharmacy and formulary management.
• Other duties and projects as assigned.

Qualifications - what you need to perform the job

Certification and Licensure

• Licensed health care professional (e.g., PharmD, RPh or RN) with current unrestricted license in state of residence.

Education

• Required (minimum): BS in Nursing, Doctorate degree in Pharmacy (PharmD), or Registered Pharmacist (RPh)
• Preferred: Master's degree in business and/or health policy

Experience

• Required (minimum): 8-10 years' to include 6 years' related experience in pharmacy, and 2 years of supervisory experience.
• Preferred: 1 - 2 years' managed care or PBM work experience. Experience supervising in an office or clinical environment is desirable. Experience with multiple lines of business such as commercial, Medicare and Medicaid are desirable. Expertise in business process changes and leading people is also desirable.

Skill Requirements

• Strong verbal and written communication skills
• Work cooperatively as a team member across multiple levels within the organization
• Results orientation - strives to meet business goals
• Critical and Analytic thinking - must understand cause and effect, internal and external impact of business changes and Point32Health information systems
• Comprehensive knowledge of health policy, sufficient to make decisions regarding Plan benefit structures and coverage issues.
• Influencing others - particularly those outside of direct reporting relationships
• Ability to define training needs, develop training materials and administer training to small groups.
• Strong communications skills (formal and informal, written and verbal)
• Coaching and Mentoring - primarily of direct reports, but also of others
• Must have commitment to excellence in customer service
• Considers creative alternatives to traditional/conventional practices and takes risk when appropriate to the situation.
• Ability to handle multiple demands--must be able to balance multiple priorities

Complexity

• Expert knowledge of the principles and practices of pharmaceutical science. Working knowledge of managed care and policy development.
• Requires analytical ability, highly developed oral/written communication skills. Must be self-motivated and capable of working independently with minimal supervision. Must be capable of organizing, facilitating, and managing several projects simultaneously.
• Requires a high degree of initiative and excellent judgment to make decisions regarding clinical pharmacy issues in an extremely complex and often politically charged environment.
• Must be flexible and able to constantly review and reset priorities; often daily. Must be able to handle multiple projects simultaneously. Ability to appropriately identify emergency situations and follow through with the appropriate protocol.

Personal Contacts

• Must be able to work independently as well as cooperatively as a team member. Excellent interpersonal skills, cross-departmental skills required; a high level of diplomacy is necessary to anticipate, analyze and effectively resolve difficult situations and politically sensitive concerns. Frequent communications with Point32Health staff.
• Capable of communicating with physicians, pharmacists, and other health care specialists as well as a broad range of non-health care professionals. Ability to maintain harmonious working relationships and to communicate effectively both verbally and in writing with health care professional, other departments, network providers, state and federal regulatory and enforcement agencies, pharmaceutical manufacturers, and professional colleagues.

Working Conditions and Additional Requirements (include special requirements, e.g., lifting, travel):

• Ability and willingness to work irregular hours and to travel in state and out-of-state for job-related purposes, as necessary.
• Must be able to work under normal office conditions and work from home as required. Occasional evening, weekend, early morning, or extended day work may be required.
• Must hold a valid driver's license and have access to and ability to drive an automobile during regular working hours and irregular hours as required.
• Work may require simultaneous use of a telephone/headset and PC/keyboard and sitting for extended durations.
• May be required to work additional hours beyond standard work schedule.

The above statements are intended to describe the general nature and level of work being performed by employees assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of employees assigned to this position. Management retains the discretion to add to or change the duties of the position at any time.

Salary Range

$151,888.80 -$227,833.20

Compensation & Total Rewards Overview

The annual base salary range provided for this position represents a range of salaries for this role and similar roles across the organization. The actual salary for this position will be determined by several factors, including the scope and complexity of the role; the skills, education, training, credentials, and experience of the candidate; as well as internal equity. As part of our comprehensive total rewards program, colleagues are also eligible for variable pay. Eligibility for any bonus, commission, benefits, or any other form of compensation and benefits remains in the Company's sole discretion and may be modified at the Company's sole discretion, consistent with the law.

Point32Health offers their Colleagues a competitive and comprehensive total rewards package which currently includes:

• Medical, dental and vision coverage

• Retirement plans

• Paid time off

• Employer-paid life and disability insurance with additional buy-up coverage options

• Tuition program

• Well-being benefits

• Full suite of benefits to support career development, individual & family health, and financial health

For more details on our total rewards programs, visit welcome all
All applicants are welcome and will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status.

Scam Alert: Point32Health has recently become aware of job posting scams where unauthorized individuals posing as Point32Health recruiters have placed job advertisements and reached out to potential candidates. These advertisements or individuals may ask the applicant to make a payment. Point32Health would never ask an applicant to make a payment related to a job application or job offer, or to pay for workplace equipment. If you have any concerns about the legitimacy of a job posting or recruiting contact, you may contact

PDN-a0682c3d-7cfa-4515-996d-7d0fa6c6d590

Who We Are

Point32Health is a leading not-for-profit health and well-being organization dedicated to delivering high-quality, affordable healthcare. Serving nearly 2 million members, Point32Health builds on the legacy of Harvard Pilgrim Health Care and Tufts Health Plan to provide access to care and empower healthier lives for everyone. Our culture revolves around being a community of care and having shared values that guide our behaviors and decisions. We've had a long-standing commitment to inclusion and equal healthcare access and outcomes, regardless of background; it's at the core of who we are. We value the rich mix of backgrounds, perspectives, and experiences of all of our colleagues, which helps us to provide service with empathy and better understand and meet the needs of the communities where we serve, live, and work.

We enjoy the important work we do every day in service to our members, partners, colleagues and communities. Learn more about who we are at Point32Health.

Job Summary

The Government Affairs Manager is responsible for supporting legislative and regulatory advocacy efforts across Point32Health's geographic footprint, with a focus on the Massachusetts and Rhode Island markets.
Working with business owners, the Government Affairs Manager develops and communicates Point32Health positions on priority legislation and regulation to advance strategic, operational and business priorities.

Job Description

Key Responsibilities/Duties - what you will be doing (top five)

• Identify and prioritize legislative and regulatory proposals of strategic, financial and operational importance to the organization.
• Develop and communicate Point32Health's position on priority legislation and regulations Monitor legislative and regulatory activity.. Work with trade associations and retained lobbyists on advocacy and outreach on key issues.
• Work with internal business owners to evaluate and understand regulatory and legislative proposals and to develop advocacy positions.
• Communicate and explain Point32Health's position on proposals to lawmakers, regulators and other health care officials. Manages our reputation and relationships with legislators, regulators and other health care officials.
• Manage relationships with external lobbyists and trade organizations to execute on our objectives.
• Develop and maintain expert-level of health care policy knowledge and communicate to internal business owners. Serve as a subject matter expert for business leaders and help drive positive change.
• Other duties and projects as assigned.

Qualifications - what you need to perform the job

Certification and Licensure

Education

• Required (minimum): Master's degree in Business Administration or Public Health,
• Preferred: J.D.,.

Experience

• Required (minimum): Must possess at least 3 years previous experience working on healthcare policy matters in a health plan, health care system, legislative or regulatory environment.
• Preferred: Demonstrated experience with Medicaid products preferred.

Skill Requirements

• Experience leading and communicating legislative and regulatory efforts to various stakeholders and developing advocacy strategies.

Working Conditions and Additional Requirements (include special requirements, e.g., lifting, travel):

• Must be able to work under normal office conditions and work from home as required.
• Work may require simultaneous use of a telephone/headset and PC/keyboard and sitting for extended durations.
• May be required to work additional hours beyond standard work schedule.

Disclaimer

The above statements are intended to describe the general nature and level of work being performed by employees assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of employees assigned to this position. Management retains the discretion to add to or change the duties of the position at any time.

Salary Range

$96,123.20 -$144,184.80

Compensation & Total Rewards Overview

The annual base salary range provided for this position represents a range of salaries for this role and similar roles across the organization. The actual salary for this position will be determined by several factors, including the scope and complexity of the role; the skills, education, training, credentials, and experience of the candidate; as well as internal equity. As part of our comprehensive total rewards program, colleagues are also eligible for variable pay. Eligibility for any bonus, commission, benefits, or any other form of compensation and benefits remains in the Company's sole discretion and may be modified at the Company's sole discretion, consistent with the law.

Point32Health offers their Colleagues a competitive and comprehensive total rewards package which currently includes:

• Medical, dental and vision coverage

• Retirement plans

• Paid time off

• Employer-paid life and disability insurance with additional buy-up coverage options

• Tuition program

• Well-being benefits

• Full suite of benefits to support career development, individual & family health, and financial health

For more details on our total rewards programs, visit welcome all
All applicants are welcome and will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status.

Scam Alert: Point32Health has recently become aware of job posting scams where unauthorized individuals posing as Point32Health recruiters have placed job advertisements and reached out to potential candidates. These advertisements or individuals may ask the applicant to make a payment. Point32Health would never ask an applicant to make a payment related to a job application or job offer, or to pay for workplace equipment. If you have any concerns about the legitimacy of a job posting or recruiting contact, you may contact

PDN-a11d397d-c5cd-428e-8aac-c35f2b464f7f

Who We Are

Point32Health is a leading not-for-profit health and well-being organization dedicated to delivering high-quality, affordable healthcare. Serving nearly 2 million members, Point32Health builds on the legacy of Harvard Pilgrim Health Care and Tufts Health Plan to provide access to care and empower healthier lives for everyone. Our culture revolves around being a community of care and having shared values that guide our behaviors and decisions. We've had a long-standing commitment to inclusion and equal healthcare access and outcomes, regardless of background; it's at the core of who we are. We value the rich mix of backgrounds, perspectives, and experiences of all of our colleagues, which helps us to provide service with empathy and better understand and meet the needs of the communities where we serve, live, and work.

We enjoy the important work we do every day in service to our members, partners, colleagues and communities. Learn more about who we are at Point32Health.

Job Summary

Reporting to the VP of Contracting, this role will be a Contracting enterprise strategic partner for the organization. The SBL is the central point of contact for Contracting initiatives. As such they will provide leadership, consultation, facilitation, and insight to develop the annual contracting plan, adjust the plan as necessary throughout the year, and ensure Contracting delivers on the agreed upon strategic initiatives that are critical to the line of business goals and long-term strategy. This individual is accountable for assessing internal and external resources/opportunities, as well as gathering and synthesizing data to make sound business recommendations in support of our line of business strategy. In collaboration with Provider Partnerships, this individual works with cross-functional teams to advance complex large-scale projects from strategy to implementation. This individual collaborates closely with Sales, Finance, Product, Medical Management, Government Relations, Marketing, and IT resources to assure data driven business needs are effectively communicated, building consensus among vested parties that results in alignment and timely execution of the business and technology deliverables.

Job Description

Key Responsibilities/Duties - what you will be doing:

• In conjunction with Contracting Directors and Director, Provider Partnerships Strategy and Analytics, develop and update all line of business annual network strategy for Ancillary and System Contracting for Contract leadership review.
• Manage complex initiatives and/or alliances that require integration across multiple business units. Gather cross functional internal/external inputs and provide content expertise to make high level recommendations to Contracting leadership.
• Develop, maintain, and reinforce program strategy and scope; serve oversight role in ensuring programs are on track, on budget, and progressing towards business goals identified.
• Develop, manage, and lead effective and collaborative program and team structures to ensure that discussions are appropriately focused, timely, and incorporate input from internal and external subject matter experts.
• Proactively identify implications and challenges to success, and develop cross-functional strategies to address/resolve and get buy-in; escalate as needed to achieve timely resolution of issues
• Develops and coordinates reports, queries and/or extracts to support data requests and analytics related to strategic initiatives
• Represents Contracting as an SME for line of business/product forums
• Other duties and projects as assigned.

Qualifications - what you need to perform the job

Certification and Licensure

• N/A

Education

• Required (minimum): Bachelor's degree in business and/or related field or equivalent experience
• Preferred: Master's degree preferred

Experience (minimum years required):

• Required (minimum): 5-7 years of provider contract related experience
• Preferred: 7-10 years of general work experience

Skill Requirements

• Must have extensive knowledge of the health plan industry and its customers, as well as expertise in strategy development/planning and project leadership.
• Strong analytic skills, with a clear understanding of dynamics of financial models, provider incentives, and contracting business processes.
• Well developed, working knowledge of managed care, insurance, and provider dynamics.
• Advanced Excel and PowerPoint skills
• Must have a proven track record of working effectively with people and processes at multiple levels
• Requires strong leadership, communication, negotiation, and conflict resolution skills.
• Strong presentation/facilitation, as well as business analysis skills preferred.

