Jobs in Canton Massachusetts

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

Job Description

Strategy & Product Development

• Contractual performance and oversight. Work with internal business partners in the management of vendor Service Level Agreements and Performance Guarantees. This includes receiving vendor reports, arranging and attending Joint Operating meetings, reviewing, and documenting vendor performance and assessing corrective actions where applicable.
• Collaborate with internal and external business partners on the collection, analysis, and maintenance of relevant data.

• Strategy and development - Support the development of plans and operational solutions to address changes to vendor programs on an annual basis.

Vendor Contracting

• Work with finance and internal business owners to analyze ROI of various vendors.
• In partnership with Product Leaders, evaluate, negotiate, and recommend changes to new and existing contracts to best support P32H stakeholders.
• Responsible for the project management of contract implementations and renegotiation functions, from pre-contracting to activation, according to pre-determined internal guidelines and financial standards, while ensuring a smooth transition of services for members

Vendor Implementation & Management

• Assist in new vendor delegation implementation or de-delegation.
• Assist with management of Material Subcontractors.
• Vendor relationship management process including building, nurturing, and maintaining positive working relationships between P32H and its Vendors.
• Ensure contract requirements are adhered to, including language, terms, and reimbursement requirements.
• Ensure vendors obtain and maintain compliance with any P32H and or regulatory requirements.
• Act as resource for internal teams when consultant, business associate and nondisclosure agreements or other information to support Compliance are required.
• Drive continuous improvement in all aspects of the vendor oversight process.

• Other duties and projects as assigned.

Qualifications - what you need to perform the job.

Certification and Licensure

Education

• Required (minimum): Bachelor's degree or relevant experience.

• Preferred: Advanced degree in business or related industry

Experience

• Required (minimum): A minimum of 5-7 years' experience Managed Care, preferably at a Health Plan, in a network/procurement/compliance/regulatory/legal/product/operations/marketing or project management role. A minimum of 2 years' experience managing vendor relationships at either a Health Plan or Vendor

• Preferred: 7+ years of relevant health plan experience

Skill Requirements

• Demonstrated ability to conduct negotiations. Familiarity with contract terms preferred.
• Demonstrated experience with value-based vendor arrangements.
• Detail oriented, excellent proof reading and editing skills.

• Demonstrated ability in managing work plans & holding stakeholders accountable.
• Excellent analytical skills as demonstrated by significant ability to pull data, analyze complex data sets, and present in consumable reports/presentations to management.
• Ability to thrive in a matrix-management, hands-on environment that demands a consultative approach and solutions that span multiple environments in a business area.
• Motivated and flexible, a proponent/champion of change, able to conceptualize and envision the impact of change, and propose new ways to do business, and able to work independently and prioritize work, operating under tight deadlines.
• Strong interpersonal, presentation and communication skills.
• Requires the ability to maintain effective and productive peer relationships. Must have the ability to motivate fellow employees by fostering team spirit, an attitude of cooperation, and a commitment to the organization. Requires well-developed interpersonal skills to act in the capacity of liaison to the user community.

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.
• Anything specific to physical needs (lifting etc.)

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

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

We have an exciting opportunity for you to join Riverside Community Care as a Shared Living Coordinator for the South Shore Area!

The Shared Living Coordinator ensures the delivery of high quality, compassionate, and cost-effective services of our Shared Living Program. The coordinator is responsible for leading and directing Shared Living Providers to provide a high quality of life for individuals living in Shared Living homes.

This position is based in Norwood but does require some travelling in the south shore area.

Schedule: Mon-Fri 9am-5pm (40 hours)

Pay Rate: $25.15/hourly

Why You'll Love Riverside
We make a true difference in people’s lives through rewarding work. Most of our jobs come with great benefits – including healthcare, numerous professional development opportunities, and generous time off - all in a respectful and inclusive environment, perhaps why Riverside was named a Boston Globe Top Workplace and a best-in-state employer by Forbes.

Benefits include:

• 
  
• Comprehensive, high-quality health, dental, and vision insurance options
  
• Flexible Spending Accounts – both medical and dependent care
  
• Eleven paid holidays
  
• Separate accruals for vacation (increases with tenure), personal, and sick time
  
• Tax-deferred 403(b) retirement savings plan
  
• Employee Assistance Plan / Travel Assistance Plan
  
• Employee bonus for referrals resulting in hiring
  
• Discounts to movie theaters, sporting, and entertainment events
  
• Employee YMCA discount: 10% off a YMCA monthly membership and 50% off the joiner’s fee
  

Learn more about our benefits and culture:

Our Benefits

Our Culture

Hear what employees think about working for Riverside!

