Massachusetts Jobs

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. To learn more about who we are at Point32Health, click here (https://youtu.be/S5I_HgoecJQ) .

Job Summary

Under direction of the Manager of Clinical Vendor Performance, the Program Manager II is responsible for projects and initiatives with significant cross-functional interface that support assigned programs and/or vendors. Responsibilities include managing major departmental programs with significant cross functional interface with moderate complexity, risk and/or cost. Responsibility may include development of new programs as well as management of ongoing programs. Changes to programs require some negotiation and change management skills to implement. By using knowledge of the company, the Program Manager II should be able to resolve most roadblocks to ensure success and progress. The Program Manager II should make recommendations for change by performing cost/benefit analysis and by using basic analytical and problem solving capabilities to support the recommendation. Will also directly interact with internal and external leadership from both Tufts Health Plan and key clients and/or vendors.

Key Responsibilities/Duties – what you will be doing

KEY RESPONSIBILITIES/ESSENTIAL FUNCTIONS

Manage ongoing assigned program operations and/or vendors. This may include working with multiple areas within the organization and directly with clients and/or vendors to ensure effective, accurate, timely processes and workflows. Use analytic skills to develop or improve programs including business opportunity definition and research

Perform detailed policy and impact analysis as it relates to the current programs, clients and/or vendors; make recommendations for process and/or policy change; present to various levels of the organization and the client the findings and summary options. This includes determining data scope, consulting with many THP staff, performing analyses, and determining both quantitative and qualitative business implications.

Lead and/or manage projects and/or initiatives by representing program operations during planning and implementation phases. This may include support of other company programs and c oordinating issue resolution with relevant functional business areas, and leading and/or facilitating planning and review sessions

Lead regular cross functional informational or working meetings, including effective agenda planning, facilitation, and tracking/follow up on deliverables until closed.

Qualifications – what you need to perform the job

EDUCATION: (Minimum educations & certifications required)

Bachelor’s Degree or equivalent work experience is required.

Clinical experience preferred (RN) (BSN) (LSW)

EXPERIENCE: (Years of experience)

3-5 years of health plan experience with 6-8 years working experience

Program management or equivalent experience leading significant department level initiatives

SKILL REQUIREMENTS: (Include interpersonal skills)

Excellent verbal and written communication skills generally acquired through college or other advanced education is required Well developed verbal and written skills, ability to facilitate planning

and review sessions.

High level presentation skills including ability to interface effectively with external contacts and/or clients

Ability to exercise sound judgment and raise issues to appropriate team members or management for resolution

Ability to conceptualize the impact of change and propose new methods of conducting business

Ability to use analytical skills to develop new or implement change to existing program functions

Ability to interpret and explain the implications of planned changes to current state business units

Ability to problem solve and overcome obstacles to ensure successful program operations

Technical skills:

Proficiency with MS Office applications (Word, Excel, PowerPoint)

Ability to utilize multiple applications simultaneously

Interpersonal skills

Requires the ability to work cooperatively as part of a team.

Must be able to effectively communicate with all internal departments in verbal and written formats.

Requires some presentation experience

Must be able to work in a matrix environment with minimal supervision

Security Clearance (if applicable):

The position may require a background investigation and fingerprint form on file with the US Office of Personnel Management. Questionnaire For Public Trust Position (standard form 85P) must be completed and approved.

Access to several secure government websites may be needed.

WORKING CONDITIONS AND ADDITIONAL REQUIREMENTS (include special requirements, e.g., lifting, travel, overtime)

May require occasional evening or weekend hours as the needs of the program dictate. May require occasional client site visits and participation in off -site activities. May require occasional business travel.

CONFIDENTIAL DATA: All information (written, verbal, electronic, etc.) that an employee encounters while working at Tufts Health Plan is considered confidential. Will be exposed to and required to deal with highly confidential and sensitive material and must adhere to corporate compliance policy and department guidelines/policies and all applicable laws and regulations at all times.

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.

At Point32Health, we strive to be a different kind of nonprofit health and well-being company, with a broad range of health plans, and innovative tools that make navigating health and well-being easier, guiding our members at every step of their health care journey to better health outcomes. We are committed to providing high-quality and affordable health care, improving the health and wellness of our members, and creating healthier communities across the country. The Point32Health name is inspired by the 32 points on a compass. It speaks to the critical role we play in guiding and empowering the people we serve to achieve healthier lives. Our employees are hard-working, innovative, and collaborative. They look for opportunities to grow and make a difference, and they help make us strive to be one of the Top Places to work in New England.