Working Conditions and Additional Requirements (include special requirements, e.g., lifting, travel):

• Must be able to work under normal office conditions and work from home as required.
• Work may require simultaneous use of a telephone/headset and PC/keyboard and sitting for extended durations.
• May be required to work additional hours beyond standard work schedule.

The above statements are intended to describe the general nature and level of work being performed by employees assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of employees assigned to this position. Management retains the discretion to add to or change the duties of the position at any time.

Salary Range

$115,072.80 -$172,609.20

Compensation & Total Rewards Overview

The annual base salary range provided for this position represents a range of salaries for this role and similar roles across the organization. The actual salary for this position will be determined by several factors, including the scope and complexity of the role; the skills, education, training, credentials, and experience of the candidate; as well as internal equity. As part of our comprehensive total rewards program, colleagues are also eligible for variable pay. Eligibility for any bonus, commission, benefits, or any other form of compensation and benefits remains in the Company's sole discretion and may be modified at the Company's sole discretion, consistent with the law.

Point32Health offers their Colleagues a competitive and comprehensive total rewards package which currently includes:

• Medical, dental and vision coverage

• Retirement plans

• Paid time off

• Employer-paid life and disability insurance with additional buy-up coverage options

• Tuition program

• Well-being benefits

• Full suite of benefits to support career development, individual & family health, and financial health

For more details on our total rewards programs, visit welcome all
All applicants are welcome and will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status.

Scam Alert: Point32Health has recently become aware of job posting scams where unauthorized individuals posing as Point32Health recruiters have placed job advertisements and reached out to potential candidates. These advertisements or individuals may ask the applicant to make a payment. Point32Health would never ask an applicant to make a payment related to a job application or job offer, or to pay for workplace equipment. If you have any concerns about the legitimacy of a job posting or recruiting contact, you may contact

PDN-a13d6888-b321-4a2d-ac47-945a9f7ef6b4

Who We Are

Point32Health is a leading not-for-profit health and well-being organization dedicated to delivering high-quality, affordable healthcare. Serving nearly 2 million members, Point32Health builds on the legacy of Harvard Pilgrim Health Care and Tufts Health Plan to provide access to care and empower healthier lives for everyone. Our culture revolves around being a community of care and having shared values that guide our behaviors and decisions. We've had a long-standing commitment to inclusion and equal healthcare access and outcomes, regardless of background; it's at the core of who we are. We value the rich mix of backgrounds, perspectives, and experiences of all of our colleagues, which helps us to provide service with empathy and better understand and meet the needs of the communities where we serve, live, and work.

We enjoy the important work we do every day in service to our members, partners, colleagues and communities. Learn more about who we are at Point32Health.

Job Summary

The Care Manager - Nursing Field (RN CM) will ensure that all members receive timely care management (CM) across the continuum, including transitions of care, care coordination and navigation, complex case management, population health and wellness interventions, and disease/chronic condition management per department guidelines. The nurse care manager possesses strong clinical knowledge, critical thinking skills, and ability to facilitate a care plan which ensures quality medical care for the member. The RN CM works closely with the member, the caregiver/authorized representative, and providers to meet the targeted member-specific goals. Based on national standards for CM practice, the RN CM focuses on empowering the member to support optimal wellness and improved self-management.

Job Description

Key Responsibilities/Duties - what you will be doing

• Perform telephonic member outreach and/or face-to-face encounter utilizing key motivational interviewing skills to facilitate program enrollment. Perform departmental assessments and evaluate member holistically to identify needs, health goals, and barriers to wellness. Through assessment and collaboration with member/caregiver and providers, develop a member-specific plan of care, implement member-specific care manager interventions, and revise plan of care as needed. Complete documentation in applicable platform according to departmental policy and regulatory standards.
• Provide targeted health education, proactive strategies for condition management, and communication with key providers and vendors actively involved in the member's care.
• Collaborate with member/caregiver and the facility care team to coordinate a safe transition to the next level of care, which includes but is not limited to ensure understanding post-hospital discharge instructions, facilitate needed services and follow-up, and implement strategies to prevent re-admission.
• Collaborates and liaises with the interdisciplinary care team, to improve member outcomes (i.e., Utilization Management, Medical Director, pharmacy, community health workers, dementia care specialists, wellness, and Behavioral Health CM). Attending and presenting (as appropriate) high risk members at interdisciplinary rounds forum.
• Maintain professional growth and development through self-directed learning activities.

Qualifications - what you need to perform the job

Certification and Licensure

• Registered Nurse with current unrestricted license in state of residence
• May be required to obtain other state licensure in states where Point32Health operates
• Understand and follow the provisions of state-specific Nurse Practice Act(s) where Point32Health operates
• National certification in Case Management desirable

Education

• Required (minimum): Bachelor's degree or relevant equivalent experience
• Preferred: Bachelor's degree in nursing

Experience

• Required (minimum): 5 years' relevant clinical experience
• Preferred: Experience in home care or case management.
• Proficiency in a second language desirable.
• Experience in specialty areas a plus.

Skill Requirements

• Skill and proficiency in Microsoft applications, technical concepts and principles; computer software applications
• Work cooperatively as a team member across multiple levels within the organization
• Skilled in assessment, planning, and managing member care
• Advanced communication and interpersonal skills
• Independent and autonomous with key job functions
• Ability to address multiple complex issues
• Flexibility and adaptability to changing healthcare environment
• Ability to organize and prioritize work and member needs
• Demonstration of strong clinical and critical thinking skills
• Regard for confidential data and adherence to corporate compliance policy

Working Conditions and Additional Requirements (include special requirements, e.g., lifting, travel):

• Must be able to work under normal office conditions and work from remote office as required.
• Work may require simultaneous use of a telephone/headset and PC/keyboard and sitting for extended durations.
• Ability to make face to face visits (member home, provider practices, facilities) as needed to meet the member needs and produce positive outcomes
• Valid Driver's license and vehicle in good working condition as travel is required
• May be required to work additional hours beyond standard work schedule.
• Other duties as assigned and needed by the department

COVID Policy

Please note: We encourage all Point32Health colleagues to follow CDC guidance about COVID-19 vaccines, boosters, isolation, and masking. Point32Health reserves the right to adjust its requirements in response to COVID-19 trends in the communities we serve.

Disclaimer

The above statements are intended to describe the general nature and level of work being performed by employees assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of employees assigned to this position. Management retains the discretion to add to or change the duties of the position at any time.

Salary Range

$84,238.43 -$126,357.65

Compensation & Total Rewards Overview

The annual base salary range provided for this position represents a range of salaries for this role and similar roles across the organization. The actual salary for this position will be determined by several factors, including the scope and complexity of the role; the skills, education, training, credentials, and experience of the candidate; as well as internal equity. As part of our comprehensive total rewards program, colleagues are also eligible for variable pay. Eligibility for any bonus, commission, benefits, or any other form of compensation and benefits remains in the Company's sole discretion and may be modified at the Company's sole discretion, consistent with the law.

Point32Health offers their Colleagues a competitive and comprehensive total rewards package which currently includes:

• Medical, dental and vision coverage

• Retirement plans

• Paid time off

• Employer-paid life and disability insurance with additional buy-up coverage options

• Tuition program

• Well-being benefits

• Full suite of benefits to support career development, individual & family health, and financial health

For more details on our total rewards programs, visit welcome all
All applicants are welcome and will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status.

Scam Alert: Point32Health has recently become aware of job posting scams where unauthorized individuals posing as Point32Health recruiters have placed job advertisements and reached out to potential candidates. These advertisements or individuals may ask the applicant to make a payment. Point32Health would never ask an applicant to make a payment related to a job application or job offer, or to pay for workplace equipment. If you have any concerns about the legitimacy of a job posting or recruiting contact, you may contact

PDN-a0dad67e-b2dd-414b-afc5-f4ed281b7512

Who We Are

Point32Health is a leading not-for-profit health and well-being organization dedicated to delivering high-quality, affordable healthcare. Serving nearly 2 million members, Point32Health builds on the legacy of Harvard Pilgrim Health Care and Tufts Health Plan to provide access to care and empower healthier lives for everyone. Our culture revolves around being a community of care and having shared values that guide our behaviors and decisions. We've had a long-standing commitment to inclusion and equal healthcare access and outcomes, regardless of background; it's at the core of who we are. We value the rich mix of backgrounds, perspectives, and experiences of all of our colleagues, which helps us to provide service with empathy and better understand and meet the needs of the communities where we serve, live, and work.

We enjoy the important work we do every day in service to our members, partners, colleagues and communities. Learn more about who we are at Point32Health.

Job Summary

The Manager of Allied Health Contracting oversees a team of Contract Managers, Associate Contract Managers, or other staff as appropriate who oversee negotiating with allied health providers. This individual may be the lead on managing certain allied contracts and will assist team members during negotiations by providing oversight and assistance with the negotiations of financial and legal terms. The Manager, Allied Health Contracting will work closely with the Director, Allied Health Contracting and Vice President as applicable on negotiation strategy development and execution. Additionally, this individual will work closely with contract management staff on the day-to-day negotiations and implementations to ensure smooth and timely transitions of key contract elements.

Job Description

Key Responsibilities/Duties - what you will be doing (top five):

• Supervise and support contract management team's negotiations of contractual arrangements with established or potential network providers, within budgeted targets and regulatory requirements. Oversee and ensure accurate and complete analytic requests to support contract negotiations; oversee the development of contract documents. Participate as the lead in negotiations when appropriate and directly manage high cost, high volume contracts.
• Understand, with a high degree of specificity, important business aspects such as budget models, unit cost trend, and other analytics utilized by Point32Health to understand performance, financial or otherwise, of the allied provider network. Work closely with the contract management staff and legal department to ensure contract provisions are consistent across providers and ensure all applicable legal terms are included in the signed contract.
• Oversee the staff of Allied Health Contract Managers and Associate Contract Managers, providing coaching, feedback, and direction to allow team members to develop subject matter expertise and independently manage the ancillary service lines assigned to them
• Assist contract management staff and Director to develop Point32Health position on key issues relevant to the contract negotiation. Manage and position the negotiation so that Point32Health meets the key objectives that have been identified; communicate status of negotiations and document key financial and legal terms
• Lead and/or participate in cross functional meetings as required; lead internal ad hoc discussions to address contracting issues.
• Other duties and projects as assigned.

Qualifications - what you need to perform the job

Certification and Licensure

Education

• Required: Bachelor's degree
• Preferred: Master's degree

Experience

• Required: 5-7 years of professional experience
• Preferred: 8-10 years of experience in contract negotiations, including familiarity with payment methodologies.

Skill Requirements

• Contract negotiation experience is required, with ability to understand and interpret all aspects of a contract: financial, legal, and operational with emphasis on implementation of contract terms
• Demonstrated strength in finance to support financial contract components and analysis
• Ability to research, interpret and communicate complex issues
• Ability to understand the nuances of Tufts Health Plan's commercial and Medicare Preferred product lines and the unique operational and financial features associated with each
• Ability to maintain effective and productive staff/management relationships, including the ability to motivate staff by fostering team spirit, an attitude of cooperation, and a commitment to the organization
• Ability to understand the nuances of Tufts Health Plan's product lines and the unique operational and financial features associated with each
• Advanced analytic ability with proficiency in Microsoft Word, Excel, and PowerPoint applications

Working Conditions and Additional Requirements (include special requirements, e.g., lifting, travel):

• Must be able to work under normal office conditions and work from home as required.
• Work may require simultaneous use of a telephone/headset and PC/keyboard and sitting for extended durations.
• May be required to work additional hours beyond standard work schedule.

Disclaimer

The above statements are intended to describe the general nature and level of work being performed by employees assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of employees assigned to this position. Management retains the discretion to add to or change the duties of the position at any time.

Salary Range

$112,724.00 -$169,086.00

Compensation & Total Rewards Overview

The annual base salary range provided for this position represents a range of salaries for this role and similar roles across the organization. The actual salary for this position will be determined by several factors, including the scope and complexity of the role; the skills, education, training, credentials, and experience of the candidate; as well as internal equity. As part of our comprehensive total rewards program, colleagues are also eligible for variable pay. Eligibility for any bonus, commission, benefits, or any other form of compensation and benefits remains in the Company's sole discretion and may be modified at the Company's sole discretion, consistent with the law.

Point32Health offers their Colleagues a competitive and comprehensive total rewards package which currently includes:

• Medical, dental and vision coverage

• Retirement plans

• Paid time off

• Employer-paid life and disability insurance with additional buy-up coverage options

• Tuition program

• Well-being benefits

• Full suite of benefits to support career development, individual & family health, and financial health

For more details on our total rewards programs, visit welcome all
All applicants are welcome and will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status.