Required Skills

• 
  
• Excellent written and verbal communication skills (in the English language) required
  
• Demonstrated ability to organize, delegate, and motivate others as well as to promote cohesiveness in a team required
  
• Must have valid driver's license and regular access to available, dependable transportation required
  

Required Experience

• 
  
• Bachelor's Degree in related field preferred; High School Diploma or equivalent required
  
• Three years related experience required
  

Riverside Community Care is dedicated to the goal of building a culturally diverse and inclusive organization committed to working in a multicultural environment and strongly encourages applications from minorities. We provide equal opportunity for all persons seeking employment without regard to race, age, color, religion, gender, marital status, sexual orientation, military status, national origin, disability, or any other characteristic as established by law.

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

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

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

Riverside Community Care

Love what you do!

Respite Counselor

In this exciting role, the Respite Counselor will work as part of a team in this acute care residence. The Respite Counselor will provide guidance, education, supervision, and direct supports to allow consumers to maintain their physical and emotional health, live safely in the community and develop the skills necessary to return to independent living. Interactions between staff and consumers will be guided by an appreciation for those being served as unique individuals and adults, with the expectation and goal of crisis or situational stabilization.

The Respite programs provide both short and long-term care for persons experiencing mental health, substance use disorder, and co-occurring disorders who might otherwise require treatment in an inpatient setting and would benefit from structured stabilization, support, care coordination, and treatment planning.

Schedule: Relief

• 
  
• 1st, 2nd, and 3rd shifts available!
  
• Evening and Weekend Differential - additional $1 hourly
  
• Overnight Differential - additional $2 hourly
  

Pay Rate: differentials available!

• 
  
• $21.21/hour High School Diploma
  
• $22.27/hour with a Bachelor’s Degree
  

Why You'll Love Riverside
We make a true difference in people’s lives through rewarding work. Most of our jobs come with great benefits – including healthcare, numerous professional development opportunities, and generous time off - all in a respectful and inclusive environment, perhaps why Riverside was named a Boston Globe Top Workplace and a best-in-state employer by Forbes.

Benefits include:

• 
  
• Comprehensive, high-quality health, dental, and vision insurance options
  
• Flexible Spending Accounts – both medical and dependent care
  
• Eleven paid holidays
  
• Separate accruals for vacation (increases with tenure), personal, and sick time
  
• Tax-deferred 403(b) retirement savings plan with employer match
  
• Employee Assistance Plan / Travel Assistance Plan
  
• Employee bonus for referrals resulting in hiring
  
• Discounts to movie theaters, sporting, and entertainment events
  
• Employee YMCA discount: 10% off a YMCA monthly membership and 50% off the joiner’s fee
  

Learn more about our benefits and culture:

Our Benefits

Our Culture

Hear what employees think about working for Riverside!

Required Skills

• 
  
• Ability to communicate in and comprehend the English language, including clearly documenting consumer progress and activities in program records
  
• Ability to work as a member of a team and to function independently
  
• Excellent communication, interpersonal and organizational skills
  
• Basic computer fluency, including Microsoft Office
  
• Valid driver’s license, safe driving record and regular access to a reliable vehicle
  

Required Experience

• 
  
• Bachelors Degree or Associate Degree with one years experience or High School Diploma and three years related experience
  

Riverside Community Care is dedicated to respect, integrity and engagement of all individuals. We are committed to building an inclusive and culturally competent organization and we value the richness of having a diverse applicant pool. As an employer committed to equal opportunity, all qualified applicants will receive consideration for employment without regard to race, age, color, religion, gender, marital status, sexual orientation, military status, national origin, disability, or any other characteristic as established by law.

At Texas Roadhouse, we are a people-first company that just happens to serve steaks. Legendary Food and Legendary Service is who we are. We're about loving what you're doing today and preparing you for what you'll be doing tomorrow. Are you ready to be a Roadie?

Pay:

Texas Roadhouse is currently looking for a legendary Local Store Marketer (LSM) who can help build sales at the local level through establishing relationships within the community and increasing guest loyalty. If you have a passion for networking and being creative, apply today!

