Jobs in Norfolk County, MA

We make a difference - in your community and in your career.

Crisis Intervention Specialist - Relief

Riverside is seeking a passionate Crisis Intervention Specialist (CIS) to join our Community Behavioral Health Center (CBHC) team! This is a unique opportunity to join a growing team of dedicated behavioral health professionals!

The Crisis Intervention Specialist is responsible for providing advanced skills in trauma-informed crisis intervention and de-escalation, monitoring of the safety and security of the facility, and coordinating response to urgent and emergency situations. The CIS provides a therapeutic, calming, recovery-based, and pro-active presence in program. The CIS will assist leadership with safety drills, safety protocols, facility-related initiatives, may perform other person-served related support as interest and experience allows.

Note: CBHC regulations require “security” positions 24/7, this role is a therapeutic, engaging presence and not a typical security guard role.

The Crisis Intervention Specialist may perform other person-served related support as interest and experience allows including, but not limited to:

• 
  
• Modeling and teaching skills for development of positive relationships and negotiation of conflict
  
• Providing a calming presence in and around the facility supporting families and youth in conflict or crisis while onsite, while monitoring the safety of persons served, employees, and the facility
  
• Assisting CBHC leadership in ensuring that safety drills (e.g. fire, medical, behavioral health) are held and documented as per regulation and that required fire protection and suppression equipment is present and in good working order and also ensuring the maintenance of program sites to minimize fire hazards
  
• Taking lead in ensuring maintenance and cleanliness of physical plant is adequate and reports to Senior Director and/or facilities are aware of any concerns.
  
• Responding to medical and psychiatric emergencies (e.g. opioid overdose or psychiatric symptom escalation) utilizing medical code protocols such as calling a code, administering naloxone, and administering CPR/first aid
  
• Assisting with transportation to/from CBHC and the CCS site using agency or personal vehicle
  

Pay Rate: $25.46/hourly

Schedule: Relief hours available!

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 Forbes named Riverside a best-in-state employer!

Learn more about our benefits and culture:

Our Benefits

Our Culture

Hear what employees think about working for Riverside!

Required Skills

• 
  
• Strong verbal and written communication skills required
  
• Basic computer fluency required. Minimum of three years proven experience using Microsoft Office programs preferred.
  
• Preferred valid Driver’s License and access to a reliable vehicle required
  

Required Experience

• 
  
• High School Diploma or GED required. BA degree preferred.
  
• A minimum of 2 years of direct care or similar role in a behavioral health and/or medical setting required
  
• Knowledge of trauma-informed care and de-escalation skills required
  

Riverside Community Care

Love What you Do!

Recovery Coach - Connect2Recovery

The primary responsibility of a recovery coach is to support the voices and choices of the people they help, removing obstacles to recovery, linking Members to a recovery community, and serve as a personal guide and mentor. The recovery coach will work with the individual to develop a Wellness Plan that orients the activities of the recovery coach's service.

The recovery coach will be a part of a larger team of other recovery coaches and case managers but will also be an active interdisciplinary member of the Outpatient Center’s track of specialty clinicians, supervisors, and prescribers who serve people with substance use and co-occurring mental health conditions. The recovery coach will provide education to persons engaged in services but may also utilize their own recovery experience and knowledge with the entire treatment team.

Schedule: Full Time, 40 hours

• 
  
• Monday - Friday
  

Salary: $22.27/hourly

• 
  
• additional $1 for CPS
  
• additional $2 for CARC
  

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 Forbes named Riverside a best-in-state employer.

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 participate effectively in a team of staff required
  
• Must have a valid driver's license, regular access to a reliable vehicle and be willing to provide transportation to persons served in personal vehicle, as needed
  

Required Experience

• 
  
• Lived experience of recovery in the context of substance use and mental health
  
• Related work experience and ability to articulate wellness/recovery values and principles required
  
• Must have either a college degree or a high school diploma/GED and at least 6 months relevant
  
• Certification as a Recovery Coach highly preferred or commit to obtaining CRC within 12 months of hire
  

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

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.

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.

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)

• 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

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):

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

Qualifications - what you need to perform the job

Certification and Licensure

Education

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

Experience

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

Skill Requirements

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

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

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

Disclaimer

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

Salary Range

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 make a difference - in your community and in your career.

Seeking a Relief Peer Specialist for our Respite Program

Peer Specialists help to make Respite welcoming, comfortable, supportive, and responsive to individuals who utilize them and their families.

Using their personal experience and knowledge of navigating the greater system of care, Peer Specialists provide consumers with support, information, and assistance in connecting with and obtaining community-based resources and services.

In this vital role, the Peer Specialist will:

All Peer Specialist staff will receive training in recovery-focused peer support for Substance Use Disorders (SUD), who shall assist in interventions with individuals/families presenting in crisis due to substance use disorders. They will support explanation of the process to access services, availability of self-help resources, and provide follow-up for those who may or may not be ready to accept help at the time of initial contact.

Pay Rate: $22.27/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:

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.

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 (top five):

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

QUALIFICATIONS - what you need to perform the job

Certification and Licensure

• N/A

Education

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

Experience

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

Skill Requirements

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

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

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

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

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

Salary Range

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):

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

Qualifications - what you need to perform the job

Certification and Licensure

• Required: Massachusetts Refrigeration License and CFC Certification.

Education

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

Experience

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

Skill Requirements

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

Interpersonal skills (include personal interaction):

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

Confidential data:

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

Overtime:

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

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

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

Disclaimer

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

Salary Range

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