Point32health Jobs in North Attleboro, MA

The position of Senior Contract Manager for Senior Products serves as the primary point of contact with provider organizations to negotiate and manage contracts with network physicians and hospitals. This individual is the primary lead during negotiations and is accountable for the financial and legal terms negotiated with the provider organizations. This individual will assure that contract terms are consistent with the corporate and Senior Products contracting strategies, and are negotiated within the established legal and financial guidelines as established by Tufts Health Plan. This...

Under the direction of the Manager, Provider Network Management, the Contract Specialist combines in depth business knowledge, technical and analytic skills as well as financial skills to ensure all aspects of a contract are implemented and managed throughout the life of the contract. The Contract Specialist serves as THP's liaison with the provider community as it relates to the interpretation of contract language, financial, and operational aspects of the contract. *Please note - this position is remote at this time with the possibility of a Hybrid work model in the future at the Canton,...

This position supports Large Group in the achievement of account retention and profitability goals, and to meet or exceed enrollment targets for membership. This role also supports activities promoting strategic relationship building with customers through the execution of Client Service's service models for large group and key accounts which defines the driving principles and protocols for account management activities with all constituents - brokers, consultants and client. Working with account managers, this position is responsible for contributing to and supporting all client services...

The Senior Manager, Product Strategy works closely with the Director, Product Strategy to contribute to the development and execution of product strategy for the Senior Products division. The Senior Manager leads development of business cases and works with colleagues in Sales & Marketing, Actuarial, Network Contracting, Clinical Services, IT, and Operations to develop and analyze the impact of potential product initiatives. Findings are presented to the leadership team to facilitate strategic decision making. This role drives the implementation of strategies post-assessment by serving as...

The Small Group Quote and Installation Specialist reports to the Manager of Quote and Installation in Commercial Business. The role is responsible for broker service related to quoting and renewals, installation of new groups, processing renewals for all small groups. Includes a rotation in the call center servicing brokers.   Job Description DUTIES/RESPONSIBILITIES – what you will be doing : Provide high-quality service to brokers through a rotating schedule to assist brokers with quoting on self service tools, answer questions about products and plans, and provide overall customer service...

Are you interested in becoming part of a dynamic team that is looking to innovate and improve? Would you like to work for a company that has been rated by the BBJ (15+yrs) as one of the best places to work? Do you want to be part of a company that is committed to giving back to the community? Point32Health is currently seeking highly motivated individuals to join our organization as User Experience Designer. The User Experience Designer is responsible for keeping the customer at the heart of everything he/she does while leading user experience for all web and mobile solutions by leveraging...

TRANSFORMING HEALTHCARE, ONE MEMBER AT A TIME Remote Position (must reside in MA, RI, NH, CT, ME) Full Time $19.00/hr. ($39,520 annually) + monthly incentives after training WHAT MAKES US STAND OUT… Here at Point32Health our member service representatives are the backbone of the company. Our members are taken care of everyday because of this. The value we place on our reps is at the highest level. PAID 11-WEEK TRAINING (June 21 - August 19) Work-Life-Flexibility Paid volunteer time off (up to 3 days annually) Educational Reimbursement WHAT YOU’LL DO… Job Summary Under the general direction...

Under the direction of the Manager, Provider Network Management, the Contract Specialist combines in depth business knowledge, technical and analytic skills as well as financial skills to ensure all aspects of a contract are implemented and managed throughout the life of the contract. The Contract Specialist serves as THP's liaison with the provider community as it relates to the interpretation of contract language, financial, and operational aspects of the contract. *Please note - this position is remote at this time with the possibility of a Hybrid work model in the future at the Canton,...

TRANSFORMING HEALTHCARE, ONE MEMBER AT A TIME Remote Position (must reside in MA, RI, NH, CT, ME) Full Time $19.00/hr. ($39,520 annually) + monthly incentives after training WHAT MAKES US STAND OUT… Here at Point32Health our member service representatives are the backbone of the company. Our members are taken care of everyday because of this. The value we place on our reps is at the highest level. PAID 5-WEEK TRAINING (July 11 - August 12) Work-Life-Flexibility Paid volunteer time off (up to 3 days annually) Educational Reimbursement WHAT YOU’LL DO… Job Summary Under the general direction of...