As a Local Store Marketer your responsibilities would include:

• Assisting the Managing Partner and management team with the creation, development, and implementation of local store marketing programs that build guest loyalty, guest counts, check average, and overall sales
• Helping promote all Texas Roadhouse in-house promotions (Great Steak, Rib Fest, Gift Cards, etc.)
• Building relationships during food and bread runs with businesses, hotels, radio stations, etc.
• Helping establish positive and ongoing business relationships with neighboring retailers, hotels, civic groups, etc.
• Helping develop and execute ongoing charitable and community events that position Texas Roadhouse as a community leader and build brand awareness
• Assisting in all public relation efforts including cooking segments, media releases, and publicity events that promote Texas Roadhouse
• Communicating frequently with the Managing Partner, management team, and all employees (through Alley Rallies, etc.) about ongoing programs, plans, and results

At Texas Roadhouse, our Roadies are the heart and soul of our company. We have a fun culture with flexible work schedules, discounts in our restaurants, friendly competitions, recognition, formal training, and career growth opportunities.

Our Roadies are paid weekly. In addition, we offer one of the industry's most competitive total rewards packages after one year of service to Roadies that meet our benefit eligibility requirements.

The total rewards package includes, but is not limited to, the following:

• A choice of medical plans that are best in class
• Dental and Vision Insurance
• Tuition Reimbursement up to $5,250 annually
• Paid vacation time
• Short-Term Disability
• Life, Accident, and Critical Illness insurance
• Identity Theft Protection
• Employee Assistance Program
• Business Travel Insurance
• Annual holiday bonus

We are proud to be an equal opportunity employer. We are committed to providing equal employment opportunities to all employees and applicants for employment without regard to race, color, religion, age, gender, pregnancy, gender identity, disability, veteran status, sexual orientation, citizenship, national origin, or any other legally-protected status. We encourage and welcome all applicants to apply.

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

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

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

Riverside Community Care

Love what you do!

Respite Clinician

The Respite Clinician is primarily responsible for conducting comprehensive assessments inclusive of the use of standardized assessment tools for suicide risk, brief crisis counseling, individualized risk management/safety planning, psychoeducation, discharge planning, and care coordination. The Respite Clinician develops and facilitates groups for site-based clients and may provide community-based support for Mobile Respite clients within community settings.

In this exciting role, the Clinician will:

• 
  
• provide direct clinical services to clients in the respite program (individual and group treatment, family meetings, treatment team meetings)
  
• complete clinical documentation (intakes, treatment plans, discharge summaries)
  
• complete concurrent reviews with insurance companies, case management and discharge planning
  
• provide clinical guidance and consultation to Milieu counselors, LPNs and Certified Peer Specialists/Recovery Coaches
  
• assist consumers in understanding, managing and self-administering medications consistent with agency MAP policies and procedures
  

The Respite Clinician is expected to have a sound understanding of Human Behavior in the Social Environment, Mental illness, substance use and co-occurring disorders and clinical interventions to appropriately support persons served.

Schedule: Full Time, 40 hours

• 
  
• Monday - Friday: 9am to 5pm
  

Payrate:

• 
  
• Unlicensed Clinician - $74,263.07/salaried
  
• Independent Licensure - $79,567.48/salaried
  

Why You'll Love Riverside
We make a true difference in people’s lives through rewarding work. Most of our jobs come with great benefits – including healthcare, numerous professional development opportunities, and generous time off - all in a respectful and inclusive environment, perhaps why Riverside was named a Boston Globe Top Workplace and a best-in-state employer by Forbes.

Benefits include:

• 
  
• Comprehensive, high-quality health, dental, and vision insurance options
  
• Flexible Spending Accounts – both medical and dependent care
  
• Eleven paid holidays
  
• Separate accruals for vacation (increases with tenure), personal, and sick time
  
• Tax-deferred 403(b) retirement savings plan with employer match
  
• Employee Assistance Plan / Travel Assistance Plan
  
• Employee bonus for referrals resulting in hiring
  
• Discounts to movie theaters, sporting, and entertainment events
  
• Employee YMCA discount: 10% off a YMCA monthly membership and 50% off the joiner’s fee
  

Learn more about our benefits and culture:

Our Benefits

Our Culture

Hear what employees think about working for Riverside!

Required Skills

• 
  
• Excellent communication, interpersonal and organizational skills required
  
• Intermediate computer fluency including Microsoft Office required
  
• Valid driver’s license and regular access to a reliable vehicle
  

Required Experience

• 
  
• Master’s in Social Work, Psychology, or related field (clinical degree that provides a path to independent licensure)
  
  
• Experience running groups preferred
  
• Experience with substance use, mental illness and co-occurring clients and treatment strategies preferred
  
• Clinical experience with adults and knowledge of the adult system of care
  
  

Riverside Community Care is dedicated to respect, integrity and engagement of all individuals. We are committed to building an inclusive and culturally competent organization and we value the richness of having a diverse applicant pool. As an employer committed to equal opportunity, all qualified applicants will receive consideration for employment without regard to race, age, color, religion, gender, marital status, sexual orientation, military status, national origin, disability, or any other characteristic as established by law.

