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...

Job SummaryThe focus area for this Director will be leading the organization's ability to effectively respond to and recover from events that result in interruption of Point32Health's business operations. In this role, the Director Cyber & Information Security will be focused on leading a team responsible for: • Developing and implementing a strategy and practices that will ensure that the...

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...

Job Summary Under the direction of the Senior Manager, is responsible for managing major departmental projects, which have significant cross-functional interface and will usually include Corporate Agenda projects. These projects will be of significant complexity, risk and/or cost. Key Responsibilities/Duties – what you will be doing Manage all phases of the project to ensure goals and...

Job Summary Reporting to the Manager, Provider Relations, the Provider Account Manager (PAM) II plays a critical role in the strategic management and engagement of providers in the Point32Health family of company’s provider network, acting as the primary point of contact for the assigned providers. This highly visible role will play a critical role in developing and maintaining key provider...

Job SummaryUnder the direction of Senior Manager, Marketing Analytics, the Senior Marketing Specialist is responsible for collaborating with department team members, IS, enterprise-systems business partners, vendors, and other stakeholders to identify issues, complete root-cause analysis, and propose/develop analytic-based solutions. This position drives collection, analysis, and documentation of...

Job SummaryThe Strategic Business Lead is responsible for leading the identification, evaluation, development, and implementation of new Specialty Products opportunities. This position provides leadership, consultation, facilitation, insight, and analytic support to develop and deliver high priority initiatives that are critical to Specialty Products growth goals. This individual is accountable...

Job SummaryUnder the general direction of Call Center Member Support Supervisor, the Member Services Team Lead is responsible for accurately and thoroughly interpreting THP Medicare Preferred benefits, claims processes, eligibility, and enrollment policies to assist Help Desk, member and provider reps with calls from members, providers, pharmacies and internal customers. In addition, the Member...

Job SummaryThe Oracle Database Administrator (DBA) performs regular and routine monitoring, troubleshooting, and maintenance of corporate enterprise Oracle databases. Oracle DBAs are responsible for daily operations and support of multiple production, development, and testing environments, relying on Oracle Database technology. Typical tasks include: participation in on-call rotation, monitoring,...

Job SummaryPosition supports value creation, strategic sourcing and process improvement initiatives across Procurement to optimize Point32Health spend. The ideal candidate will possess: 1). 1-3+ years of experience participating in strategic sourcing and operational/value generating initiatives 2). knowledge across various sourcing categories 3). strategic, analytical, and interpersonal skills to...

Job SummaryAs a Scrum Master, you will be part of a highly collaborative, cross-functional Scrum team within Technology area. You'll advise and lead the team on Scaled Agile Framework values, principles and Scrum framework to ensure that the team is fully functional, productive, and focused on the Program Increment Objectives. As a Scrum Master, you will work directly on a large scaled scrum...

Job SummaryThis position is responsible for analyzing the information security environment for Point32Health and developing security measures to safeguard the confidentiality, integrity, and availability of corporate information and data. In this role you will be expected to implement, monitor, assess and report on IT security, under guidance of senior staff. Reporting to the Cybersecurity Manager...

Job Summary The Lead Program Analyst, Operational Resiliency & Crisis Management contributes to the development, implementation, testing and maintenance of the capabilities within the Operational Resiliency & Crisis Management (ORCM) function of the Cyber & Information Security department. The ORCM function promotes Point32Health’s ability to prepare for, and successfully recover from unplanned...

Job Summary Working under the direction of the Director or Senior Manager, the Senior Analyst will be part of a team responsible for the development, negotiation, monitoring and reporting of the contractual agreements with health care providers and institutions. Responsibilities include supporting provider negotiations, regulatory submissions, RFP/UDS submissions (as well as finding improvement...