The Lead Financial Planning Analyst will oversee budgeting processes, conduct financial analysis, manage monthly expense reviews, and collaborate closely with operational leads to ensure financial accuracy. This role emphasizes proactive communication and efficiency in financial operations to support various enterprise functions.

The Senior Network & Provider Analytics Analyst at Point32Health will manage data analysis and reporting for provider contracts, focusing on financial metrics and medical cost trends. They will work independently to identify cost-saving opportunities, perform in-depth analytics, and lead projects while communicating effectively with stakeholders.

The Technical Program Manager at Point32Health leads the management of complex, technology-intensive projects, ensuring compliance with project management methodologies. This role includes capturing business requirements, managing cross-functional processes, and driving performance improvements to enhance customer satisfaction. The manager also mentors project staff and develops strategies considering interdependencies and business impacts.

The Senior Marketing Specialist at Point32Health will collaborate with various stakeholders to analyze business requirements and propose analytic-based solutions. This role includes project management duties under minimal supervision, focusing on planning and executing system changes and improvements while ensuring stakeholder communication and accountability.

The Sr Provider Audit Analyst is responsible for auditing claims for accuracy in coding, benefits, and payments. The role requires analysis of data to identify errors and trends, promoting recovery of incorrect payments, and collaboration with various departments to ensure compliance and operational efficiency.

The Sr. Data Analyst for Risk Adjustment is responsible for data submission integrity, handling internal reconciliations, monitoring submission trends, and enhancing reporting processes. Key tasks involve using analytical tools to generate reports, collaborating with stakeholders, and conducting data analysis to support risk adjustment initiatives.

The Sr Provider Audit Analyst is responsible for reviewing claims for coding and payment accuracy, analyzing data for recovery of inaccurate payments, and coordinating with various departments. The role requires critical thinking on policy-related issues affecting financial and operational aspects.

The Project Director at Point32Health will manage complex multi-institutional research initiatives, ensuring project integrity and success. Responsibilities include strategic planning, stakeholder collaboration, budget oversight, and maintaining project documentation. A background in pharmaceutical or CRO industry is preferred, alongside strong leadership and communication skills.

The Administrative/Project Specialist supports the Therapeutics Research and Infectious Disease Epidemiology group by managing calendars, providing administrative support, assisting with grant applications, coordinating meetings, and handling special projects.

As an Accountant at Point32Health, you will participate in the monthly financial closing process, prepare journal entries and reports in Oracle, maintain account analysis, assist with various financial settlements, and support quarterly filings and audits.

The Senior Data Analyst at Point32Health will utilize advanced analytics and data visualization skills to provide insights on business performance. This role requires strong relationship-building to address customer needs while operationalizing analytics within business processes. Responsibilities include analyzing complex data, mentoring junior analysts, and engaging stakeholders in strategic decision-making.

The Actuarial Analyst I supports various financial and actuarial functions including rate reviews, financial planning, and provider risk analysis. They work collaboratively with departments like underwriting and medical management, leveraging their analytical skills and familiarity with data systems.

The Sr Provider Audit Analyst reviews claims for coding and payment accuracy, analyzes data to identify payment inaccuracies, and manages recovery processes. This role requires critical thinking about healthcare contracts and policies, coordinating with various internal departments to implement recovery strategies and improve financial outcomes for the organization.

The Senior Market Finance Consultant at Point32Health acts as a key financial partner to business leaders, focusing on optimizing financial performance, conducting monthly P&L analysis, driving budgeting and forecasting efforts, and providing actionable insights to support strategic initiatives.

The IT Audit Manager leads technology-related audit activities, ensuring timely and quality completion of audit work, developing and monitoring audit procedures, and providing feedback to the audit team. They build relationships with management to support the annual risk assessment and follow up on action plans.

The Project Manager II leads complex projects for the Medical Economics team, ensuring successful delivery within scope, schedule, and budget. Responsibilities include planning, monitoring, risk management, and communication with stakeholders. The role also involves mentoring junior team members and conducting post-project reviews to enhance future projects.

The Appeals & Grievances QA Auditor audits the quality of grievance and appeals entries ensuring compliance with policies. Responsibilities include reviewing casework, providing feedback, tracking audit findings, leading meetings to discuss issues, and assisting with training opportunities. The role demands high attention to detail and effective communication.

The Sr Business System Analyst will maintain and enhance rating systems for Harvard Pilgrim, overseeing development, configuration of rating rules, and system analytics. The role includes report generation and process efficiency while guiding junior analysts. Additionally, it requires translating business needs into technical requirements.

The Appeals & Grievance Analyst manages member appeals and grievances by ensuring compliance with State and Federal regulations. Responsibilities include acting as a member advocate, coordinating case documentation, investigating complaints, and communicating final decisions to members. The role requires collaboration with various internal and external parties while maintaining superior customer service throughout the process.

The Senior Project Manager will oversee large, complex, multi-site research projects, ensuring goals are met within budget and timeline while managing risks and stakeholder needs. They will be responsible for project planning, data management, financial tracking, and team collaboration, primarily in drug safety and effectiveness research.