Riverside Community Care

Love what you do!

Triage Clinician - Norwood MCI - 2nd shift

We have a great opportunity to join our mobile crisis intervention team in Norwood. You will be able to work in a supportive small team atmosphere while also working as part of a larger organization that is a leader within the mental health care industry.

The Triage Clinician works as a member of a multi-disciplinary team devoted to crisis intervention and stabilization. The Triage Clinician assists MCI clinicians by triaging cases to determine the most appropriate location for an intervention to occur, with priority for community-based, non-hospital locations. The master’s level Triage Clinician is an integral part of Community Behavioral Health Center’s Mobile Crisis Intervention program and collaborates with other MCI clinicians to provide crisis intervention services 7 days per week, 24 hours per day either on-site or mobile to any individual experiencing a mental health and/or substance abuse problem.

Orientation to Mobile Crisis Intervention is provided, with particular attention to diagnosis, safety assessment and awareness of resources dependent on level of care.

Clinical supervision is provided including licensure track hours for eligible employee. Riverside also offers an outstanding staff training program offering CEUs

The triage clinician will also be responsible for:

• 
  
• Serves as the primary responder to all incoming calls to MCI, and using clinical and administrative judgment appropriately triages the call
  
• Arranges for assessments to occur on site or in the community and organizes for transportation as needed
  
• Secures placements in detox units, inpatient units and diversionary levels of care and coordinates the transfer of those served to these facilities
  
• Assessing mental health and substance use presentations in order to more appropriately triage cases with a great deal of independence.
  
• Able to work under pressure in a fast paced, ever changing office environment while collaborating and liaising with a variety of stakeholders and providers
  
• Assists in providing telephonic support to individuals in crisis while also assessing the need for a clinical intervention.
  

Schedule: Full Time, 40 hours

• 
  
• Sunday through Thursday: 3pm to 11pm OR 4pm to 12am
  

Pay Rate:

• 
  
• Unlicensed Clinician - $35.69/hr
  
• Independent Licensure - $38.25/hr
  
• Stacking differentials available too! Additional hourly rate of $1 for 2nd shift - evenings, $2 for 3rd shift - overnights, and $1 for weekend shifts.
  

Why You'll Love Riverside
We make a true difference in people’s lives through rewarding work. Most of our jobs come with great benefits – including healthcare, numerous professional development opportunities, and generous time off - all in a respectful and inclusive environment, perhaps why Riverside was named a Boston Globe Top Workplace and a best-in-state employer by Forbes.

Benefits include:

• 
  
• Comprehensive, high-quality health, dental, and vision insurance options
  
• Flexible Spending Accounts – both medical and dependent care
  
• Eleven paid holidays
  
• Separate accruals for vacation (increases with tenure), personal, and sick time
  
• Tax-deferred 403(b) retirement savings plan with employer match
  
• Employee Assistance Plan / Travel Assistance Plan
  
• Employee bonus for referrals resulting in hiring
  
• Discounts to movie theaters, sporting, and entertainment events
  
• Employee YMCA discount: 10% off a YMCA monthly membership and 50% off the joiner’s fee
  

Our Benefits

Our Culture

Hear what employees think about working for Riverside!

Required Skills

• 
  
• Must be highly organized, detail oriented, flexible, reliable, responsible and friendly
  
• Excellent communication, interpersonal, problem solving and computer skills (including Microsoft Office) required
  
• Intermediate computer fluency, including Microsoft Office, required.
  
• Valid driver’s license and regular access to a reliable vehicle required.
  

Required Experience

• 
  
• Master’s Degree in Psychology, Social Work, or other related human service field
  
• Two years’ experience in the field of mental health preferred (including any internship experience)
  
• For providing mobile crisis intervention services to children/youth under 21, at least one year of experience working with children, adolescents and families is preferred (including any internship experience).
  
• Knowledge of and experience with substance use and co-occurring disorders preferred
  

Riverside Community Care is dedicated to respect, integrity and engagement of all individuals. We are committed to building an inclusive and culturally competent organization and we value the richness of having a diverse applicant pool. As an employer committed to equal opportunity, all qualified applicants will receive consideration for employment without regard to race, age, color, religion, gender, marital status, sexual orientation, military status, national origin, disability, or any other characteristic as established by law.

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Are you passionate about ensuring every person is treated with dignity, respect, and compassion?

