Jobs at Point32Health

The Senior Manager leads product strategy for dual eligible markets, collaborating with various teams to drive growth, performance tracking, and improvement initiatives in compliance with healthcare regulatory standards.

Lead business analysis efforts to gather and document requirements, map and improve complex processes, develop dashboards and KPIs, support implementations and compliance, mentor junior BAs, and coordinate cross-functional teams for successful project delivery.

Lead cross-functional consulting engagements to diagnose operational and strategic issues, perform quantitative and qualitative analyses, synthesize insights, and deliver actionable recommendations. Manage workstreams, stakeholder engagement, implementation planning, and produce consulting deliverables using established departmental methodology.

The Product Manager develops and implements product strategies in health insurance, collaborating with teams, gathering stakeholder input, and monitoring product performance.

The Senior IT Internal Auditor evaluates internal controls, assists with audits, prepares audit workpapers, and ensures completion of management action plans.

The Senior Contract Manager leads contract negotiations with healthcare providers, ensuring compliance with financial and legal guidelines, and manages key stakeholder relationships.

Analyze, track, and summarize federal health legislation and regulations; develop policy positions and thought leadership; advise business leaders and stakeholders on operational and regulatory impacts; support implementation of new federal guidance; engage with federal stakeholders and trade associations to advance organizational priorities.

Provide HR shared-services support across the colleague life cycle: handle colleague inquiries, manage case management system, maintain HR data and records, process HR transactions, assist onboarding/offboarding, support colleague relations and training logistics, and identify process improvements to increase operational efficiency.

The Executive Assistant supports senior executives by managing calendars, scheduling meetings, tracking budgets, and preparing reports. They also handle calls, edit correspondence, and assist with onboarding new hires.

Review and manage pharmacy prior authorization requests and coverage determinations, consult with medical directors on complex cases, communicate with members and providers, perform medication management and reconciliation for complex patients, support utilization management policy interpretation, liaise across departments, and participate in quality, risk management, and care coordination activities.

The Internal Controls Manager leads MAR and SOC reporting programs, ensuring compliance, audit readiness, and collaborating with Finance, IT, and external auditors to uphold control integrity.

The Sr Data Analyst manages data submissions for regulatory compliance, oversees data analytics processes, and collaborates with stakeholders to enhance data quality and reporting.

The Sr Business System Analyst will lead business process analysis, gather system requirements, and implement technology solutions while collaborating with various departments and mentoring junior analysts.

Lead complex investigations related to fraud, waste, and abuse in healthcare, developing strategies and action plans to prevent future losses. Collaborate with various teams and educate providers on FWA concerns while documenting findings.

The Sr Program Manager leads complex healthcare programs, ensuring effective execution of initiatives, managing risks, and team leadership across multiple departments.

The Instructional Design Specialist creates interactive learning materials, manages instructional design projects, consults with stakeholders, evaluates training effectiveness, and fosters strong relationships to enhance organizational learning solutions.

The Senior Training Specialist delivers training programs, collaborates with SMEs, creates engaging learning environments, and mentors peers while handling complex training issues.

The Program Manager II manages cross-functional projects and initiatives, overseeing operations, policy analysis, stakeholder engagement, and program development, ensuring successful execution and continuous improvement.

The Lead Financial Planning Analyst supports expense management, budgeting, financial analysis, and reporting for various operational areas, ensuring effective cost control and strategic recommendations.

The Procurement Category Manager manages vendor relationships, contract negotiations, and performance measurements across indirect categories, ensuring optimal value and risk management.