Point32Health
Manager, Provider Engagement
Point32Health, Canton, Massachusetts, us, 02021
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 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
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.
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 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
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.