The Associate Contract Specialist, under the direction of the Manager, Provider Network Management , is responsible for coordinating the contractual and operational implementation and ongoing maintenance of network provider contracts in conjunction with internal departments, for a designated assignment of hospitals, physician organizations, and medical groups. Assist in efforts to resolve operational issues. Coordinate maintenance of provider information changes (add, terms, changes). The position requires a minimum of 2 –3 years in a managed health care environment with knowledge of the...

Under the direction of the Lead Talent Acquisition Specialist and working as a team liaison with HR Business Partners, the Talent Acquisition Specialist Senior is responsible for providing professional support in the sourcing, recruiting, interviewing and selection of a qualified workforce in support of designated business units. This position will recruit for the most complex and hard-to-fill openings through Director-level, as well as highly technical jobs requiring specialized expertise in developing new sources for candidates. The TA Specialist Senior possesses finely-honed negotiation...

With modest oversight/direction, coordinates cross-departmental end-to-end management of high-quality/compelling proposals in the form of responses to Requests for Proposals (RFPs), Requests for Information (RFIs), and Questionnaires, etc. according to required specifications and deadlines. This position is responsible for assessment, planning, management, writing and delivery/submission of proposals. The RFP Specialist must have the ability to clearly articulate the proposal status, proposal issues/concerns, including organizational risk and/or needed business decisions. Must be capable of...

Reporting to the Manager of the Claims & Servicing Documentation Team, the Documentation Specialist Senior authors and ensures the integrity of clear and accurate content for use by staff in the following departments: Commercial Claims, Public Plans Claims, Tufts Medicare Preferred Claims and Commercial Servicing. The Documentation Specialist Senior also, leads content creation initiatives and other information management projects, facilitates meetings relevant to documentation and communicates with partner departments as necessary to support those projects. Work will be performed in the...

The Program Manager, SCO, will be primarily responsible for implementing key SCO initiatives, and supporting SCO product strategy development and bid filing. The Program Manager is responsible for supporting strategy development and coordinating execution efforts for the SCO business. The role works closely with colleagues in Sales & Marketing, Actuarial, Network Contracting, Clinical Services, IT, and Operations to develop and execute new initiatives that will support the SCO business objectives, including membership growth, revenue optimization, and cost containment. The Program Manager...

TRANSFORMING HEALTHCARE, ONE MEMBER AT A TIME Remote Position (must reside in MA, RI, NH, CT, ME) Full Time $19.00/hr. ($39,520 annually) + monthly incentives after training WHAT MAKES US STAND OUT… Here at Point32Health our member service representatives are the backbone of the company. Our members are taken care of everyday because of this. The value we place on our reps is at the highest level. PAID 11-WEEK TRAINING (June 21 - August 19) Work-Life-Flexibility Paid volunteer time off (up to 3 days annually) Educational Reimbursement WHAT YOU’LL DO… Job Summary Under the general direction...

The Senior Product Manager is responsible for leading and managing a cross-functional product team to develop multiyear product strategies, roadmaps and competitive offerings to meet profitability and membership goals. WHAT YOU WILL BE DOING 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...

This position supports Large Group in the achievement of account retention and profitability goals, and to meet or exceed enrollment targets for membership. This role also supports activities promoting strategic relationship building with customers through the execution of Client Service's service models for large group and key accounts which defines the driving principles and protocols for account management activities with all constituents - brokers, consultants and client. Working with account managers, this position is responsible for contributing to and supporting all client services...

Under the direction of the Manager, Provider Network Management, the Contract Specialist combines in depth business knowledge, technical and analytic skills as well as financial skills to ensure all aspects of a contract are implemented and managed throughout the life of the contract. The Contract Specialist serves as THP's liaison with the provider community as it relates to the interpretation of contract language, financial, and operational aspects of the contract. *Please note - this position is remote at this time with the possibility of a Hybrid work model in the future at the Canton,...

TRANSFORMING HEALTHCARE, ONE MEMBER AT A TIME Remote Position (must reside in MA, RI, NH, CT, ME) Full Time $19.00/hr. ($39,520 annually) + monthly incentives after training WHAT MAKES US STAND OUT… Here at Point32Health our member service representatives are the backbone of the company. Our members are taken care of everyday because of this. The value we place on our reps is at the highest level. PAID 5-WEEK TRAINING (July 11 - August 12) Work-Life-Flexibility Paid volunteer time off (up to 3 days annually) Educational Reimbursement WHAT YOU’LL DO… Job Summary Under the general direction of...