Scam Alert: Point32Health has recently become aware of job posting scams where unauthorized individuals posing as Point32Health recruiters have placed job advertisements and reached out to potential candidates. These advertisements or individuals may ask the applicant to make a payment. Point32Health would never ask an applicant to make a payment related to a job application or job offer, or to pay for workplace equipment. If you have any concerns about the legitimacy of a job posting or recruiting contact, you may contact

PDN-a0946dba-6827-4734-8e97-6ce517290e7a

Who We Are

Point32Health is a leading not-for-profit health and well-being organization dedicated to delivering high-quality, affordable healthcare. Serving nearly 2 million members, Point32Health builds on the legacy of Harvard Pilgrim Health Care and Tufts Health Plan to provide access to care and empower healthier lives for everyone. Our culture revolves around being a community of care and having shared values that guide our behaviors and decisions. We've had a long-standing commitment to inclusion and equal healthcare access and outcomes, regardless of background; it's at the core of who we are. We value the rich mix of backgrounds, perspectives, and experiences of all of our colleagues, which helps us to provide service with empathy and better understand and meet the needs of the communities where we serve, live, and work.

We enjoy the important work we do every day in service to our members, partners, colleagues and communities. Learn more about who we are at Point32Health.

Job Summary

Perform vendor/vendor management activities across Indirect Categories (including IT, Operations, Professional Services, Marketing, etc.), particularly focused on contract performance measures, quality activities, and risk management. The Procurement Category Manager provides core expertise in the four process domains (i.e., Performance Management, Financial Management, Relationship Management, and Risk Management) in support of sourcing and contract execution lifecycles. The Category Manager is responsible for managing the strategic relationships of vendors with a primary goal of driving outcomes from the vendor base which achieve optimum value for Point32Health, and mitigating future potential risk, while supporting analysis and reporting of vendor performance to the appropriate stakeholders.

Job Description

DUTIES/RESPONSIBILITIES - what you will be doing:

• Contract Review, Modification, Negotiation
  • Work with business owners and the legal department to create and negotiate vendor contracts.
  • Drive meaningful cost savings and extract maximum value from Point32Health vendor base via negotiations on price, service levels, efficiency, payment terms, etc., while working in conjunction with the Legal Department, business owner, and other impacted departments (i.e. Security, Privacy, Compliance, etc.)
  • Perform project management of contractual process from vendor selection through contract execution.
  • Coordinate business, procurement and legal objectives for the business requirement, costs, quality, risk, etc.
  • Prepare and maintain project plans, appropriate milestone, and related schedules.

• Competitive Bidding, Negotiations and Cost Reduction Initiatives
  • Follow all policies and procedures regarding the sourcing, selecting, and managing vendors. Responsibilities include:
    • Develop Request for Information/Proposal (RFI/RFP) documents in coordination with the appropriate project leader.
    • Manage the RFI/RFP process, acting as the main point of contact with vendors and business owners.
    • Synthesize RFI/RFP responses into meaningful, actionable summaries.
    • Build and utilize scorecards for the basis of vendor award.
    • Collaborate with Business Owners to recommend the best vendor to meet business needs.
    • Identify and include certified diverse suppliers in all competitive bidding events, in support of Point32Health's economic inclusion goals.
• Vendor Relationships & Performance Measurements
  • Measure and track vendor performance to ensure appropriate service levels are maintained with key vendors. This will be accomplished by working with vendors and business owners to establish and monitor mutually agreeable service level agreements/key performance indicators (SLAs/KPIs) and terms and conditions of the business relationship.
  • Provide feedback on performance, seek continuous improvement and innovation.
  • Work with vendors and key stakeholders to manage vendor performance and develop new capabilities.
  • When performance issues emerge, identify root causes and work with internal and external stakeholders to drive efficient resolution.
  • Identify and capture profit improvement opportunities beyond sourcing, such as demand management, process improvements, insource vs. outsource innovation, etc.
  • Regularly monitor the market for category leading practices and demand/supply shifts such as vendor consolidation, technology innovations, etc.
  • Implement strategies to best manage the vendor base for categories in scope, reviewing vendors against contracted obligations/service levels and business expectations.
• Project Management
  • Provides project management experience in situations where vendor participation is a key component to successful project implementation and that skill set is not inherent in the functional area.
• Other projects and duties as assigned.

QUALIFICATIONS - what you need to perform the job:

EDUCATION, CERTIFICATION AND LICENSURE:

• BS/BA degree in relevant area such as Business Administration, Supply Chain or Finance preferred.

EXPERIENCE (minimum years required):

• 5-8 years of relevant procurement, strategic sourcing and vendor management experience demonstrating success in positions of increasing complexity. A consistent track record of delivering business impact in a complex, corporate environment.

SKILL REQUIREMENTS:

• Experience with category management strategies, vendor management, opportunity diagnostic, strategic Knowledge and experience within indirect categories,
• Exposure to category management strategies for categories in scope, opportunity diagnostic, strategic sourcing process, vendor management with a proven track record of delivering business impact
• Strong implementation skills supported by strategic vision to drive spend management excellence in complex categories.
• Strategic, analytical, and interpersonal skills to act as an effective change agent. Demonstrated analytical, financial, problem solving, organization, and project management skills.
• Highly motivated with an entrepreneurial mindset, proactive and innovative.
• Experience working effectively in complex organizations.
• Ability to lead and influence change in the face of complexity and ambiguity.
• Excellent stakeholder engagement skills.
• Thrives in a fast paced, goal oriented, dynamic organization with time sensitive deadlines.
• Leverage market data, external expert resources, spend analytics, and cost modeling to drive fact-based decision making.
• Strong project management skills, including stakeholder timelines and meeting management skills.
• Understanding of Agreements which may include Master Service Agreements. Statements of Work, and SaaS/License Agreements.
• Knowledge of key contract terms and techniques for driving additional value and managing risks
• Ability to support, lead and conduct successful negotiations.
• Develop and manage relationships across the business to achieve key business, organizational and cross-cultural objectives.
• Demonstrated ability to develop highly functioning business relationships at senior levels both within and outside the organization.
• Knowledge of Vendor Management tools (SRM, conducting Quarterly Business Reviews, etc.).
• Technology-savvy and high competency in MS office; Advanced Excel skills and other analytics software as well as eSourcing, reverse auctions, etc.
• Excellent written, verbal and presentation skills including meeting facilitation and presentations.
• Ability to interact effectively and gain credibility with internal associates at all levels as well as external third parties.

WORKING CONDITIONS AND ADDITIONAL REQUIREMENTS (include special requirements, e.g., lifting, travel):

• Must be able to work under normal office conditions and work from home as required.
• Work may require simultaneous use of a telephone/headset and PC/keyboard and sitting for extended durations.
• May be required to work additional hours beyond standard work schedule.

DISCLAIMER

The above statements are intended to describe the general nature and level of work being performed by employees assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of employees assigned to this position. Management retains the discretion to add to or change the duties of the position at any time.

Salary Range

$100,721.84 -$151,082.76

Compensation & Total Rewards Overview

The annual base salary range provided for this position represents a range of salaries for this role and similar roles across the organization. The actual salary for this position will be determined by several factors, including the scope and complexity of the role; the skills, education, training, credentials, and experience of the candidate; as well as internal equity. As part of our comprehensive total rewards program, colleagues are also eligible for variable pay. Eligibility for any bonus, commission, benefits, or any other form of compensation and benefits remains in the Company's sole discretion and may be modified at the Company's sole discretion, consistent with the law.

Point32Health offers their Colleagues a competitive and comprehensive total rewards package which currently includes:

• Medical, dental and vision coverage

• Retirement plans

• Paid time off

• Employer-paid life and disability insurance with additional buy-up coverage options

• Tuition program

• Well-being benefits

• Full suite of benefits to support career development, individual & family health, and financial health

For more details on our total rewards programs, visit welcome all
All applicants are welcome and will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status.

Scam Alert: Point32Health has recently become aware of job posting scams where unauthorized individuals posing as Point32Health recruiters have placed job advertisements and reached out to potential candidates. These advertisements or individuals may ask the applicant to make a payment. Point32Health would never ask an applicant to make a payment related to a job application or job offer, or to pay for workplace equipment. If you have any concerns about the legitimacy of a job posting or recruiting contact, you may contact

PDN-a1538967-6a71-4e6b-8553-1e28b5fae731

Who We Are

Point32Health is a leading not-for-profit health and well-being organization dedicated to delivering high-quality, affordable healthcare. Serving nearly 2 million members, Point32Health builds on the legacy of Harvard Pilgrim Health Care and Tufts Health Plan to provide access to care and empower healthier lives for everyone. Our culture revolves around being a community of care and having shared values that guide our behaviors and decisions. We've had a long-standing commitment to inclusion and equal healthcare access and outcomes, regardless of background; it's at the core of who we are. We value the rich mix of backgrounds, perspectives, and experiences of all of our colleagues, which helps us to provide service with empathy and better understand and meet the needs of the communities where we serve, live, and work.

We enjoy the important work we do every day in service to our members, partners, colleagues and communities. Learn more about who we are at Point32Health.

Job Summary

As an HR Coordinator within our HR Shared Services Center, you will play a pivotal role in delivering high-quality HR services and support to colleagues and managers across the organization. You will be responsible for handling various HR administrative tasks, aiding with colleague inquiries, and contributing to the overall efficiency and effectiveness of HR operations. This role will touch all elements of the colleague life cycle.

Job Description

Key Responsibilities/Duties:

• Colleague Inquiries: Serve as a primary point of contact for colleagues and managers regarding HR policies, procedures, benefits, and general inquiries. Provide guidance and support to resolve issues effectively.
• Data Management: Leverage an innovative case management system for tracking requests and resolve, transfer or escalate cases to other HR colleagues for efficient issue resolution. Maintain HR databases and electronic records, ensuring data accuracy, completeness, and confidentiality. Generate reports and analytics as needed to support HR initiatives.
• HR Administration: Conduct intake for all HR related inquiries and escalates to appropriate parties, as necessary. Ensure timely resolution of cases and follows through cases to completion to provide best colleague experience. Track and monitor cases to identify root cause of issues. Document inquiry resolution and escalation in case management system. Process HR transactions related to colleague data changes, benefits enrollment, payroll, and other HR-related tasks accurately and in a timely manner.
• Policy and Compliance: Stay updated on HR policies, regulations, and compliance requirements. Ensure adherence to company policies and procedures in all HR-related activities.
• Onboarding and Offboarding: Assist with the onboarding process for new hires, including paperwork completion, orientation, and system setup. Support offboarding activities by conducting exit interviews and coordinating exit procedures.
• Colleague Relations Support: Collaborate with HR Business Partners, Colleague Relations, and managers to address colleague relations matters, including performance management, disciplinary actions, and conflict resolution.
• Training and Development: Support training initiatives by coordinating training sessions, tracking training completion, and assisting with training logistics as needed.
• Continuous Improvement: Identify opportunities for process improvement within the HR Shared Services Center. Identify trends and knowledge base needs and provide insight to increase operational efficiencies. Contribute to the development and implementation of best practices and standardized processes.
• Other duties and projects as assigned.

Qualifications:

Certification and Licensure

• PHR, SHRM-CP preferred.

Education

• Required (minimum): High School Diploma or equivalent
• Preferred: Bachelor's degree in human resources, Business Administration, or related field preferred

Experience

• Required (minimum): 1-3 years of experience in HR administration, shared services, a related role or an equivalent combination of education and experience.
• Preferred: At least 1 year in a customer facing position utilizing a case management system.

Skill Requirements:

• Proficiency in HRIS (Human Resources Information System) systems, Microsoft Office Suite (Word, Excel, PowerPoint), and other HR-related software.
• Strong attention to detail, organizational skills, and ability to handle confidential information with discretion.
• Excellent communication skills (written and verbal) with the ability to interact effectively with colleagues at all levels.
• Knowledge of HR policies, employment laws, and regulatory requirements.
• Customer service orientation and problem-solving skills.
• Ability to work independently, prioritize tasks, and meet deadlines in a fast-paced environment.

Working Conditions and Additional Requirements:

• Must be able to work under normal office conditions and work from home as required.
• Work may require simultaneous use of a telephone/headset and PC/keyboard and sitting for extended durations.
• May be required to work additional hours beyond the standard work schedule.
• Must be able to work in a hybrid environment - both on-site and virtual work.

Disclaimer

The above statements are intended to describe the general nature and level of work being performed by colleagues assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of colleagues assigned to this position. Management retains the discretion to add to or change the position's duties at any time.

