Conduct analysis and data development for a broad range of financial and reporting functions in support of Point32Health. Reporting includes but is not limited to Commercial and Government-sponsored provider reimbursement analytics. This role will work closely with other teams within Network Contracting and Claims Configuration and on cross-departmental workgroups. Job Description KEY...

Reporting to the Manager of RFPs/Sales Contracts, the RFP Team Lead position serves as one of two leads on the RFP team. Responsibilities of the Team Lead role include playing a key role in all projects impacting the RFP team; handling/assisting with assignments/workload distribution; serving as the point person for RFP tools and resources; training and mentoring/coaching RFP staff; and owning RFP...

Responsible for protecting Point32Health’s legal interest and maintaining its operations within the scope established by law. Under the close supervision and guidance of more senior department attorneys, provides advice and support to the management and staff of Point32Health and its affiliates within assigned business areas, particularly related to population health research and vendor contractin...

The Business Performance Analyst is responsible for analytical support including data and business analytics to improve the business performance of the Public Plans division. The primary focus of the analyst role is to design, develop and deploy data driven information solutions to facilitate performance improvement opportunity identification and create analytical solutions to monitor and track...

Our Point32Health Change Management and Management System methodologies will enable change, common ways of working and continuous improvement across the company. We provide expert support to areas of the business to enable the adoption of change and build our management system practices at all levels of the organization. Your consulting role will be critical in the creation and roll-out of Change...

Point32Health is currently seeking highly motivated individuals to join their Clinical Analytics team in the role of Data Analyst. A key role in the Corporate Data and Analytics organization, the Data Analyst will use analytic tools and processes to unlock the value of data and deliver insight on business performance. These insights will support business critical decisions and ultimately enterpris...

Point32Health is currently seeking highly motivated individuals to join their Provider Network Analytics Team in the role of Data Analyst. A key role in the Corporate Date & Analytics (CD&A) organization, the Data Analyst will use analytic tools and processes to unlock the value of data and deliver insight on business performance. These insights will support business critical decisions and...

Point32Health is currently seeking highly motivated individuals to join the Provider Performance Analytics team in the role of Data Analyst . A key role in the Corporate Data and Analytics organization, the analyst will use analytic tools and processes to unlock the value of data and deliver insight on business performance. The analyst will extract, synthesize, and validate data from a number of...

Job Description Serves as primary point of contact between design/development agency and digital marketing team; Owns bi-weekly prioritization of maintenance releases for tuftsmedicarepreferred.org and carepartnersct.com and additional web properties; Manages annual allotment of agency service hours to ensure critical development/bug fixes/enhancements are executed in timely manner and within...

This position is responsible for the development, execution and ongoing coordination of integrated digital marketing campaigns and initiatives that support acquisition, retention and brand strategies for the Senior Products division. This includes, but is not limited to: email marketing, social media, paid digital advertising, SEO/SEM, marketing automation and website content, design and functiona...

The Director, HRBP is responsible for providing solutions and advocacy to employees, managers, and senior leaders for assigned business units at Point32Health. They build organizational alignment and capability through development and/or facilitation of appropriate leader focused interventions (e.g., team effectiveness, goal development and alignment, manager capability, employee engagement, etc.)...

In alignment with the Tufts Health Plan mission, “to improve the health and wellness of diverse communities,” Program Manager - Business Diversity plays an integral role the daily functions of the Business Diversity program, responsible for independently leading sizable company-wide diversity projects, conducting market research and analysis to support corporate objectives, across Commercial,...

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...

Reporting to the Director, Employee Relations, the Employee Relations Specialist is responsible for managing non-complex workplace investigations, providing advice and counsel on workplace matters, facilitating training and providing subject matter expertise on Point32Health policies. Additionally, ER Specialists conduct intake conversations, provide advice on Performance Improvement Plans,...

Point32Health is currently seeking highly motivated individuals to join our organization as an Fraud Analyst within our Special Investigations Unit (“SIU”). The Fraud Analyst is an essential team member of the SIU, responsible for analyzing claim trends, patterns and outliers, developing and refining queries to detect potentially fraudulent claim submissions and performing initial background...