Under the direction of the Lead Talent Acquisition Specialist and working as a team liaison with HR Business Partners, the Talent Acquisition Specialist Senior is responsible for providing professional support in the sourcing, recruiting, interviewing and selection of a qualified workforce in support of designated business units. This position will recruit for the most complex and hard-to-fill openings through Director-level, as well as highly technical jobs requiring specialized expertise in developing new sources for candidates. The TA Specialist Senior possesses finely-honed negotiation...

TRANSFORMING HEALTHCARE, ONE MEMBER AT A TIME Remote Position (must reside in MA, RI, NH, CT, ME) Full Time $19.00/hr.   ($39,520 annually) + monthly incentives after training WHAT MAKES US STAND OUT… Here at Point32Health our member service representatives are the backbone of the company. Our members are taken care of everyday because of this. The value we place on our reps is at the highest level. PAID 8-WEEK TRAINING (June 6 - August 5) Work-Life-Flexibility Paid volunteer time off (up to 3 days annually) Educational Reimbursement   WHAT YOU’LL DO… Job Summary Under the general direction...

Under the direction of the Lead Talent Acquisition Specialist and working as a team liaison with HR Business Partners, the Talent Acquisition Specialist Senior is responsible for providing professional support in the sourcing, recruiting, interviewing and selection of a qualified workforce in support of designated business units. This position will recruit for the most complex and hard-to-fill openings through Director-level, as well as highly technical jobs requiring specialized expertise in developing new sources for candidates. The TA Specialist Senior possesses finely-honed negotiation...

The Program Manager, SCO, will be primarily responsible for implementing key SCO initiatives, and supporting SCO product strategy development and bid filing. The Program Manager is responsible for supporting strategy development and coordinating execution efforts for the SCO business. The role works closely with colleagues in Sales & Marketing, Actuarial, Network Contracting, Clinical Services, IT, and Operations to develop and execute new initiatives that will support the SCO business objectives, including membership growth, revenue optimization, and cost containment. The Program Manager...

Reporting to the Manager of the Claims & Servicing Documentation Team, the Documentation Specialist Senior authors and ensures the integrity of clear and accurate content for use by staff in the following departments: Commercial Claims, Public Plans Claims, Tufts Medicare Preferred Claims and Commercial Servicing. The Documentation Specialist Senior also, leads content creation initiatives and other information management projects, facilitates meetings relevant to documentation and communicates with partner departments as necessary to support those projects. Work will be performed in the...

The Program Manager, SCO, will be primarily responsible for implementing key SCO initiatives, and supporting SCO product strategy development and bid filing. The Program Manager is responsible for supporting strategy development and coordinating execution efforts for the SCO business. The role works closely with colleagues in Sales & Marketing, Actuarial, Network Contracting, Clinical Services, IT, and Operations to develop and execute new initiatives that will support the SCO business objectives, including membership growth, revenue optimization, and cost containment. The Program Manager...

The Sr. Manager is responsible for day-to-day management of a staff of program and implementation managers of varying skill sets.. They develop and manages the sales program team’s annual goals, metrics and business plan. Manages team’s project assignments, evaluates and assigns incoming work, monitors project scope change and prioritizes work as appropriate. Under the direction of the Director of Sales Enablement, the Sr. Manager of Sales Programs is responsible for critical commercial sales functions. The sales programs team is responsible for daily management and oversight of all...

Under the direction of the Manager, Provider Network Management, the Contract Specialist combines in depth business knowledge, technical and analytic skills as well as financial skills to ensure all aspects of a contract are implemented and managed throughout the life of the contract. The Contract Specialist serves as THP's liaison with the provider community as it relates to the interpretation of contract language, financial, and operational aspects of the contract. *Please note - this position is remote at this time with the possibility of a Hybrid work model in the future at the Canton,...

This position supports Large Group in the achievement of account retention and profitability goals, and to meet or exceed enrollment targets for membership. This role also supports activities promoting strategic relationship building with customers through the execution of Client Service's service models for large group and key accounts which defines the driving principles and protocols for account management activities with all constituents - brokers, consultants and client. Working with account managers, this position is responsible for contributing to and supporting all client services...

The Small Group Quote and Installation Specialist reports to the Manager of Quote and Installation in Commercial Business. The role is responsible for broker service related to quoting and renewals, installation of new groups, processing renewals for all small groups. Includes a rotation in the call center servicing brokers.   Job Description DUTIES/RESPONSIBILITIES – what you will be doing : Provide high-quality service to brokers through a rotating schedule to assist brokers with quoting on self service tools, answer questions about products and plans, and provide overall customer service...