Search the 19 jobs at Point32Health

The Compliance Program Manager III will manage compliance programs and regulatory projects with significant complexity, including compliance-focused audits. Responsibilities include leading cross-functional initiatives, performing risk analyses, and collaborating with leadership to ensure effective compliance oversight.

The HR Coordinator will manage HR administrative tasks, respond to colleague inquiries, and enhance HR operations within the HR Shared Services Center. Responsibilities include data management, onboarding/offboarding support, policy adherence, colleague relations support, and continuous improvement of HR processes.

The Procurement Analyst supports strategic sourcing, process improvement, and value creation initiatives within Point32Health's Procurement. Key responsibilities include conducting analyses using Excel and Tableau, analyzing spend for cost reduction opportunities, managing supplier performance, and developing dashboards to track procurement savings and performance metrics.

The Sr. Data Analyst will support risk adjustment strategies by managing vendor relationships, performing data analysis, developing reports, and evaluating program and vendor performance. The role involves extracting and transforming data using tools like SAS and SQL while ensuring quality and organization of data across various departments.

The Project Manager I is responsible for managing major departmental projects with a significant cross-functional interface, ensuring goals are met within time and budget. They lead teams, identify and resolve conflicts, manage resources, and coach less experienced project managers.

The Provider Account Manager II oversees provider relationships at Point32Health, addressing escalated issues and coordinating with various teams to enhance provider satisfaction and business strategies. This role includes tracking operational issues, facilitating meetings, and recommending process improvements.

The Appeals and Grievance Analyst manages member appeals and grievances by ensuring compliance with regulatory standards, communicating effectively with members and stakeholders, and coordinating the necessary documentation and investigations for resolution. Responsibilities include member advocacy and presenting cases to committees for review.

The Sr Actuarial Analyst conducts independent analysis and data development for financial and actuarial functions including product pricing, financial planning, and provider risk analysis. They guide junior staff and collaborate with various departments to execute projects from inception to conclusion using data systems and statistical modeling.

The Product Owner, Intranet will enhance internal communications by managing the intranet platform, developing a strategic vision, and collaborating with stakeholders. Responsibilities include content management, user engagement analysis, and overseeing daily operations while tracking metrics for continuous improvement.

This role involves managing financial planning projects, overseeing cross-functional programs, ensuring compliance with regulations, facilitating meetings, and streamlining FP&A processes. The Senior Manager will communicate strategic financial insights to stakeholders and lead staff in project management best practices.

The Lead Financial Planning Analyst provides financial support to various enterprise areas, managing budgets, conducting financial analysis, and coordinating with operational metrics. Responsibilities include executing budgeting processes, conducting expense reviews, and collaborating with finance and operational teams to enhance decision-making and performance efficiency.

The Actuarial Analyst II at Point32Health will develop and file rates, enhance forecasting and pricing models, monitor experience and industry data, and present findings. The role requires executing analytical tasks independently and collaborating with various departments to support business functions in the health insurance industry.

The Senior Consultant will lead strategic planning and capital management efforts by developing a 5-year financial model, evaluating capital requests, and reporting on strategic goals. This role involves collaboration with various teams to analyze financial options and create business cases, supporting the organization’s strategic direction through informed decision-making and comprehensive financial assessments.

The Finance Operations Analyst manages various operational processes related to financial transactions, including claims disbursement and provider collections. They ensure accurate transaction processing, coordinate with teams on financial disbursements, assist in corporate projects, and maintain effective communication with partners.

The Senior Manager of Compliance will lead the execution of compliance strategies for Medicare and Dual Programs, manage regulatory compliance infrastructure, maintain relationships with regulators, develop policies, conduct investigations, oversee administrative tasks, monitor compliance performance, and ensure adherence to federal and state laws.

The Senior Actuarial Analyst will support the financial forecasting and pricing needs for Medicare Supplement Products and Medicare Part D. Responsibilities include data analysis for financial planning, product development, and medical cost containment, collaborating with various departments, and utilizing software packages like SAS and Excel.

The Senior Actuarial Analyst supports the Medicare Part C pricing work, focusing on pricing, rate filing development, and strategic analysis. Responsibilities include preparing and submitting Medicare Advantage bids, maintaining and developing pricing models, collaborating with business partners, and ensuring compliance with CMS regulations while using software tools such as SAS and Excel.

The Sr Network Consultant at Point32Health will develop and manage annual network strategies, oversee complex initiatives across multiple business units, and ensure alignment with business goals. They will provide expertise in data-driven recommendations, collaborate with cross-functional teams, and lead efforts for timely execution of projects.

As an HR Coordinator, you will be responsible for handling HR administrative tasks, providing support to colleagues and managers, maintaining data accuracy, and contributing to the efficiency of HR operations.