Salary Range

$23.30 -$34.96

Compensation & Total Rewards Overview

The annual base salary range provided for this position represents a range of salaries for this role and similar roles across the organization. The actual salary for this position will be determined by several factors, including the scope and complexity of the role; the skills, education, training, credentials, and experience of the candidate; as well as internal equity. As part of our comprehensive total rewards program, colleagues are also eligible for variable pay. Eligibility for any bonus, commission, benefits, or any other form of compensation and benefits remains in the Company's sole discretion and may be modified at the Company's sole discretion, consistent with the law.

Point32Health offers their Colleagues a competitive and comprehensive total rewards package which currently includes:

• Medical, dental and vision coverage

• Retirement plans

• Paid time off

• Employer-paid life and disability insurance with additional buy-up coverage options

• Tuition program

• Well-being benefits

• Full suite of benefits to support career development, individual & family health, and financial health

For more details on our total rewards programs, visit welcome all
All applicants are welcome and will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status.

Scam Alert: Point32Health has recently become aware of job posting scams where unauthorized individuals posing as Point32Health recruiters have placed job advertisements and reached out to potential candidates. These advertisements or individuals may ask the applicant to make a payment. Point32Health would never ask an applicant to make a payment related to a job application or job offer, or to pay for workplace equipment. If you have any concerns about the legitimacy of a job posting or recruiting contact, you may contact

PDN-a0ff0c1b-081c-4016-9f15-7743f3518156

Who We Are

Point32Health is a leading not-for-profit health and well-being organization dedicated to delivering high-quality, affordable healthcare. Serving nearly 2 million members, Point32Health builds on the legacy of Harvard Pilgrim Health Care and Tufts Health Plan to provide access to care and empower healthier lives for everyone. Our culture revolves around being a community of care and having shared values that guide our behaviors and decisions. We've had a long-standing commitment to inclusion and equal healthcare access and outcomes, regardless of background; it's at the core of who we are. We value the rich mix of backgrounds, perspectives, and experiences of all of our colleagues, which helps us to provide service with empathy and better understand and meet the needs of the communities where we serve, live, and work.

We enjoy the important work we do every day in service to our members, partners, colleagues and communities. Learn more about who we are at Point32Health.

Job Summary

The Sr Actuarial Analyst independently conducts analysis and data development activities, and guides the work of junior staff, for a broad range of financial and actuarial functions including product pricing and rate reviews, financial planning and forecasting, trend analysis, product development, provider reimbursement analysis, provider risk andanalysis. This is a senior analytical and technical position and as such must be able to perform independently and execute and/or oversee all the analytical and technical tasks required to take a project from inception to conclusion. This role will work closely with one or more departments including Underwriting, Sales, Provider Partnerships, Health Care services and Government Affairs. A thorough understanding of the health insurance industry with proficiency in relational databases, data warehouses, Excel, and statistical modeling, as well as strong interpersonal skills, are required. The position is eligible to participate in the Actuarial Student Program, including job rotations every 18-36 months and comprehensive support of the pursuit of Fellowship in the Society of Actuaries.

Job Description

Key Responsibilities/Duties - what you will be doing (top five):

• Performs analytic project work assigned by manager with minimal supervision
• Develops analytic project plan to meet defined objectives
• Facilitates planning and review sessions
• Collaborates with manager in defining project objectives, and design components of larger projects
• May manage one or more large projects
• Uses Healthplan data systems and query tools to complete work projects, developing new code and tools to meet objectives
• Designs and builds technical processes to address business issues
• Provides input into and/or help structure program code for more junior staff
• Develops criteria to validate results in light of prior expectations
• Investigate unusual results and offers explanations
• Examines and interprets results in the context of the specific business questions being addressed
• Identifies new questions and/or unforeseen data complexities arising from results and takes steps to address them
• Integrates information from multiple sources to interpret results in larger business context
• Packages results to demonstrate link between analysis and broad business context
• Other projects and duties as assigned.

Qualifications - what you need to perform the job

Education, Certification and Licensure

• College degree in related field or equivalent education/training
• 4+ Actuarial exams

Experience (minimum years required):

• 4+ years of related and progressively responsible experience
• Management: Experience mentoring or training others
• Analytic: Demonstrated experience in analytic project design
• Technical: Proficiency in the use of personal computers, relational databases, statistical packages, spreadsheet and/or database applications

Skill Requirements

• Ability to design and build complex technical applications
• Communication/Presentation skills
• Well-developed verbal and written skills
• Ability to facilitate planning and review sessions;
• Solid presentation skills; presents to senior level department management
• Negotiation/Leadership skills
• Able to operate in a matrix environment
• Able to implement Actuarial department standards and processes
• Able to identify issues and roadblocks and participate in their resolution
• Independence/Judgment
  • Receives regular management oversight of selected projects and processes
  • Applies own judgment on most analytical and technical issues with input on organization and implementation
• Interpersonal skills (include personal interaction):
  • Must be able to work cooperatively as a team member.
  • Regular interface with various levels of leadership, staff and providers is required as well.

Working Conditions and Additional Requirements (include special requirements, e.g., lifting, travel):

• Must be able to work under normal office conditions and work from home as required.
• Work may require simultaneous use of a telephone/headset and PC/keyboard and sitting for extended durations.
• May be required to work additional hours beyond standard work schedule.

Disclaimer

The above statements are intended to describe the general nature and level of work being performed by employees assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of employees assigned to this position. Management retains the discretion to add to or change the duties of the position at any time.

Salary Range

$101,838.62 -$152,757.94

Compensation & Total Rewards Overview

The annual base salary range provided for this position represents a range of salaries for this role and similar roles across the organization. The actual salary for this position will be determined by several factors, including the scope and complexity of the role; the skills, education, training, credentials, and experience of the candidate; as well as internal equity. As part of our comprehensive total rewards program, colleagues are also eligible for variable pay. Eligibility for any bonus, commission, benefits, or any other form of compensation and benefits remains in the Company's sole discretion and may be modified at the Company's sole discretion, consistent with the law.

Point32Health offers their Colleagues a competitive and comprehensive total rewards package which currently includes:

• Medical, dental and vision coverage

• Retirement plans

• Paid time off

• Employer-paid life and disability insurance with additional buy-up coverage options

• Tuition program

• Well-being benefits

• Full suite of benefits to support career development, individual & family health, and financial health

For more details on our total rewards programs, visit welcome all
All applicants are welcome and will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status.

Scam Alert: Point32Health has recently become aware of job posting scams where unauthorized individuals posing as Point32Health recruiters have placed job advertisements and reached out to potential candidates. These advertisements or individuals may ask the applicant to make a payment. Point32Health would never ask an applicant to make a payment related to a job application or job offer, or to pay for workplace equipment. If you have any concerns about the legitimacy of a job posting or recruiting contact, you may contact

PDN-a13b64d3-8145-4de8-8bf1-2fc4d84b8684

Who We Are

Point32Health is a leading not-for-profit health and well-being organization dedicated to delivering high-quality, affordable healthcare. Serving nearly 2 million members, Point32Health builds on the legacy of Harvard Pilgrim Health Care and Tufts Health Plan to provide access to care and empower healthier lives for everyone. Our culture revolves around being a community of care and having shared values that guide our behaviors and decisions. We've had a long-standing commitment to inclusion and equal healthcare access and outcomes, regardless of background; it's at the core of who we are. We value the rich mix of backgrounds, perspectives, and experiences of all of our colleagues, which helps us to provide service with empathy and better understand and meet the needs of the communities where we serve, live, and work.

We enjoy the important work we do every day in service to our members, partners, colleagues and communities. Learn more about who we are at Point32Health.

Job Summary

The Senior Training Specialist assists with needs assessment, discovery, design, development, and implementation of training programs. They are responsible for the successful delivery of technical training, service skills training, and other developmental training to new and experienced staff under limited supervision. This role will focus on Appeals and Grievances topics and involves creating engaging learning environments and collaborating with subject matter experts (SMEs) and instructional designers to ensure our programs are of the highest quality and are successful in achieving departmental and organizational goals. Additionally, the Senior Training Specialist demonstrates leadership by consistently mentoring peers, spearheading special projects, and adeptly handling complex training-related issues.

Job Description

Key Responsibilities/Duties - what you will be doing (top five):

• Deliver technical training, customer service and other developmental training to new and experienced staff.
• Create engaging learning environments using the capabilities within the tools available (e.g., Adobe and Teams).
• Create and deliver custom training solutions, including quick-turn refreshers and specialized modules, to meet evolving operational requirements.
• Prepare for each course by refreshing examples in training materials and handling program administration needs, such as communication, scheduling activities, and roster management.
• Adhere to the training schedule, communicates any blockers or risks with leadership, and follows through with post-course wrap-up activities.
• Participate in project work to support initiatives that enhance operational excellence
• Responsible for delivering on-the-job training support while maintaining current knowledge of organizational processes and quality assurance standards to ensure compliance and effectiveness
• Schedule and complete peer-to-peer mentor sessions to align with departmental goals, including feedback discussions.
• Lead special projects, including planning, execution, and evaluation.
• Consult and handle complex training-related issues and provide solutions.
• Facilitate team meetings.
• Other duties as assigned.

Qualifications - what you need to perform the job

Education, Certification and Licensure

• Required: Bachelor's degree in education or related field, or equivalent experience

Experience (minimum years required):

• External candidates: 3-5 years relevant experience in a training and development position, perferably in health care industry. Experience in implementing skills-based training programs utilizing documentation, facilitation, presentation and consultative skills.
• Internal candidates: A minimum of 3 years of successful experience in the Training Specialist role, demonstrating a proven ability to facilitate learning and growth through effective communication and mentoring.

Skill Requirements

• Mastery of virtual classroom facilitation skills.
• Ability to monitor personal progress against performance metrics
• Agility in supporting multiple teams and lines of business.
• Proven ability to provide specific, timely, and respectful feedback to colleagues, fostering continuous improvement and mutual respect.
• Demonstrates action-oriented behavior and takes responsibility for outcomes.
• Ability to prioritize tasks, plan, and organize work to optimize productivity and achieve goals
• Effective at creating an environment where all viewpoints are heard and valued, while proactively seeking ways to increase efficiencies and find common solutions

Working Conditions and Additional Requirements (include special requirements, e.g., lifting, travel):

• Must be able to work under normal office conditions and work from home as required.
• Work may require simultaneous use of a telephone/headset and PC/keyboard and sitting for extended durations.
• May be required to work additional hours beyond standard work schedule.
  

The above statements are intended to describe the general nature and level of work being performed by employees assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of employees assigned to this position. Management retains the discretion to add to or change the duties of the position at any time.

Salary Range

$65,461.31 -$98,191.97

Compensation & Total Rewards Overview

The annual base salary range provided for this position represents a range of salaries for this role and similar roles across the organization. The actual salary for this position will be determined by several factors, including the scope and complexity of the role; the skills, education, training, credentials, and experience of the candidate; as well as internal equity. As part of our comprehensive total rewards program, colleagues are also eligible for variable pay. Eligibility for any bonus, commission, benefits, or any other form of compensation and benefits remains in the Company's sole discretion and may be modified at the Company's sole discretion, consistent with the law.

Point32Health offers their Colleagues a competitive and comprehensive total rewards package which currently includes:

• Medical, dental and vision coverage

• Retirement plans

• Paid time off

• Employer-paid life and disability insurance with additional buy-up coverage options

• Tuition program

• Well-being benefits

• Full suite of benefits to support career development, individual & family health, and financial health

For more details on our total rewards programs, visit welcome all
All applicants are welcome and will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status.

Scam Alert: Point32Health has recently become aware of job posting scams where unauthorized individuals posing as Point32Health recruiters have placed job advertisements and reached out to potential candidates. These advertisements or individuals may ask the applicant to make a payment. Point32Health would never ask an applicant to make a payment related to a job application or job offer, or to pay for workplace equipment. If you have any concerns about the legitimacy of a job posting or recruiting contact, you may contact

PDN-a0fd e49-857a-0ecc4b6aa6c4

Who We Are

Point32Health is a leading not-for-profit health and well-being organization dedicated to delivering high-quality, affordable healthcare. Serving nearly 2 million members, Point32Health builds on the legacy of Harvard Pilgrim Health Care and Tufts Health Plan to provide access to care and empower healthier lives for everyone. Our culture revolves around being a community of care and having shared values that guide our behaviors and decisions. We've had a long-standing commitment to inclusion and equal healthcare access and outcomes, regardless of background; it's at the core of who we are. We value the rich mix of backgrounds, perspectives, and experiences of all of our colleagues, which helps us to provide service with empathy and better understand and meet the needs of the communities where we serve, live, and work.

