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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 (https://www.point32health.org/) .

Job Summary

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

Job Description

Key Responsibilities/Duties – what you will be doing:

• In conjunction with Contracting Directors and Director, Provider Partnerships Strategy and Analytics, develop and update all line of business annual network strategy for Ancillary and System Contracting for Contract leadership review.

• Manage complex initiatives and/or alliances that require integration across multiple business units. Gather cross functional internal/external inputs and provide content expertise to make high level recommendations to Contracting leadership.

• Develop, maintain, and reinforce program strategy and scope; serve oversight role in ensuring programs are on track, on budget, and progressing towards business goals identified.

• Develop, manage, and lead effective and collaborative program and team structures to ensure that discussions are appropriately focused, timely, and incorporate input from internal and external subject matter experts.

• Proactively identify implications and challenges to success, and develop cross-functional strategies to address/resolve and get buy-in; escalate as needed to achieve timely resolution of issues

• Develops and coordinates reports, queries and/or extracts to support data requests and analytics related to strategic initiatives

• Represents Contracting as an SME for line of business/product forums

• Other duties and projects as assigned.

Qualifications – what you need to perform the job

Certification and Licensure

• N/A

Education

• Required (minimum): Bachelor’s degree in business and/or related field or equivalent experience

• Preferred: Master’s degree preferred

Experience (minimum years required) :

• Required (minimum): 5-7 years of provider contract related experience

• Preferred: 7-10 years of general work experience

Skill Requirements

• Must have extensive knowledge of the health plan industry and its customers, as well as expertise in strategy development/planning and project leadership.

• Strong analytic skills, with a clear understanding of dynamics of financial models, provider incentives, and contracting business processes.

• Well developed, working knowledge of managed care, insurance, and provider dynamics.

• Advanced Excel and PowerPoint skills

• Must have a proven track record of working effectively with people and processes at multiple levels

• Requires strong leadership, communication, negotiation, and conflict resolution skills.

• Strong presentation/facilitation, as well as business analysis skills preferred.

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

• Must be able to work under normal office conditions and work from home as required.

• Work may require simultaneous use of a telephone/headset and PC/keyboard and sitting for extended durations.

• May be required to work additional hours beyond standard work schedule.

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

Salary Range

$115,072.80 -$172,609.20

Compensation & Total Rewards Overview

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

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

• Medical, dental and vision coverage

• Retirement plans

• Paid time off

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

• Tuition program

• Well-being benefits

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

For more details on our total rewards programs, visit https://www.point32health.org/careers/benefits/

We 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 TA_operations@point32health.org

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 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.