The Administrative/Project Specialist provides organizational support to faculty and team members, manages calendars, handles communications, and assists with grant submissions, meetings, and special projects.

Lead the design and delivery of digital solutions for healthcare experiences. Oversee product lifecycle, stakeholder engagement, and team development while enhancing user experiences on digital platforms.

The Director leads the configuration strategy for claims adjudication systems, manages teams, oversees vendor partnerships, and drives operational improvements while ensuring compliance and quality member experience.

The Director of Network Contracting leads contract strategy and negotiation for provider networks, focusing on membership growth and quality performance. This role manages a team and collaborates across multiple divisions, ensuring effective relationships with strategic providers and compliance with regulations.

The Manager of Product Strategy for D-SNPs drives strategic initiatives for growth and compliance, collaborates cross-functionally, and evaluates product performance to enhance member experience.

The Appeals and Grievances Analyst manages member appeal and grievance cases, ensuring compliance with regulations and providing superior customer service during the process.

The Research Assistant supports a project on biosimilar drug use, conducting literature searches, reviewing patents, coordinating data collection, and assisting the project team with various tasks.

The Manager oversees contract negotiations with allied health providers, leads a team of contract managers, and ensures smooth contract transitions while meeting financial and legal objectives.

The Appeals and Grievance Analyst manages member appeals and grievances, ensuring compliance with regulations while providing excellent customer service and benefit interpretation.

The Manager will lead the Risk Adjustment Operations & Provider Consulting team, focusing on program management, provider engagement, and risk adjustment strategies for healthcare services. Responsibilities include analyzing risk score data, managing vendor contracts, leading strategic planning efforts, and developing financial reporting for various health plan products.

The Senior Manager of Compliance Program will oversee compliance operations, manage compliance risks, and ensure adherence to Medicare and Medicaid regulations, while leading a team and collaborating with leadership.

Responsible for managing legal interests, representing in litigation, drafting contracts, providing legal advice, and supporting compliance within Point32Health.

The Appeals and Grievance Analyst manages member appeals and grievances, ensuring compliance with regulations, providing customer service, and coordinating documentation for reviews.

The Analyst manages member appeals and grievances, ensuring compliance with regulations, and provides superior customer service while preparing cases for review and resolution.

The Appeals and Grievance Analyst manages member appeals and grievances while ensuring compliance with regulations and providing excellent customer service. Responsibilities include documentation, investigation, and resolution of cases.

Lead a team to analyze and improve Point32Health's information security environment, developing measures for data confidentiality, integrity, and availability. Collaborate with IT and business organizations to ensure security compliance and communicate security concerns to leadership.

The Senior Network Performance Analyst will analyze healthcare provider contracts, lead cost-saving initiatives, and generate actionable financial analytics.

Manage clinical pharmacy operations, lead a team executing pharmacy programs, ensure compliance with regulations, and drive cost-efficiency initiatives.

The Clinical Pharmacist manages pharmacy prior authorization requests, ensures timely coverage determinations, and collaborates with medical directors. They provide clinical support and address quality issues with pharmacy technicians.

The Data Analyst will analyze claim trends for potential fraud, develop analytic use cases, apply statistics, and present findings to business owners. They will also work on quality assurance and documentation, and collaborate with cross-functional teams on provider cost trends and performance.