We enjoy the important work we do every day in service to our members, partners, colleagues and communities. Learn more about who we are at Point32Health.

Job Summary

The Senior Product Manager is responsible for leading and managing product team(s) to develop multiyear product strategies, roadmaps, and competitive offerings to meet profitability and membership goals.

Job Description

Key Responsibilities/Duties - what you will be doing (top five):

• Develops and manages the 2-4-year product strategy for a set of product lines and/or geographic regions. Lead product- specific, cross-functional teams responsible for assessing/implementing new/revised or enhanced product designs and programs.
• Meet with internal and external stakeholders/customers including market teams, brokers, accounts, vendors, and government agencies to incorporate voice of the customer in product roadmap.
• Develop new products and features, product enhancements, line extensions, portfolio revisions, and product discontinuation as needed to achieve market position, membership goals, and profitability targets.
• Synthesize product line financial modeling and analysis into actionable tactics. Assess market and competitive positioning in support of expansion strategies.
• Monitor and report on-going performance of product portfolio(s) including profitability, customer satisfaction, membership growth/retention, and operational performance. Develop course correction proposals, as needed, based on metrics.
• Collaborate with other teams in the development of product collateral, marketing, and communications initiatives and in conducting internal and/or external trainings. Map and manage the customer experience.
• Manage vendor relationships as part of the product line.
• Other duties and projects as assigned.
  

Qualifications - what you need to perform the job

Certification and Licensure

Education

• Required: Bachelor's degree in a related field
• Preferred: Master's degree

Experience

• Required: 5-7 years of related work experience
• Preferred: 5-7 years of product management, strategic planning, project management, marketing, or healthcare sales experience.
• Direct experience with Stop Loss and/or Level Monthly Funding highly desired.
  

Skill Requirements

• Effective and strategic leader who can use strong analytic and problem-solving skills to facilitate cross- functional teams.
• Excellent interpersonal and collaboration skills; ability to influence at all levels of the organization.
• Proven organization, facilitation, and conflict management skills
• Ability to function effectively in a fast paced, rapidly changing environment.
• Resilient, collaborative, flexible, innovative.
• Excellent oral, written and presentation skills.
  

Working Conditions and Additional Requirements (include special requirements, e.g., lifting, travel):

• Must be able to work under normal office conditions and work from home as required.
• Work may require simultaneous use of a telephone/headset and PC/keyboard and sitting for extended durations.
• May be required to work additional hours beyond standard work schedule.

Disclaimer

The above statements are intended to describe the general nature and level of work being performed by employees assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of employees assigned to this position. Management retains the discretion to add to or change the duties of the position at any time.

Salary Range

$115,776.62 -$173,664.94

Compensation & Total Rewards Overview

The annual base salary range provided for this position represents a range of salaries for this role and similar roles across the organization. The actual salary for this position will be determined by several factors, including the scope and complexity of the role; the skills, education, training, credentials, and experience of the candidate; as well as internal equity. As part of our comprehensive total rewards program, colleagues are also eligible for variable pay. Eligibility for any bonus, commission, benefits, or any other form of compensation and benefits remains in the Company's sole discretion and may be modified at the Company's sole discretion, consistent with the law.

Point32Health offers their Colleagues a competitive and comprehensive total rewards package which currently includes:

• Medical, dental and vision coverage

• Retirement plans

• Paid time off

• Employer-paid life and disability insurance with additional buy-up coverage options

• Tuition program

• Well-being benefits

• Full suite of benefits to support career development, individual & family health, and financial health

For more details on our total rewards programs, visit welcome all
All applicants are welcome and will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status.

Scam Alert: Point32Health has recently become aware of job posting scams where unauthorized individuals posing as Point32Health recruiters have placed job advertisements and reached out to potential candidates. These advertisements or individuals may ask the applicant to make a payment. Point32Health would never ask an applicant to make a payment related to a job application or job offer, or to pay for workplace equipment. If you have any concerns about the legitimacy of a job posting or recruiting contact, you may contact

PDN-a11b350f-5279-4158-9fcc-744fa9948322

Who We Are

Point32Health is a leading not-for-profit health and well-being organization dedicated to delivering high-quality, affordable healthcare. Serving nearly 2 million members, Point32Health builds on the legacy of Harvard Pilgrim Health Care and Tufts Health Plan to provide access to care and empower healthier lives for everyone. Our culture revolves around being a community of care and having shared values that guide our behaviors and decisions. We've had a long-standing commitment to inclusion and equal healthcare access and outcomes, regardless of background; it's at the core of who we are. We value the rich mix of backgrounds, perspectives, and experiences of all of our colleagues, which helps us to provide service with empathy and better understand and meet the needs of the communities where we serve, live, and work.

We enjoy the important work we do every day in service to our members, partners, colleagues and communities. Learn more about who we are at Point32Health.

Job Summary

At Point32Health, we're driven by a shared purpose: to lead and empower healthier lives for everyone. Our colleagues are deeply committed to giving back to the communities where they live and work, and we're looking for team members who want to be part of something bigger-an organization that values compassion, collaboration, and impact.

Under the general direction of the Service Center Supervisor, the Member Services Advocate provides exceptional customer service, navigating the complexities of the healthcare system, dressing inquiries, resolving issues and ensuring members have a positive experience with Point 32 Health. The Member Service Advocate is a member champion to resolve issues internally with a wide variety of departments and interacting externally with providers, employers, brokers and provider billing offices to assist with issue resolution. A candidate should be proficient in working in multiple systems at once while doing real-time analysis of data and documentation to resolve member inquiries.

Training Hours: 8:30 AM - 5:00 PM EST, M - F. Must have 100% attendance during training.
Working as a Member Advocate provides you with hands-on experience to grow your career with Point32Health. With demonstrated initiative and strong performance, you will gain exposure across a multitude of functions providing you with opportunities for advancement. A Member Services Advocate can grow not only within the department but also throughout Point32Health.

Job Description

• Inbound Call Management- Handle inbound calls from members with professionalism and attentiveness, addressing inquiries related to health insurance benefits, coverage, claims and eligibility.
• Health Care System Navigation- support and advocate for members to ensure that they receive the care/support needed
• Problem Resolution- Provide education and guidance to members about their Point32Health benefits and take ownership of each call to ensure that issues are resolved promptly and accurately. Follow up with members as needed to ensure complete resolution.
• Member Engagement- Assist members in understanding and accessing theit benefits and educate members on how to use self service tools, deliver proactive/anticpatory service
• Documentation and Reporting- Record call details and member interactions in the system accurately, ensuring that all relevant information is documented for future reference and reporting ensuring HIPPA, State and Federal regulations and confidentiality standards are met.
• Team Collaboration- Work collaboratively with other team members and departments to address complex issues and ensure a seamless member experience.
• Member Experience- As a brand ambassador for Point32Health, go above and beyond to ensure member satisfaction, proactively identifying and addressing needs and concerns.
• Continuous Improvement- Represent the voice of the customer by contributing to continuous improvement initiatives and providing feedback on member interactions and suggesting process enhancements.
• Metrics & Goals- Adhere to assigned schedules to ensure appropriate phone queue coverage & meet or exceed department established key performance indicators
• Member Retention & Outbound Campaigns- Execute outbound calls to improve the member experience and assist in member retention
• Compliance and Policy Adherence-Ensure all interactions are HIPAA compliant and adhere to state and federal regulations
• Other duties as assigned.

Qualifications - what you need to perform the job.

Education, Certification and Licensure

Required: Associate degree or equivalent work experience

Preferred: Bachelor's degree or equivalent work experience preferred.

Experience (minimum years required):

Required

• 0-2 years of relevant experience.

Preferred

• Customer service experience in health care, call center or corporate office.
• Knowledge of medical terminology.
• Prior experience training and working in a virtual/remote setting.

Skill Requirements

• Customer Service Expertise- Demonstrated ability to provide exceptional service, including active listening, empathy, and clear communication with members.

• Empathy- Ability to put yourself in someone else's shoes and demonstrate compassion.

• Product Knowledge- Strong understanding of health insurance products, policies, and industry regulations, or the ability to quickly learn and apply new information.

• Problem-Solving/Critical Thinking Skills- Adept at identifying issues, analyzing information, and providing effective solutions in a timely manner.

• Communication Skills- Excellent verbal and written communication skills, with the ability to convey complex information clearly and professionally.

• Attention to Detail- High level of accuracy in handling member information, processing requests, and documenting interactions.

• Multitasking Ability- Capable of managing multiple tasks simultaneously while maintaining focus and efficiency.

• Technical Proficiency- Comfortable using computer systems, CRM software, and other relevant technology to manage member interactions and data.

• Adaptability- Ability to adjust to changing priorities and new processes in a dynamic work environment.

• Team Collaboration- Strong people skills with the ability to work effectively with team members and contribute to a positive work atmosphere.

• Conflict Resolution- Skilled in managing and resolving conflicts and complaints with professionalism and patience.

Working Conditions and Additional Requirements (include special requirements, e.g., lifting, travel):

• Must be able to work under normal office conditions and work from home as required.
• Work may require simultaneous use of a telephone/headset and PC/keyboard and sitting for extended durations.
• May be required to work additional hours beyond standard work schedule.

The above statements are intended to describe the general nature and level of work being performed by employees assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of employees assigned to this position. Management retains the discretion to add to or change the duties of the position at any time.

for providing an accurate and thorough interpretation of Point32Health benefits, eligibility, claim processing and enrollment policies to members

Salary Range

$21.00 -$21.00

Compensation & Total Rewards Overview

The annual base salary range provided for this position represents a range of salaries for this role and similar roles across the organization. The actual salary for this position will be determined by several factors, including the scope and complexity of the role; the skills, education, training, credentials, and experience of the candidate; as well as internal equity. As part of our comprehensive total rewards program, colleagues are also eligible for variable pay. Eligibility for any bonus, commission, benefits, or any other form of compensation and benefits remains in the Company's sole discretion and may be modified at the Company's sole discretion, consistent with the law.

Point32Health offers their Colleagues a competitive and comprehensive total rewards package which currently includes:

• Medical, dental and vision coverage

• Retirement plans

• Paid time off

• Employer-paid life and disability insurance with additional buy-up coverage options

• Tuition program

• Well-being benefits

• Full suite of benefits to support career development, individual & family health, and financial health

For more details on our total rewards programs, visit welcome all
All applicants are welcome and will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status.

Scam Alert: Point32Health has recently become aware of job posting scams where unauthorized individuals posing as Point32Health recruiters have placed job advertisements and reached out to potential candidates. These advertisements or individuals may ask the applicant to make a payment. Point32Health would never ask an applicant to make a payment related to a job application or job offer, or to pay for workplace equipment. If you have any concerns about the legitimacy of a job posting or recruiting contact, you may contact

PDN-a0f2fa26-2bd9-4aff-a9bf-b34a3752ee98

Who We Are

Point32Health is a leading not-for-profit health and well-being organization dedicated to delivering high-quality, affordable healthcare. Serving nearly 2 million members, Point32Health builds on the legacy of Harvard Pilgrim Health Care and Tufts Health Plan to provide access to care and empower healthier lives for everyone. Our culture revolves around being a community of care and having shared values that guide our behaviors and decisions. We've had a long-standing commitment to inclusion and equal healthcare access and outcomes, regardless of background; it's at the core of who we are. We value the rich mix of backgrounds, perspectives, and experiences of all of our colleagues, which helps us to provide service with empathy and better understand and meet the needs of the communities where we serve, live, and work.

We enjoy the important work we do every day in service to our members, partners, colleagues and communities. Learn more about who we are at Point32Health.

Job Summary

The Director of Provider Partnerships Strategy plays a critical leadership role within the Provider Partnerships organization. Working closely with the Senior Vice President of Provider Partnerships, the Vice President of Provider Partnerships Strategy, the Provider Partnerships leadership team and Line of Business stakeholders, the Director of Provider Partnerships Strategy leads provider network strategic initiatives and their tactical execution, ensuring alignment with the Lines of Business and the organization's overall financial, operational, and clinical goals. The Director manages a team of colleagues supporting analytics and network consultancy aligned to the strategic focus of the team she/he is managing, such as Government or Commercial Products. Working in a matrix environment to support and collaborate with colleagues from System Contracting, Ancillary Contracting, Actuarial, Sales and Provider Performance, he/she oversees the development and timely delivery of relevant and meaningful analyses and presentations in support of Point32Health's provider contracts and network performance.

In addition to the Lines of Business, this individual collaborates closely with Sales, Finance, Product, Medical Management, Government Relations, Marketing, IT, and other enterprise-level teams to assure business needs are effectively communicated, building consensus among vested parties that results in alignment and timely execution of the business deliverables.