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? Harvard Pilgrim Health Care is currently seeking highly motivated individuals to join our organization...

The Lead Financial Planning Analyst serves as the key financial support person to a subset of all enterprise functional areas. Total administrative cost for these areas is $600M + and includes Operations, Information Technology, HealthCare Services, Corporate Data Analytics, and the Chief Medical Office. The position will report to the Manager of Financial Planning & Analysis and provide business...

Point32Health is currently seeking highly motivated individuals to join their Provider Analytics in the role of Analytics Manager. A key role in the CD&A organization, the Analytics Manager will manage a diverse team of professionals focused on supporting key strategic business objectives by transforming data into insights that drive critical business decisions. This individual will serve as a...

Point32Health is on a mission to become the pre-eminent health and well-being organization in New England. As the organization continues to grow, we are looking for talented marketing and communications professionals to join our Commercial Division, which provides employer-sponsored and individual health insurance coverage to residents in MA, NH, ME, CT, and RI. Join us and become part of...

Point32Health is on a mission to become the pre-eminent health and well-being organization in New England. As the organization continues to grow, we are looking for talented marketing and communications professionals to join our Commercial Division, which provides employer-sponsored and individual health insurance coverage to residents in MA, NH, ME, CT, and RI. Join us and become part of...

Position supports general buying activities while supporting sourcing and process improvement initiatives to optimize Tufts Health Plan spend. The ideal candidate will possess: 1-3+ years of experience participating in strategic sourcing and operational/value generating initiatives or a degree in a related area of study. Knowledge across various sourcing categories and/or the ability to...

Point32Health — the parent organization of Harvard Pilgrim Health Care and Tufts Health Plan — is seeking a highly motivated individual to support our Member Experience team in the use of data analytics across our full suite of products and services to understand our end-to-end member experience and provide actionable insights.The Member Experience Analyst reports to the Manager, Member Experience...

Point32Health is seeking a full-time remote Member Services Representative to join their team! 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...

Point32Health is seeking a full-time remote Member Services Representative to join their team! 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...

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+ years) 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...

Reporting to the Vice President – Diversity, Equity & Inclusion in the Human Resources department, the Program Director or Manager of Health Equity Programs is responsible to help Point32Health improve the health and wellbeing of our members and their individual experience of care through program management of the enterprise-wide Health Equity Program by ensuring health equity is imbedded into all...

Under direction of the Sr. Manager of Finance Operations, the Program Manager I is responsible for projects and initiatives with cross-functional interface that support assigned programs and/or vendors. Responsibilities include managing departmental programs with cross functional interface with some complexity, risk and/or cost. Responsibility may include development of new programs as well as...

Under direction of the Senior Manager, the Business Implementation Program Manager II is responsible for projects and initiatives with significant cross-functional interface that support Enterprise Business Implementation programs and/or vendors. Responsibilities include managing major departmental programs with significant cross functional interface with moderate complexity, risk and/or cost....

The Program Manager III manages programs and projects with significant varying levels of complexity, risk and/or cost across varying project sizes and durations. Responsibilities include successful implementation of large cross-functional projects to support the program(s), working closely with the appropriate staff to manage programs/projects, performing thorough and detailed analysis, leading...

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...

The Renewal Specialist maintains excellent relationships with assigned broker panel to retain membership within the heritage HPHC and heritage THP small group book of business. This is accomplished by acting as a liaison between the broker and the Point32Health I/Q Team. Serves as a subject matter expert for all small group products, underwriting guidelines, competitive intelligence and general...

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: ...

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: ...

Under the direction of the Manager/Senior Manager, the Health Care Analyst II will participate in the development, program management, implementation and dissemination of new and/or existing evaluation and management reporting projects related to quality metrics, utilization, and clinical outcomes for all lines of business at Tufts Health Plan. The Health Care Analyst II will support the Provider...

The Senior Accountant Staff position offers many challenges and opportunities in a fast paced environment for a leading Health Care Organizations. Primary responsibilities are the participation in the monthly financial closing process and assisting in the preparation of closing documentation and schedules supporting internal and external reporting.   Job Description KEY RESPONSIBILITIES/ESSENTI...

