Who We Are

Point32Health is a leading health and wellbeing organization, delivering an ever-better personalized health care experience to everyone in our communities. At Point32Health, we are building on the quality, nonprofit heritage of our founding organizations, Tufts Health Plan and Harvard Pilgrim Health Care, where 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.

We enjoy the important work we do every day in service to our members, partners, colleagues and communities.

Job Summary

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 – what you will be doing

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 – what you need to perform the job

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.

Compensation & Total Rewards Overview

As part of our comprehensive total rewards program, colleagues are also eligible for variable pay. Eligibility for any bonus, commission, benefits, or any other form of compensation and benefits remains in the Company's sole discretion and may be modified at the Company’s sole discretion, consistent with the law.

Point32Health offers their Colleagues a competitive and comprehensive total rewards package which currently includes:

Medical, dental and vision coverage
Retirement plans
Paid time off
Employer-paid life and disability insurance with additional buy-up coverage options
Tuition program
Well-being benefits
Full suite of benefits to support career development, individual & family health, and financial health

For more details on our total rewards programs, visit https://www.point32health.org/careers/benefits/

Commitment to Diversity, Equity, Inclusion, Accessibility (DEIA) and Health Equity

Point32Health is committed to making diversity, equity, inclusion, accessibility and health equity part of everything we do—from product design to the workforce driving that innovation. Our Diversity, Equity, Inclusion, Accessibility (DEIA) and Health Equity team's 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.

Scam Alert: Point32Health has recently become aware of job posting scams where unauthorized individuals posing as Point32Health recruiters have placed job advertisements and reached out to potential candidates. These advertisements or individuals may ask the applicant to make a payment. Point32Health would never ask an applicant to make a payment related to a job application or job offer, or to pay for workplace equipment. If you have any concerns about the legitimacy of a job posting or recruiting contact, you may contact TA_operations@point32health.org