Job Description

DUTIES/RESPONSIBILITIES - what you will be doing (top five):

• Design and implement processes to support effective Provider Partnerships overall governance, including developing and executing multi-year department strategy, continuous alignment with the various lines of business, operational capacity planning/mapping, and management of Key Performance Indicators (KPIs) for the department
• Support the coordination and execution of enterprise processes, including and not limited to the Monthly Operations Review (MOR), Run the Business (RTB), Affordability of Care and Total Cost of Care process improvement efforts, Finance reviews & reforecasting, Contract Executive Committee as well as the CMPO/CPC Annual Planning process and Board of Directors meetings
• Proactively identify and oversee the development of analyses, models, and tools to offer an informed view of provider, network, and contract performance
• In collaboration with System and Ancillary Contracting leadership, formulate and execute on strategies to improve unit cost, standardize reimbursement methodologies, and maintain competitive provider network
• Provide direction and define approach and parameters for overall reimbursement strategy and payment methodologies, with the goal of standardization, optimization, and transparency. Oversee development of provider rates in line with negotiated terms
• Oversee the submission of regulatory submissions and requests
• Monitor, analyze and report on competitive position for all applicable Point32Health markets
• Produce accurate and timely reporting on network access and adequacy, ensuring standards are maintained and gaps are appropriately addressed
• Provide on-going leadership and program/project management support for foundational and strategic initiatives
• Design communications for and support executive-level presentation by the SVP of Provider Partnerships
• Develop and execute business plans, project charters and work breakdown structures, specifying goals, strategy, governance, staffing, scheduling, identification of risks, contingency plans, and communication plans as necessary
• Recruit, train and develop talent; provide coaching feedback and direction to staff to support development and success

QUALIFICATIONS - what you need to perform the job

Certification and Licensure

• N/A

Education

• Required (minimum): Bachelor's degree in business, health administration, finance or a related field
• Preferred: Master's degree or relevant experience
• Certification or equivalent expertise in process improvement (any methodology; Lean Six Sigma preferred), change management (PROSCI), and project management (Waterfall and/or Agile)
• Extensive experience designing and implementing organizational strategies and/or strategic initiatives

Experience

• Required (minimum): 10-15 years of progressively responsible management experience in a complex healthcare setting
• Preferred: Previous experience in managed care contracting or healthcare consulting
• Previous people management experience
• Previous responsibilities requiring interactions with senior leaders, especially in a cross-functional environment

Skill Requirements

• Energetic, goal-oriented leader with a proven ability to deliver results and lead teams to achieve goals

• Strong collaborator able to work effectively across functions
• Exceptional oral and written communication skills, with a particular focus on presentations to and communications with senior leaders
• Excellent interpersonal skills and a high level of diplomacy to anticipate, recognize and deal effectively with complex issues
• Ability to manage and direct multiple priorities across markets while meeting aggressive deadlines
• Self-starter who is comfortable in evolving and/or ambiguous situations; able to maintain constructive behavior in challenging situations
• Strategic thinking skills with the ability to draw meaningful insights, identify business implications, and proactively anticipate potential obstacles or challenges
• Fast learner with a demonstrated ability to master new content quickly
• Excellent management skills to guide, inspire and develop a high performing team
• Expertise with the following software strongly preferred: Microsoft Office, MURAL or Miro, Adaptive Insights

WORKING CONDITIONS AND ADDITIONAL REQUIREMENTS (include special requirements, e.g., lifting, travel):

• Must be able to work under normal office conditions and work from home as required
• Work may require simultaneous use of a telephone/headset and PC/keyboard and sitting for extended durations
• May be required to work additional hours beyond standard work schedule

The above statements are intended to describe the general nature and level of work being performed by employees assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of employees assigned to this position. Management retains the discretion to add to or change the duties of the position at any time.

Salary Range

$160,097.60 -$240,146.40

Compensation & Total Rewards Overview

The annual base salary range provided for this position represents a range of salaries for this role and similar roles across the organization. The actual salary for this position will be determined by several factors, including the scope and complexity of the role; the skills, education, training, credentials, and experience of the candidate; as well as internal equity. As part of our comprehensive total rewards program, colleagues are also eligible for variable pay. Eligibility for any bonus, commission, benefits, or any other form of compensation and benefits remains in the Company's sole discretion and may be modified at the Company's sole discretion, consistent with the law.

Point32Health offers their Colleagues a competitive and comprehensive total rewards package which currently includes:

• Medical, dental and vision coverage

• Retirement plans

• Paid time off

• Employer-paid life and disability insurance with additional buy-up coverage options

• Tuition program

• Well-being benefits

• Full suite of benefits to support career development, individual & family health, and financial health

For more details on our total rewards programs, visit welcome all
All applicants are welcome and will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status.

Scam Alert: Point32Health has recently become aware of job posting scams where unauthorized individuals posing as Point32Health recruiters have placed job advertisements and reached out to potential candidates. These advertisements or individuals may ask the applicant to make a payment. Point32Health would never ask an applicant to make a payment related to a job application or job offer, or to pay for workplace equipment. If you have any concerns about the legitimacy of a job posting or recruiting contact, you may contact

PDN-a12b4dda-c29e-4327-affc-7a95f7289bf6

Who We Are

Point32Health is a leading not-for-profit health and well-being organization dedicated to delivering high-quality, affordable healthcare. Serving nearly 2 million members, Point32Health builds on the legacy of Harvard Pilgrim Health Care and Tufts Health Plan to provide access to care and empower healthier lives for everyone. Our culture revolves around being a community of care and having shared values that guide our behaviors and decisions. We've had a long-standing commitment to inclusion and equal healthcare access and outcomes, regardless of background; it's at the core of who we are. We value the rich mix of backgrounds, perspectives, and experiences of all of our colleagues, which helps us to provide service with empathy and better understand and meet the needs of the communities where we serve, live, and work.

We enjoy the important work we do every day in service to our members, partners, colleagues and communities. Learn more about who we are at Point32Health.

Job Summary

Under the supervision of the Manager of Mechanical and Electrical Operations, the Facilities Engineering Technician (HVAC) will assist with all appropriate support tasks related to facility operations, with emphasis on building HVAC and other mechanical systems, including mission critical data center environments. Will be a part of the planning and implementation of various construction, repair, and maintenance projects as well as daily tasks. This position requires a professional licensure in the HVAC services trade.

Job Description

Key Responsibilities/Duties - what you will be doing (top five):

• Functions as a Facilities HVAC Technician, performing necessary maintenance and repair to base-building mechanical systems at Point32health's corporate facility and remote office locations.
• Responsible for the efficient and continuous operation of all Data Center HVAC and related control systems, as well as developing and implementing preventative maintenance programs for all mechanical systems.
• Oversees outsourced trades people in the maintenance, repair, and installation of mechanical systems.
• Maintains all necessary records consistent with mandated record keeping requirements for all mechanical systems at all Point32health sites.
• Operates PC based direct digital control (DDC) systems. Performs calibration and repairs to these systems as necessary.
• Monitors Point32health's energy usage and recommends measures to reduce/optimize energy consumption. Assists in energy conservation projects.
• Manages relationships with one or more outside vendors, ensuring the highest standards of performance, best pricing, adherence to contractual obligations, and accurate invoicing. Keeps all contracts, insurance, and vendor's access to company facilities accurate and up to date.
• Troubleshoots maintenance problems, repairs, and maintains all HVAC and refrigeration systems, but also may also assist with lighting, plumbing, and electrical systems. Effects repairs that are within his/her scope of expertise and reports to Supervisor those requiring the services of an outside contractor.
• Completes daily work order requests for the above duties, responding to priority requests in a prompt and efficient manner.
• Monitors the condition of assigned lease areas, performs on-going maintenance tasks, and reports outstanding issues to supervisor.
• Closes-out assigned work requests promptly upon completion, including relevant information pertaining to work performed. Information to including but is not limited to: problems encountered, diagnosis, resolution, and additional work needed to complete task.
• Performs essential services to the company, including associated maintenance duties, and safety related repairs
• Other duties and projects as assigned.

Qualifications - what you need to perform the job

Certification and Licensure

• Required: Massachusetts Refrigeration License and CFC Certification.

Education

• Required (minimum): High School Diploma.
• Preferred: Trade school graduate.

Experience

• Required (minimum): 3-5 years of professional experience
• Preferred: 5-7 years of HVAC experience, including field experience installing and servicing large scale commercial HVAC equipment.

Skill Requirements

• Employee must be a highly motivated individual who can perform tasks and handle responsibilities with little or no direct supervision. This position requires an individual with good skills at prioritizing workloads, the ability to solve problems in the field, and experience working in critical .data center environments. Employees must have the ability to use diagnostic and repair tools consistent with the practice of HVAC installation and repair, and to safely work with high voltage machinery and circuitry found in commercial HVAC equipment. The ability to read floor plans and electrical/mechanical diagrams is essential. Moderate computer skills are also required for Microsoft Office applications and Facilities Management software.

Interpersonal skills (include personal interaction):

• Employee must be able to coordinate his/her work within a project team and work with junior maintenance personnel in daily activities. The position also requires good customer service and interpersonal skills to interact with department personnel, internal and external Point32health customers, consultants, and vendors.

Confidential data:

• All information (written, verbal, electronic, etc.) that an employee encounters while working at Point32health is considered confidential. Will be exposed to and required to deal with highly confidential and sensitive material. Employee must always adhere to corporate compliance policies, department guidelines and policies, and all applicable laws and regulations.
• Working Conditions or Additional requirements (include special requirements, e.g., lifting, travel, overtime)
• Must be able to work in a fast-paced office and outdoor environment handling multiple demands simultaneously and be able to exercise appropriate judgment as necessary. This position requires the use of written, verbal, and visual sources of information to complete daily tasks. Employee must be safety minded and have the following abilities: to climb ladders; to use hand and power tools; to bend, reach, and stretch; to lift materials weighing up to 70 pounds; to work outdoors under adverse weather conditions; to walk and stand for extended periods of time; to perform manual labor consistent with maintenance and equipment upkeep. Work involves installing heavy machinery, components, etc., Employee will work at a PC for short periods of time. Some equipment utilized for tasks may be noisy.

Overtime:

• Overtime is often required to assist with critical project deadlines and to perform essential service functions. This time may be required early morning before normal work hours, in the evening after normal work hours, or on weekends, depending on the task particulars and weather conditions. This position may be a member of the Emergency Operations Team and will share responsibility for 24 x 7 responses to facilities related emergencies. Employee will be required to wear a company-supplied cell phone when he/she is on-call.
  
• A valid driver's license is required as some outside travel will be required to visit suppliers, remote company offices, and vendor location

Working Conditions and Additional Requirements (include special requirements, e.g., lifting, travel):

• Must be able to work under normal office conditions and work from home as required.
• Work may require simultaneous use of a telephone/headset and PC/keyboard and sitting for extended durations.
• May be required to work additional hours beyond standard work schedule.

Disclaimer

The above statements are intended to describe the general nature and level of work being performed by employees assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of employees assigned to this position. Management retains the discretion to add to or change the duties of the position at any time.

Salary Range

$33.98 -$50.97

Compensation & Total Rewards Overview

The annual base salary range provided for this position represents a range of salaries for this role and similar roles across the organization. The actual salary for this position will be determined by several factors, including the scope and complexity of the role; the skills, education, training, credentials, and experience of the candidate; as well as internal equity. As part of our comprehensive total rewards program, colleagues are also eligible for variable pay. Eligibility for any bonus, commission, benefits, or any other form of compensation and benefits remains in the Company's sole discretion and may be modified at the Company's sole discretion, consistent with the law.

Point32Health offers their Colleagues a competitive and comprehensive total rewards package which currently includes:

• Medical, dental and vision coverage

• Retirement plans

• Paid time off

• Employer-paid life and disability insurance with additional buy-up coverage options

• Tuition program

• Well-being benefits

• Full suite of benefits to support career development, individual & family health, and financial health

For more details on our total rewards programs, visit welcome all
All applicants are welcome and will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status.

Scam Alert: Point32Health has recently become aware of job posting scams where unauthorized individuals posing as Point32Health recruiters have placed job advertisements and reached out to potential candidates. These advertisements or individuals may ask the applicant to make a payment. Point32Health would never ask an applicant to make a payment related to a job application or job offer, or to pay for workplace equipment. If you have any concerns about the legitimacy of a job posting or recruiting contact, you may contact

PDN-a10d2148-3b15-4caf-877b-4291b2e4100a

Who We Are

Point32Health is a leading not-for-profit health and well-being organization dedicated to delivering high-quality, affordable healthcare. Serving nearly 2 million members, Point32Health builds on the legacy of Harvard Pilgrim Health Care and Tufts Health Plan to provide access to care and empower healthier lives for everyone. Our culture revolves around being a community of care and having shared values that guide our behaviors and decisions. We've had a long-standing commitment to inclusion and equal healthcare access and outcomes, regardless of background; it's at the core of who we are. We value the rich mix of backgrounds, perspectives, and experiences of all of our colleagues, which helps us to provide service with empathy and better understand and meet the needs of the communities where we serve, live, and work.

