Works collaboratively with vendors to develop effective and strategic partnership on execution of production operations. This role will have oversight of core functions as outlined by established contracts and will be responsible for ensuring that delivery is aligned to Point32Health enterprise strategy and executed according to associated Service Level Agreements. Partner with functional owners to optimize efficiencies that support cohesive alignment throughout the production operations team.

 

Key Responsibilities/Duties

• Act as liaison between vendor management, procurement and functional (capability) owner.
• Partner with budget managers on financial administration for monthly invoice validation, budget oversight, and verification of services rendered.
• Manage operational concerns with business owner and Business Improvement (BI).
• Identify process improvements and opportunities to improve operational efficiencies
• Partner with vendors, workforce management and others to calibrate on resource needs, adds to staff, attrition monitoring etc.
• Ensure adherence to Point32Health business and compliance requirements.
• Requests CAPs as appropriate
• Assessment of vendor workflows to ensure alignments and compatibility with internal teams
• Manage business process office (BPO) performance including service levels agreements (daily, weekly, monthly)
• Inform business owners on BPO personnel changes, performance issues, strategic updates
• Coordinate annual planning with vendor partners
• Establish process with BPO to identify/understand issues/concerns, impact on the organization, any associated costs and recommend solutions

 

Qualifications:

EDUCATION, CERTIFICATION AND LICENSURE:

• Bachelor’s in business or related field

EXPERIENCE (minimum years required):

• 5-7 years experience as in a role supporting vendor management, organization or operation excellence. Prefer experience in Health Insurance

SKILL REQUIREMENTS:

• Must be able to build strong customer relationships and delivering customer-centric solutions
• Know the most effective and efficient processes to get things done, with a focus on continuous improvement
• Effectively build formal and informal relationship networks inside and outside the organization.
• The ability to bring people together to leverage their skills, talents, and knowledge to achieve a common purpose. Create synergy—resulting in a combined effort with greater results than those achieved by individuals.
• Maneuver comfortably through complex policy, process and people-related organizational dynamics.
• Taking responsibility. Owning up to commitments. Being answerable for your actions and the actions of those you lead.

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.

 

Commitment to Diversity, Equity & Inclusion

Point32Health is committed to making diversity, equity, and inclusion part of everything we do—from product design to the workforce driving that innovation. Our DEI strategy is deeply connected to our core values and will evolve as the changing nature of work shifts. Programming, events, and an inclusion infrastructure play a role in how we spread cultural awareness, train people leaders on engaging with their teams and provide parameters on how to recruit and retain talented and dynamic talent. We welcome all applicants and qualified individuals, who 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.

 

COVID Policy

Please note: As of January 18, 2022, all employees — including remote employees — must be fully vaccinated. This position will require the successful candidate to show proof of full vaccination against COVID-19. Point32Health is an equal opportunity employer, and will consider reasonable accommodation to those individuals who are unable to be vaccinated consistent with federal, state, and local law.

 

About Us:

Point32Health is a leading health and wellbeing organization, delivering an ever-better health care experience to everyone in our communities. Building on the quality, nonprofit heritage of our founding organizations, Tufts Health Plan and Harvard Pilgrim Health Care, we leverage our experience and expertise to help people find their version of healthier living through a broad range of health plans and tools that make navigating health and wellbeing easier.

At Point32Health, we’re working to reshape the world of health care by pushing past the status quo and delivering even more to the diverse communities we serve: more innovation, more access, more support, and healthier lives. And we want people like you on our side to make it even better.

This job has been posted by TalentBoost on behalf of Point32Health. TalentBoost is committed to the fundamental principle of equal opportunity and equal treatment for every prospective and current employee. It is the policy of TalentBoost not to discriminate based on race, color, national or ethnic origin, ancestry, age, religion, creed, disability, sex and gender, sexual orientation, gender identity and/or expression, military or veteran status, or any other characteristic protected under applicable federal, state or local law.

Req ID: R5652

Posted On: Wednesday, March 15, 2023