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Point32Health Senior Manager – Senior Products Pricing in Canton, Massachusetts

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 (https://youtu.be/S5I_HgoecJQ) .

Job Summary

The Senior Manager position leads pricing and forecasting activities that support Senior Markets. Responsibilities include oversight of Medicare Bids, Forecasting, Strategy Analytics and Business Performance Analytics for a subset of Point32Health’s Senior Markets. The role is high visibility and works directly with Market, Product, Contracting and Finance leaders and indirectly with all areas of the organization. The position has a staff of managers, healthcare analysts, actuarial students and/or credentialed actuaries and requires mentoring and training of staff as well as supporting recruitment and development activities.

A thorough understanding of the health insurance industry, managed care pricing and forecasting, as well as proficiency in relational databases, data warehouse, Excel and statistical modeling are required. Exceptional interpersonal and presentation skills are a must. Advanced management skills are also required as this position will have a staff of analysts and/or actuarial students and junior managers.

Key Responsibilities/Duties – what you will be doing

  • Recruits, trains, develops, and supervises analyst- and/or management-level staff through direct or matrix reporting

  • Identifies and addresses development needs of Healthcare Analysts, Actuarial Analysts and Associate Actuaries through coaching and oversight.

  • Assists Director in translating corporate and department goals into specific initiatives. Leads some cross-function processes. Integrates work across business functions within/outside department, and external to Point32Health where relevant.

  • Assists Director in developing appropriate staffing or team organization to support objectives. Sets standards and goals for individual and team performance.

  • Defines key objectives of technical processes developed by others and assures deliverables meet stated objectives

  • Evaluates current technical processes developed by their team and/or others and makes suggestions for improvements and/or increased efficiency

  • Develops criteria to validate results in light of prior expectations; investigates unusual results and offers explanations

  • Assists colleagues and staff with validation/checking activities

  • Ensures accuracy of deliverables through oversight of the work of others

  • Conducts peer review; challenges results and assumptions to assure quality and accuracy

  • Assists Director in defining quality standards and acceptable tolerance levels for error

  • Integrates information from multiple sources to interpret results in larger business context

  • Vets results with organizational stakeholders to gain alternative views and reach agreement on interpretation

  • Identifies implications of results for departmental or corporate action (e.g., new programs, new methodology, key business decisions)

  • Ensures that deliverables meet stakeholder needs and are packaged and presented to facilitate understanding and action

  • Packages and presents results to draw conclusions and influence decision-making by senior management

  • Assists Director in leading decision-making processes using analytic results

Qualifications – what you need to perform the job

Education, Certification and Licensure

  • College degree in related field or equivalent education/training

  • ASA or FSA designation

Experience (minimum years required) :

  • 8+ years of responsible healthcare actuarial/analytic experience

  • Experience with and understanding of the health insurance industry

  • Experience managing teams and individuals in a direct report and/or matrix environment

  • Experience in analytic project design and building of complex technical applications

Skill Requirements

  • Well-developed skills to influence interdepartmental teams, steering committees, and senior management.

  • Able to navigate political issues using advanced organizational knowledge.

  • Management:

  • Experience managing teams and individuals in a direct report and/or matrix environment

  • Able to mentor and develop staff using situational leadership techniques

  • Able to develop and lead junior managers / highly skilled individual contributors

  • Assist Director in managing change and motivating teams to be high performing

  • Analytic:

  • Demonstrated experience in analytic project design

  • Specific experience in measuring financial outcomes of population health, medical management, and other health care service program

  • Technical:

  • Proficiency in the use of personal computers

  • Sufficient understanding of relational databases, statistical packages, spreadsheet and/or database applications to oversee work of others

  • Communication/Presentation skills:

  • Highly developed verbal and written skills

  • Able to facilitate planning and review sessions with senior Point32Health management

  • Well-developed presentation skills; presents to senior Point32Health management

  • Able to effectively manage difficult group dynamics to effectively reach a positive outcome

  • Able to present to highest level of company management

  • Negotiation/Leadership skills:

  • Able to operate in a matrix environment

Salary Range

174,200-225,435

Compensation & Total Rewards Overview

The annual base salary range provided for this position represents a broad range of salaries for this role and similar roles across the organization. The actual salary for this position will be determined by several factors, including the scope and complexity of the role; the skills, education, training, credentials, and experience of the candidate; equity with internal colleagues; and other conditions of employment. 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.

At Point32Health, we strive to be a different kind of nonprofit health and well-being company, with a broad range of health plans, and innovative tools that make navigating health and well-being easier, guiding our members at every step of their health care journey to better health outcomes. We are committed to providing high-quality and affordable health care, improving the health and wellness of our members, and creating healthier communities across the country. The Point32Health name is inspired by the 32 points on a compass. It speaks to the critical role we play in guiding and empowering the people we serve to achieve healthier lives. Our employees are hard-working, innovative, and collaborative. They look for opportunities to grow and make a difference, and they help make us strive to be one of the Top Places to work in New England.

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