We enjoy the important work we do every day in service to our members, partners, colleagues and communities. Learn more about who we are at Point32Health.

Job Summary

Under the oversight of the Director, Behavioral Health, the Manager, Behavioral Health is responsible for leading at least one Behavioral Health functional team, managing team performance and results, and for managing the clinical processes that support the Behavioral Health department. The Manager, Behavioral Health is a member of the Behavioral Health leadership team; in addition to their own responsibilities the Manager assists in supporting and covering for other Behavioral Health leaders and participates in a variety of cross-functional Behavioral Health initiatives and processes.

The Manager, in collaboration with the Director, is responsible for the development, implementation and maintenance of Behavioral Health initiatives and projects, as well as achievement of goals consistent with federal, state, and national requirements and regulations, and specific Tufts Health Plan initiatives and goals. The position is responsible for representing the Behavioral Health department on relevant internal and external work groups, implementation teams, and projects, for interfacing with divisional and enterprise teams, and for managing Behavioral Health accreditation compliance.

Job Description

• Manage daily operations including, but not limited to, the assignment and distribution of work among assigned Behavioral Health Utilization Management team(s). Ensure all workflow processes are completed within the required timeframes and telephone coverage requirements are met. Ensure adherence to all department and regulatory standards.
• Serve as member of Behavioral Health leadership team. Provide back-up for peers, including supervisory coverage. Partner with peers to ensure effective cross-functional, end to end approach to meet the needs of members, providers, and internal and external stakeholders.
• Support and help drive efforts to integrate Behavioral Health into the broader Tufts Health landscape by providing a cohesive behavioral health presence and subject matter expertise to Public Plans and Enterprise activities including case management, medical management, and provider/network management.
• Under the direction of the Director of Behavioral Health, develop, implement and manage initiatives and projects to achieve Tufts Health Public Plans goals. Collaborate with internal departments in support of clinical activities and operations.
• Manager of Children's Behavioral Health Initiative (CBHI) team completes extensive network management activities in coordination with MassHealth and other MCOs/ACOs.
• Develop and prepare reports to meet internal, regulatory, contractual and accreditation requirements. Work closely with other departments in the development of report specifications and obtain data for and/or complete reports as needed to meet contract and regulatory requirements and track ongoing data.
• Hire, train, and manage staff. Supervise/coach staff to assist them in attaining optimal knowledge and job efficiency. Define metrics and goals for assigned team(s) and manage expectations. Utilize data to monitor and evaluate individual, team and program performance. Provide timely feedback to all staff regarding their performance via regular team and one-on-one meetings. Conduct formal performance appraisals. Take appropriate disciplinary action in a timely manner when needed. Ensure staff is provided with all necessary tools, resources and training to promote growth and performance within the department and/or organization.
• Monitor utilization management and ensure servicing goals are met or exceeded by tracking department metrics. Apply data, utilize evidence-based treatment practices and identify opportunities for improvement of quality of care and medical expense savings to design, implement and enhance utilization management and clinical care coordination processes. Track and monitor the impact of utilization management and care coordination on quality and medical expense measures.
• Complete monthly clinician case review audits and review semi-annual IRR results to monitor UM decision making and adherence to policies and procedures. Identify trends, develop and implement action plans for improvement progress
• Provide monthly Care Management report on team(s) performance, metrics, and goal achievement to the Director of Behavioral Health.
• Review and develop department policies, procedures, workflows and job aids as needed, consistent with departmental and company strategic objectives and mission. Develop, maintain, update orientation materials in collaboration with clinical trainer.
• Work collaboratively on and manage components of quality improvement initiatives and medical expense reduction activities and ensure alignment with broader company strategy. This includes activities that support NCQA accreditation and identify and promote best practices within clinical programs.
• Provide information and support to internal stakeholders. Work collaboratively with other managed care entities, MassHealth, the Executive Office of Health & Human Services, as well as provider and other stakeholder groups.
• Other duties and projects as assigned.
  

Salary Range

$98,659.20 -$147,988.80

Compensation & Total Rewards Overview

The annual base salary range provided for this position represents a range of salaries for this role and similar roles across the organization. The actual salary for this position will be determined by several factors, including the scope and complexity of the role; the skills, education, training, credentials, and experience of the candidate; as well as internal equity. As part of our comprehensive total rewards program, colleagues are also eligible for variable pay. Eligibility for any bonus, commission, benefits, or any other form of compensation and benefits remains in the Company's sole discretion and may be modified at the Company's sole discretion, consistent with the law.

Point32Health offers their Colleagues a competitive and comprehensive total rewards package which currently includes:

• Medical, dental and vision coverage

• Retirement plans

• Paid time off

• Employer-paid life and disability insurance with additional buy-up coverage options

• Tuition program

• Well-being benefits

• Full suite of benefits to support career development, individual & family health, and financial health

For more details on our total rewards programs, visit welcome all
All applicants are welcome and will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status.

Scam Alert: Point32Health has recently become aware of job posting scams where unauthorized individuals posing as Point32Health recruiters have placed job advertisements and reached out to potential candidates. These advertisements or individuals may ask the applicant to make a payment. Point32Health would never ask an applicant to make a payment related to a job application or job offer, or to pay for workplace equipment. If you have any concerns about the legitimacy of a job posting or recruiting contact, you may contact

PDN-a0f7000d-a104-4506-8b4b-fd368d371c68

Who We Are

Point32Health is a leading not-for-profit health and well-being organization dedicated to delivering high-quality, affordable healthcare. Serving nearly 2 million members, Point32Health builds on the legacy of Harvard Pilgrim Health Care and Tufts Health Plan to provide access to care and empower healthier lives for everyone. Our culture revolves around being a community of care and having shared values that guide our behaviors and decisions. We've had a long-standing commitment to inclusion and equal healthcare access and outcomes, regardless of background; it's at the core of who we are. We value the rich mix of backgrounds, perspectives, and experiences of all of our colleagues, which helps us to provide service with empathy and better understand and meet the needs of the communities where we serve, live, and work.

We enjoy the important work we do every day in service to our members, partners, colleagues and communities. Learn more about who we are at Point32Health.

Job Summary

Under the general direction of the Manager, Member Services, the Supervisor of member Services is responsible for the direct supervision of the Member Services colleagues (Advocates, Sr. Advocates and Team Leaders). The Supervisor is responsible for maintaining up-to-date knowledge of Point32Health products and communicating changes to staff; providing accurate and thorough interpretation of Point32Health benefits, claims processes, eligibility and enrollment policies to members, staff and other internal customers.

The Supervisor actively coaches, trains and monitors Member Services Advocates. The role is responsible for making recommendations and developing action plans to improve workflows, enhance the customer experience and also provide leadership and guidance to all team members. The Supervisor monitors team productivity, reports on issues, identifies opportunities for improvement, and satisfies corporate and customer service goals and objectives. The Supervisor may represent Member Services staff and their respective customers in related departmental or corporate initiatives.

Job Description

• Team Management:
  • Oversee daily operations of the service center team.
  • Schedule shifts and manage attendance.
  • Provide training and development for team members.

• Performance Monitoring:
  • Track and analyze key performance indicators (KPIs).
  • Conduct regular performance reviews of team members and provide feedback.
  • Implement strategies to improve team performance.

• Customer Service:
  • Ensure high levels of customer satisfaction.
  • Work to ensure calls and issues are being resolved on first contact
  • Handle escalated customer issues and complaints.
  • Develop and implement customer service policies and procedures.

• Reporting and Analysis:
  • Prepare and present reports on team performance and customer feedback.
  • Analyze data to identify trends and areas for improvement.
  • Use insights to make informed decisions and recommendations.

• Communication:
  • Facilitate effective communication within the team and with other departments.
  • Conduct team meetings and briefings.
  • Ensure team members are informed about updates and changes.

• Quality Assurance:
  • Monitor and evaluate calls for quality assurance purposes.
  • Provide coaching and support to ensure adherence to quality standards.
  • Develop and implement quality improvement initiatives.

• Technology and Tools:
  • Ensure the team is proficient with contacts center software and tools.
  • Troubleshoot technical issues and coordinate with IT support.
  • Stay updated on new technologies and recommend upgrades.

• Compliance:
  • Ensure compliance with company policies and industry regulations.
  • Conduct regular audits and assessments.
  • Address any compliance issues promptly.
  • Ensure all interactions are HIPAA compliant and adhere to state and federal regulations.

• Continuous Improvement:
  • Represent the voice of the customer by contributing to continuous improvement initiatives and providing feedback on member interactions and suggesting process enhancements.

• Other duties or projects as assigned by your manager

Qualifications - what you need to perform the job.

Education, Certification and Licensure

Required: Associate degree or equivalent work experience

Preferred

• Bachelor's degree or equivalent work experience preferred.

Experience (minimum years required):

Required

• 3-5 years of customer service experience.

Preferred

• Previous supervisory experieince.
• Customer service experience in health care, call center or corporate office.
• Knowledge of medical terminology.
• Prior experience training and working in a virtual/remote setting.

Skill Requirements

The following skills help ensure a call center supervisor can effectively manage their team and maintain high standards of customer service.

To excel as a call center supervisor, several key skills are essential:

Leadership: Ability to inspire and motivate the team, providing clear direction and support.

Communication: Strong verbal and written communication skills to effectively interact with team members and customers.

Problem-Solving: Aptitude for identifying issues and implementing effective solutions quickly.

Analytical Skills: Ability to analyze performance data and make informed decisions based on insights.

Customer Service: Deep understanding of customer service principles and practices to ensure high satisfaction levels.

Time Management: Efficiently managing time and prioritizing tasks to meet deadlines and goals.

Technical Proficiency: Familiarity with contact center software and tools, and the ability to troubleshoot technical issues.

Conflict Resolution: Skills to handle escalated customer complaints and resolve conflicts within the team.

Adaptability: Flexibility to adapt to changing situations and new challenges.

Coaching and Mentoring: Ability to train, develop, and provide constructive feedback to team members.

Working Conditions and Additional Requirements (include special requirements, e.g., lifting, travel):

• Must be able to work under normal office conditions and work from home as required.
• Work may require simultaneous use of a telephone/headset and PC/keyboard and sitting for extended durations.
• May be required to work additional hours beyond standard work schedule.

The above statements are intended to describe the general nature and level of work being performed by employees assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of employees assigned to this position. Management retains the discretion to add to or change the duties of the position at any time.

for providing an accurate and thorough interpretation of Point32Health benefits, eligibility, claim processing and enrollment policies to members

Salary Range

$63,955.04 -$95,932.56

Compensation & Total Rewards Overview

The annual base salary range provided for this position represents a range of salaries for this role and similar roles across the organization. The actual salary for this position will be determined by several factors, including the scope and complexity of the role; the skills, education, training, credentials, and experience of the candidate; as well as internal equity. As part of our comprehensive total rewards program, colleagues are also eligible for variable pay. Eligibility for any bonus, commission, benefits, or any other form of compensation and benefits remains in the Company's sole discretion and may be modified at the Company's sole discretion, consistent with the law.

Point32Health offers their Colleagues a competitive and comprehensive total rewards package which currently includes:

• Medical, dental and vision coverage

• Retirement plans

• Paid time off

• Employer-paid life and disability insurance with additional buy-up coverage options

• Tuition program

• Well-being benefits

• Full suite of benefits to support career development, individual & family health, and financial health

For more details on our total rewards programs, visit welcome all
All applicants are welcome and will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status.

Scam Alert: Point32Health has recently become aware of job posting scams where unauthorized individuals posing as Point32Health recruiters have placed job advertisements and reached out to potential candidates. These advertisements or individuals may ask the applicant to make a payment. Point32Health would never ask an applicant to make a payment related to a job application or job offer, or to pay for workplace equipment. If you have any concerns about the legitimacy of a job posting or recruiting contact, you may contact

PDN-a0f0f763-fa9f-4a92-8d87-781ced01e287

Who We Are

Point32Health is a leading not-for-profit health and well-being organization dedicated to delivering high-quality, affordable healthcare. Serving nearly 2 million members, Point32Health builds on the legacy of Harvard Pilgrim Health Care and Tufts Health Plan to provide access to care and empower healthier lives for everyone. Our culture revolves around being a community of care and having shared values that guide our behaviors and decisions. We've had a long-standing commitment to inclusion and equal healthcare access and outcomes, regardless of background; it's at the core of who we are. We value the rich mix of backgrounds, perspectives, and experiences of all of our colleagues, which helps us to provide service with empathy and better understand and meet the needs of the communities where we serve, live, and work.

