Job SummaryThe HR Shared Services Specialist will provide comprehensive HR support and services to colleagues and management across the organization. This role will handle a variety of HR activities including employee transactions, benefits administration, payroll processing, HRIS maintenance, and compliance. The ideal candidate will have a broad understanding of HR processes and the ability to...

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

Job SummaryUnder the direction of the Supervisor, Finance Operations, The Finance Operations Analyst is responsible for the execution of multiple complex operational processes associated with Claims Disbursements, Provider Collections and Corporate Accounting Operations. The Analyst ensures timely and accurate completion of claims validation and release, provider refunds, Invoice processing, and...

The Senior Electrical Engineer will contribute to the design and development of control solutions for Persimmon’s robots and other electromechanical systems. Persons filling this position will: Design system architectures based on requirements; Leverage analyses and simulations to design circuits, design PCBs (schematic and layout), and perform testing, troubleshooting, and integration of PCBs...

Responsibilities: Work under supervision of Manager of R&D to develop advanced control systems for robotic manipulators and similar electromechanical systems, including motion control and servo tuning, development of dynamic models, modeling and simulations in Matlab, and implementation of software on real-time platforms. The responsibilities also include controls-related machine design analysis...

Job SummaryThe Strategy Analyst position is responsible for efforts to strategically manage the portfolio of products across all states. The Analyst is responsible for analyzing and recommending improvements and enhancements for products across all market segments in all states. This responsibility will entail analyzing the competitive, consumer, and employer and broker dynamics in each market...

Job SummaryThe HRBP partners with people managers through individual contributors within assigned business groups to accomplish business objectives. through the application of thoughtful, intentional and responsive people support. They work closely with Director, HR Business Partners to deliver HR strategic initiatives and drive program adoption across the organization. They provide subject matter...

Job Summary The Actuarial Services Internship Program is designed to provide exposure to basic Actuarial and analytic techniques, provide insight into the health insurance field, and provide an opportunity to demonstrate skills taught during the internship. Interns will support the analysis and data needs for a broad range of financial and actuarial functions. This support will include rate...

Kingsley Gate has been retained to recruit a Multi Site Plant Leader. Position Name: Multi Plant Leader (MPL) Position of direct manager: VP Head of Global Manuf. Ops, Matrix reporting to Business Unit Head Objective & Goal of Position: The MPL is to oversee operational activities at every level of the multi plant unit and to: 1. Ensure all operations are carried on in a safe manner. 2....

TRANSFORMING HEALTHCARE, ONE MEMBER AT A TIME What we build together changes our customer's health for the better. We are looking for talented and innovative people to join our team. Come join us! WHAT MAKES US STAND OUT… Here at Point32Health our member services representatives are the backbone of the company. The value we place on our reps is at the highest level. Our representatives are...

TRANSFORMING HEALTHCARE, ONE MEMBER AT A TIME What we build together changes our customer's health for the better. We are looking for talented and innovative people to join our team. Come join us! WHAT MAKES US STAND OUT… Here at Point32Health our member services representatives are the backbone of the company. The value we place on our reps is at the highest level. Our representatives are...

Job SummaryWorking with the Director, Network & Provider Analytics and other members of the Network & Provider Analytics team, the Senior Manager will lead the analytic support of contract negotiations, strategic initiatives and regulatory requests. This individual will manage staff as well as provide training and mentoring to all members of the team. The Senior Manager will directly support...

Job SummaryThe Senior Contract Manager will support all Lines of Business, including Commercial, Senior Products and Public Plans. The Senior Contract Manager will serve as the primary point of contact to manage contract negotiations with integrated health delivery systems, hospitals, local care units, physician practices, federally qualified health centers/community health centers, select...

Job SummaryThe Community Health Worker (CHW) assists members in managing their health goals in the community. The CHW role works collaboratively with team members of Point32Health Integrate Care Management team to increase member knowledge, motivation, and adherence to key components of their health care. The Clinical Community Health Worker will arrange, coordinate, evaluate, and advocate for...

Job Summary As a Medical Audit Claim Reviewer, you will play a crucial role in our organization by reviewing and auditing medical claims to ensure compliance with policies, procedures, and regulatory requirements. You will contribute to the accurate and ethical processing of claims, which is essential for the well-being of our members and the financial stability of our organization.   Key...

  Job Summary The Manager, Inpatient manages Utilization Management (UM) Clinicians in day to day operations of the UM Process and is responsible for medical management activities related to utilization and discharge planning for acute inpatient, LTAC, rehabilitation and skilled nursing as well as Out of Network Management. S/he is accountable for implementation, monitoring and oversight of...

Job SummaryReporting to the Director of Talent Management, the Talent Specialist is responsible for supporting key Talent Management initiatives, including Performance Management, Coaching and Feedback Strategy, Talent Review, Internal Mobility, Succession Planning, Skills/Competency Modeling, Assessment Strategy, Mentorship Programs, and Onboarding. This role will collaborate with HR and business...

Job Summary Key Responsibilities/Duties – what you will be doing • Operates high speed, high volume floor model inserters and digital production printers BW/COLOR • Set up and program menus on equipment both printers and inserters • Release electronic files from print que sw over the network and selects print stream (7 machines) • Ability to provide maintenance and troubleshoot...

Job SummaryUnder the direction of the Manager, the Commissions Lead is responsible for facilitating the administration of multiple, complex, and time sensitive Finance Operation’s processes. Demonstrates understanding of business operations to provide effective guidance for the Finance Operations department, within Corporate Finance, on a daily basis and acts as primary point of contact for all...