The Senior Contract Manager serves as the primary point of contact with providers to negotiate every aspect of contracts with large physician and hospital organizations. This individual is the primary lead during negotiations and is accountable for the financial and legal terms negotiated with the providers, which includes multiple risk arrangements, quality incentives and contract language...

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...

Under the direction of the Sr. Manager, Strategic Programs, the Program Manager III manages Point32Health strategic alliance and third-party administrator programs involving significant cross-functional interface, complexity, and risk mitigation. Initial key responsibilities will focus on efforts to support the wind-down of Tufts Health Freedom Plan (THFP). As part of the Strategic Programs team,...

Point32Health is currently seeking highly motivated individual to join their Provider Network Analytics Team in the role of Senior Data Analyst. A key role in the Corporate Date & Analytics (CD&A) organization, the Senior Data Analyst will use advanced analytic tools and processes to unlock the value of data and deliver insight on business performance. Strong relationship building skills, combined...

Point32Health is currently seeking highly motivated individuals to join their Provider Performance analytics team in the role of Senior Data Analyst. A key role in the Corporate Data and Analytics organization, the Senior Data Analyst will use advanced analytic tools and processes to unlock the value of data and deliver insight on business performance. Strong relationship building skills, combined...

Point32Health has created a new role to support and guide the product marketing team for the Commercial Division – driving product awareness and engagement to brokers, employers and members of our employer-sponsored products, as well as the individual market. This role reports to the Director, Strategic Marketing & Creative Services for the Commercial Division – and supports both product portfolio...

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...

PlanPoint32Health's Senior Products division is seeking a top performer capable of leading acquisition marketing campaigns and programs through the consumer, field sales, provider and broker channels. Specific responsibilities include the strategy, development and management of all campaign materials and schedules for production and execution – all to drive leads and opportunities to help achieve...

The core business model of Tufts Health Public Plan’s products features multiple strategic provider partnerships including partnership with provider accountable care organizations (MassHealth ACOs). The senior analyst of accountable care strategy and business performance assumes ownership in the planning, development, management and continuous improvement of provider performance, with the goal of...

An exciting and unique opportunity to join the Corporate Marketing Insights & Planning (CMIP) team as we accelerate the integration and evolution of our enterprise-wide marketing research programs, including VoC, NPS, CX, and custom studies. The Senior Research Analyst will develop, manage, and execute a wide range of primary research projects across constituencies, divisions, and lines of...

Working within the framework of established operating procedures, this position is accountable for providing technical support of the enterprise server systems. Activities will include operation, troubleshooting, maintenance, and optimization of server operating systems, server hardware, and integration with cloud solutions. Project participation is required on a regular basis with occasional...

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...

The Senior Accountant position offers many challenges and opportunities in a fast-paced environment for a leading Health Care Organization. Primary responsibilities are leading the monthly financial closing process for multiple products, participate with the preparation of quarterly and annual statutory filings and preparation of schedules supporting internal and external reporting.   Job...

Point32Health is currently seeking highly motivated individuals to join their informatics team in the role of Senior Informatics Analyst. This key role in the organization will use advanced analytic tools and processes to unlock the value of data and deliver insight on business performance. Strong relationship building skills, combined with a strategic focus, enable the Senior Data Analyst to...

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...

The (Sr.) 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 provides subject matter...

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? Harvard Pilgrim Health Care is currently seeking highly motivated individuals to join our organization as...

Under the direction of the Senior Manager of Product Strategy for the Senior Products division, the Senior Analyst owns the end-to-end development of market data and analytics across Massachusetts, Connecticut, New Hampshire, and future Medicare markets. The Senior Analyst will play an integral role in the assessment of current and new market opportunities, as well as support the annual developmen...

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...

Chief Financial Officer will have significant responsibility and visibility as a financial leader for the organization. Effective financial analysis skills, strategic thinking and the ability to design scalable solutions will be keys to success in this role. Establishing the first true Finance function internally will require entrepreneurial and creative thinking, sound judgement and analysis and...