Do you believe in protecting the rights of those who may not be able to advocate for themselves?

Want to make a real difference — even with limited free time?

If so, Riverside’s Human Rights Committee may be the perfect opportunity for you!

Riverside Community Care, a community-based non-profit organization, is a leading provider of mental healthcare, developmental and brain injury services, early childhood and youth programs, addiction treatment, suicide education, trauma response, and more.

About the Human Rights Committee

The Human Rights Committee (HRC) is a group of dedicated volunteers who ensure that Riverside’s programs consistently uphold the rights and well-being of the individuals we serve.

Our members come from diverse backgrounds, including:

• 
  
• Legal, healthcare, or mental health professionals
  
• Persons served by the Department of Mental Health or The Department of Developmental Services
  
• Family members of persons served
  
• Community members
  

What Committee Members Do

HRC volunteers help ensure that Riverside’s programs remain respectful, safe, and empowering for all.

Activities include:

• 
  
• Participating in one-hour virtual meetings every six weeks
  

• 
  
• Conducting 30–60 minute visits to program sites to ensure that individuals’ rights are respected and that living environments meet established quality standards.
  
• Reviewing and providing guidance on Riverside's human rights policies and practices
  
• Providing feedback and recommendations on various Riverside reports to strengthen Riverside’s commitment to person-centered care
  
• Using email and Zoom comfortably for communication and virtual meetings
  

This is an unpaid volunteer role with an estimated commitment of 5–10 hours per month. Reliable transportation is required to travel to and from program locations.

What We Provide

No prior committee experience is required — we’ll provide a thorough orientation and ongoing education to help you understand our mission, standards, and practices.

Join us in making sure every person served at Riverside is empowered, heard, and supported.

Required Experience

Riverside Community Care is dedicated to respect, integrity and engagement of all individuals. We are committed to building an inclusive and culturally competent organization and we value the richness of having a diverse applicant pool. As an employer committed to equal opportunity, all qualified applicants will receive consideration for employment without regard to race, age, color, religion, gender, marital status, sexual orientation, military status, national origin, disability, or any other characteristic as established by law.

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

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

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

Riverside Community Care

Love what you do!

Floating Integrated Team Counselor - Mobile - Part Time

ACCS Integrated Teams provide clinical interventions and peer and family support to facilitate engagement, support functioning and maximize symptom stabilization and self-management of individuals and to assist individuals in developing skills, establishing natural supports and resources to live successfully in the community.
Working as part of the ACCS team under the guidance of the Program Director, staff will provide services and interventions identified in the Treatment Plan, including education, supervision, and direct supports to allow individuals served to maintain their physical and emotional health, live safely in the community, and develop the skills necessary to meet their goals. Interactions will be guided by an appreciation for those being served as unique individuals and adults, with the expectation and goal of mutual learning and growth. Services will be provided in keeping with the CLS Division Mission Statement, program policies and guidelines and consistent with Riverside and Department of Mental Health standards and requirements. Staff may be called during non-scheduled times to ask if they are interested in providing additional hours to a home.
The Floating ITC will be connected to the mobile team office and supervised by the Clinical Director. They will demonstrate a knowledge and expertise in the various systems across the GLE programs and mobile team in order to seamlessly work out of any ACCS program, based on the needs of the programs at any given time. They will demonstrate flexibility in coverage day to day, and week to week, and utilize best practices in order to provide the best quality care to the people we serve in all ACCS programs. This position is a Friday through Sunday position only and hours will vary based on the needs of the program.

Schedule: Part Time, 20 hours

• 
  
• Friday - 1pm to 5pm
  
• Saturday - 1pm to 9pm
  
• Sunday - 1pm to 9pm
  

Pay Rate: $21.37/hour

Why You'll Love Riverside:
We make a true difference in people’s lives through rewarding work. Most of our jobs come with great benefits – including healthcare, numerous professional development opportunities, and generous time off - all in a respectful and inclusive environment, perhaps why Riverside was named a Boston Globe Top Workplace and a best-in-state employer by Forbes.

Benefits include:

Learn more about our benefits and culture:

Our Benefits

Our Culture

Hear what employees think about working for Riverside!

Required Skills

Required Experience

Riverside Community Care is dedicated to respect, integrity and engagement of all individuals. We are committed to building an inclusive and culturally competent organization and we value the richness of having a diverse applicant pool. As an employer committed to equal opportunity, all qualified applicants will receive consideration for employment without regard to race, age, color, religion, gender, marital status, sexual orientation, military status, national origin, disability, or any other characteristic as established by law.