Manager, Provider Engagement at Point32Health, Inc.

Posted in Health Care about 19 hours ago.

Type: Full Time
Location: Canton, Massachusetts





Job Description:

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.

Job Summary

The Manager of Provider Engagement plays a critical role in the success of Point32Health's provider network strategy. Reporting to the Director of Provider Engagement, the Manager of Provider Engagement leads a team of high performing, individual contributors responsible for establishing and maintaining strong relationships with the Point32Health provider network and oversees the development of performance and engagement plans between provider organizations and Point32Health.

The Manager, Provider Engagement is responsible for ensuring Senior/Provider Engagement Managers function with a high degree of professionalism and accountability to both represent the best of Point32Health to the Provider Network, and to represent the provider organizations within Point32Health. The Manager, Provider Engagement will provide guidance and direction to resolve complex healthcare operational and performance issues. This individual will work collaboratively with internal business partners to ensure clear points of contact/responsibility for research and resolution of operational issues identified by provider organizations. The Manager will work across the provider organizations to identify any trends or systematic issues and engage internal resources to develop strategies and solutions to advance the provider experience with Point32Health.

Key Responsibilities/Duties - what you will be doing


  • Lead a team of high performing, individual contributors responsible for establishing and maintaining strong relationships with the Point32Health provider network through successful issue resolution and proactive engagement

  • Oversee performance and engagement plans with provider organizations and Point32Health.

  • Responsible for identifying trends or systematic issues and collaboratively engaging with internal stakeholders to develop strategies to advance provider experience with Point32Health. Lead the resolution of escalated inquiries, root cause identification and formulation of corrective action plans

  • Demonstrate ability to manage thru influence as the position will rely on colleagues across the enterprise to work collaboratively to resolve provider organization issues and concerns.

  • Utilize analytic tools (e.g., Tableau) to review performance trends and identify drivers of performance and potential opportunities for improvement

  • Efficient and effective management of team resources to advance the Provider experience with Point32Health.

  • Regularly lead and participate in teams to resolve issues, modify policies, or implement strategic directions

  • Recruit, train and develop talent; provide coaching, feedback and direction to staff to support development

  • Other duties and projects as assigned.

Qualifications - what you need to perform the job

Certification and Licensure

Education


  • Required (minimum): Bachelor's degree in a related field.

  • Preferred: Master's degree

Experience


  • Required (minimum): 5-7 years of experience in health plans, managed care, practice management, integrated delivery systems or health care analytics, with at least 2-3 of those years having experience in managing a team or department.

  • Preferred: 8-10 years of related work experience.

Skill Requirements


  • Demonstrated leadership ability

  • Fosters an accountable and productive team environment

  • Accessible and approachable

  • Ability to work through complex issues and problems with direct reports, provider groups and other key stakeholders

  • Exceptional judgement to escalate issues and deescalate issues with providers

  • Strong verbal and written communication

  • Sophisticated presentation skills, ability to explain complex concepts and information

  • Comprehensive knowledge of Value Based Care concepts

  • Ability to work in fast paced, changing environment

  • Strong analytic and critical thinking skills

Working Conditions and Additional Requirements (include special requirements, e.g., lifting, travel):


  • Must be able to work under normal office conditions and work from home as required.

  • Work may require simultaneous use of a telephone/headset and PC/keyboard and sitting for extended durations.

  • May be required to work additional hours beyond standard work schedule.

The above statements are intended to describe the general nature and level of work being performed by employees assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of employees assigned to this position. Management retains the discretion to add to or change the duties of the position at any time.

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.

Scam Alert: Point32Health has recently become aware of job posting scams where unauthorized individuals posing as Point32Health recruiters have placed job advertisements and reached out to potential candidates. These advertisements or individuals may ask the applicant to make a payment. Point32Health would never ask an applicant to make a payment related to a job application or job offer, or to pay for workplace equipment. If you have any concerns about the legitimacy of a job posting or recruiting contact, you may contact TA_operations@point32health.org

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