We enjoy the important work we do every day in service to our members, partners, colleagues and communities. Learn more about who we are at Point32Health.

Job Summary

Ensure the accurate and timely completion of our bi-weekly, multi-state payroll processing using the Workday platform.

Job Description

Key Responsibilities/Duties

Biweekly payroll processing -

• Support the Payroll Specialist to ensure all steps to successfully transmit and settle the bi-weekly payroll are completed and accurate.

• Certify the post payroll reports and reconciliations between Workday and ADP is complete and any variances are researched and detailed.

Process all changes in payroll system -

• Review Manager Self Service events for completeness, accuracy and verify approvals. Perform final approval of transactions and follow-up processes required to maintain accurate employee master file data.

• Review and approve all colleagues pay data changes in Workday for completeness, accuracy, and reasonableness in accordance with payroll processing deadlines.

• Maintain benefit deduction information for Liberty Mutual, Tuition Reimbursement, Bring Your Own Device, etc.

Online Time & Absence Maintenance -

• Review online time & absence for accuracy, completeness, and consistency with company pay policies and follow up with the departments as needed.

• Support colleagues and managers with timecard and absence corrections as needed.

Enter or review On Demand payments for involuntary terminations, missed wages and as requested.

Aid and support colleagues, managers and HR by monitoring the Payroll Inbox, Teams, and Colleague Resource Center (tickets).

Work with the Benefits team to ensure any leave issues are handled prior to payroll processing.

Work with the Finance team to ensure all month end Payroll responsibilities are completed prior to closing deadline.

Assist manager with year-end process and help ensure we are compliant with federal, state, and local payroll tax regulations.

Stay updated on changes in payroll laws and regulations to ensure accurate payroll processing.

Assist in payroll reconciliations and audits.

Qualifications

Certification and Licensure

• FPC or CPP certification is a plus

Education

• Required (minimum): High School diploma

• Preferred: Bachelor's degree in Finance, Accounting, Business, or a related field

Experience

• Required (minimum): 5 years of payroll or related field

• Preferred: Workday and/or ADP SmartCompliance is a plus

Skill Requirements

• Strong understanding of payroll regulations, tax laws, and compliance.

• Proficiency in Excel (pivot tables, spreadsheets, vlookups)

• Must have strong interpersonal and communication skills with the ability to interact with internal parties across all levels of the organization.

• Ability to build connections and work with different departments to resolve issues.

• Organized, logical, and methodical, with a strong attention to detail.

Working Conditions and Additional Requirements (include special requirements, e.g., lifting, travel):

• Must be able to work under normal office conditions and work from home as required.
• Work may require simultaneous use of a telephone/headset and PC/keyboard and sitting for extended durations.
• May be required to work additional hours beyond standard work schedule.

Disclaimer

The above statements are intended to describe the general nature and level of work being performed by employees assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of employees assigned to this position. Management retains the discretion to add to or change the duties of the position at any time.

Salary Range

$28.92 -$43.38

Compensation & Total Rewards Overview

The annual base salary range provided for this position represents a range of salaries for this role and similar roles across the organization. The actual salary for this position will be determined by several factors, including the scope and complexity of the role; the skills, education, training, credentials, and experience of the candidate; as well as internal equity. As part of our comprehensive total rewards program, colleagues are also eligible for variable pay. Eligibility for any bonus, commission, benefits, or any other form of compensation and benefits remains in the Company's sole discretion and may be modified at the Company's sole discretion, consistent with the law.

Point32Health offers their Colleagues a competitive and comprehensive total rewards package which currently includes:

• Medical, dental and vision coverage

• Retirement plans

• Paid time off

• Employer-paid life and disability insurance with additional buy-up coverage options

• Tuition program

• Well-being benefits

• Full suite of benefits to support career development, individual & family health, and financial health

For more details on our total rewards programs, visit welcome all
All applicants are welcome and will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status.

Scam Alert: Point32Health has recently become aware of job posting scams where unauthorized individuals posing as Point32Health recruiters have placed job advertisements and reached out to potential candidates. These advertisements or individuals may ask the applicant to make a payment. Point32Health would never ask an applicant to make a payment related to a job application or job offer, or to pay for workplace equipment. If you have any concerns about the legitimacy of a job posting or recruiting contact, you may contact

PDN-a13d688b-ae0c-408c-985d-141bcc4bcbaf

Who We Are

Point32Health is a leading not-for-profit health and well-being organization dedicated to delivering high-quality, affordable healthcare. Serving nearly 2 million members, Point32Health builds on the legacy of Harvard Pilgrim Health Care and Tufts Health Plan to provide access to care and empower healthier lives for everyone. Our culture revolves around being a community of care and having shared values that guide our behaviors and decisions. We've had a long-standing commitment to inclusion and equal healthcare access and outcomes, regardless of background; it's at the core of who we are. We value the rich mix of backgrounds, perspectives, and experiences of all of our colleagues, which helps us to provide service with empathy and better understand and meet the needs of the communities where we serve, live, and work.

We enjoy the important work we do every day in service to our members, partners, colleagues and communities. Learn more about who we are at Point32Health.

Job Summary

The Vice President of Medical Management, reporting to the Senior Vice President, Health Care Services is responsible for leading and transforming the medical management of in-patient, ambulatory and post-acute settings. This leader analyzes market trends and dynamics to identify opportunities and is responsible for developing and executing a multi-year strategy that aligns with the company's vision and goals. This position is accountable for evaluating internal operations against standard KPI designed to improve overall access to care, lower the total cost of care, and ensure high quality in compliance with all state and regulatory requirements.
This role will be responsible for fiscal and administrative oversight of a large internal team focused on industry standard productivity measures while consistently delivering high inter-relator reliability. This leader is also responsible for developing clinical platform strategy to meet the current and prospective regulatory requirements for automation and inter-operability.

Job Description

Key Responsibilities Include:

• Provide leadership and mentoring to the medical management team, fostering a culture of innovation and continuous improvement.

• Oversee and lead the design, implementation and delivery of key strategies aimed at ensuring consistent, efficient, and impactful UM programs

• Develop comprehensive strategy to position Point32Health as a leader in utilization management and effectiveness, including pre-service, concurrent post-service reviews and transitions of care.

• Lead ROI strategic UM initiatives, including business case development, implementation and monitoring of medical and administrative cost savings strategies to support evidence-based trend management in conjunction with outcome driven KPI's

• Ensure departmental compliance with all regulatory and accreditation agency standards for state and federal requirements. Work in collaboration with IT to develop future capabilities with respect to PA automation and interoperability.

• Identify system needs, and improve internal efficiencies

• Collaborate with compliance to ensure consistent internal auditing for all regulatory processes, lead all corrective actions stemming from an audit.

• Identify key utilization trends that could impact the organization's financial and/or operational performance

• Ensure routine assessment of all metrics measured support internal and external factors that could affect performance

• Provide leadership and mentorship to the medical management team, fostering a culture of innovation and continuous improvement.

• Collaborate with stakeholders throughout the organization to identify opportunities and develop strategic partnerships

• Manage UM departmental budget, identifying ongoing opportunities to drive administrative efficiencies through automation and workflow redesign

• Other projects and duties as assigned.

Background & Experience

Education, Certification and Licensure:

• Advanced degree in related field required. Active clinical licensure preferred but not required

Experience (minimum years required):

• 10-15 years of progressive business and leadership experience in health care and/or managed care.

• 10+ years of leadership experience, supervising high-level professionals required, with demonstrated success in program development and execution

• Experience in leading and transforming the medical management of in-patient, ambulatory and post-acute settings

• Demonstrated success with design and execution of clinical system strategy and automation functionality

Skill Requirements:

• Experience in leading and transforming the medical management of in-patient, ambulatory and post-acute settings

• Ability to plan and act strategically

• Skilled in taking calculated risks

• Excellent quantitative skills and strong analytic background preferred

• Must possess strong leadership skills with proven ability to achieve goals and deliver bottom line results

• Proven ability to coach, motivate, and inspire staff

• Excellent communication, presentation, and negotiation skills, as well as organizational, analytical, and critical thinking skills

• Ability to work cross-functionally, supporting multiple, simultaneous objectives

• Ability to build internal programs including detailed workflows and corresponding key performance indicators and metrics

• Superb customer service focus; ability to foster teamwork as an attitude and a skill; willingness to be a change agent

Leadership Profile

Establishing a Competitive and Compelling Vision: Orchestrates a competitive and compelling mission with an aligned set of values, goals, and a winning strategic path. This vision ensures a forward-looking aspirational framework that guides current and future decisions and choices for an entire enterprise or business unit.

Managing an Effective and Agile Plan Execution: Establishes, manages, and monitors the operational tactical annual plan to effectively accomplish the mission, vision, values, and strategy.

Creating and Cultivating Culture: Formulates, communicates, and lives the culture and tone of the organization through highlighting mission and strategy aligned citizenship behaviors, standards, and norms.

Optimizing Structure and Staffing: Attracts and selects staff and structures units, roles, and responsibilities; deploys aligned staff whose capabilities enable the organization to achieve its goals. Approaches decisions on talent utilization with both a tactical and strategic orientation.

Marshalling and Optimizing Resources: Obtains and distributes all the hard and soft resources aligned to priorities, goals, and strategy; deploys the resources that best enable the organization to do their work today and to prepare for tomorrow.

Monitoring and Appraising Results: Monitors and measures progress against plan; provides real time supportive and corrective feedback and assistance.

Representing and Responding to Stakeholders: Prepares and delivers presentations to and managers productive relationships with critical stakeholders; recognizes and responds to the diverse needs of key inside and outside stakeholders.

Intervening In and Managing Conflict: Monitors and referees the normal and inevitable individual, team, and business unit conflicts; offers assistance and direction that moves to productive resolution. Utilizes productive conflict as a source of creativity, enhanced trust, and effective interpersonal problem solving.

Investing In and Assuring Future Leadership: Actively supports a vigorous talent management and succession process that provides a continuous flow of senior talent well into the future.

Senior-Level Clinical Leadership in Related Industry Experience: Experience in financial roles of increasing scope and responsibility; credibility earned from having served at least 20 years in executive finance positions in publicly traded or not-for-profit health organizations. Significant experience interacting with the board of directors and its audit committee and managing the organization's relationship with banks and outside auditors.

Commitment to Diversity, Equity, Inclusion, Accessibility (DEIA) and Health Equity

Point32Health is committed to making diversity, equity, inclusion, accessibility and health equity part of everything we do-from product design to the workforce driving that innovation. Our Diversity, Equity, Inclusion, Accessibility (DEIA) and Health Equity team's strategy is deeply connected to our core values and will evolve as the changing nature of work shifts. Programming, events, and an inclusion infrastructure play a role in how we spread cultural awareness, train people leaders on engaging with their teams and provide parameters on how to recruit and retain talented and dynamic talent. We welcome all applicants and qualified individuals, who will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status.

Salary Range

$240,000.00 -$290,000.00

Compensation & Total Rewards Overview

The annual base salary range provided for this position represents a range of salaries for this role and similar roles across the organization. The actual salary for this position will be determined by several factors, including the scope and complexity of the role; the skills, education, training, credentials, and experience of the candidate; as well as internal equity. As part of our comprehensive total rewards program, colleagues are also eligible for variable pay. Eligibility for any bonus, commission, benefits, or any other form of compensation and benefits remains in the Company's sole discretion and may be modified at the Company's sole discretion, consistent with the law.

Point32Health offers their Colleagues a competitive and comprehensive total rewards package which currently includes:

• Medical, dental and vision coverage

• Retirement plans

• Paid time off

• Employer-paid life and disability insurance with additional buy-up coverage options

• Tuition program

• Well-being benefits

• Full suite of benefits to support career development, individual & family health, and financial health

For more details on our total rewards programs, visit welcome all
All applicants are welcome and will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status.

Scam Alert: Point32Health has recently become aware of job posting scams where unauthorized individuals posing as Point32Health recruiters have placed job advertisements and reached out to potential candidates. These advertisements or individuals may ask the applicant to make a payment. Point32Health would never ask an applicant to make a payment related to a job application or job offer, or to pay for workplace equipment. If you have any concerns about the legitimacy of a job posting or recruiting contact, you may contact

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