$80K — $100K *
We enjoy the important work we do every day on behalf of our members.
Please note: As of Nov. 1, 2021, full vaccination against COVID-19 is required to enter any Point32Health office or if, on behalf of Point32Health, you are meeting in-person with individuals outside of a Point32Health office. As of Dec. 8, 2021, all employees — including remote employees — must be fully vaccinated. This position will require the successful candidate to show proof of full vaccination against COVID-19. Point32Health is an equal opportunity employer, and will consider reasonable accommodation to those individuals who are unable to be vaccinated consistent with federal, state, and local law.
Under the direction of the Director, Medical Cost Innovation, the Program Manager is responsible for supporting the assessment and planning for Medical Cost Innovation initiatives (and potentially the execution of a few initiatives) across all divisions by 1) analyzing the value of their programs, 2) building business cases and tracking the development of the programs, and 3) providing strategic insight into areas of focus/opportunities.
KEY RESPONSIBILITIES/ ESSENTIAL FUNCTIONS
1. Pipeline Development: As part of the core MCI team, participate in developing new ideas and approaches to Medical Cost Innovation mainly through focused research to identify new programs and interventions to address various categories of medical spend by site of service/ diagnostic categories/ body systems.
a. Manages complex assessments and initiatives, collaborates through cross-functional teams to demonstrate value, and champions high-impact ideas and levers.
b. Support execution activities as needed to ensure success.
2. Assessment and Planning of Initiatives: In collaboration with business owners and stakeholders..
a. Complete evaluations/ assessments/ business cases
Responsible for developing the business case, including financial projections and ROI, for key initiatives. Collaborate with Finance/Actuarial teams to validate savings projections. Support meeting readiness and facilitation for stakeholder meetings, program governance, ideation, and approvals
b. Support completion of templates and coordination with Actuarial, divisional and other teams for input. Help support project execution for high priority initiatives.
c. Conduct implementation planning sessions and develops implementation plans/ timelines.
3. Manage Specific Assessments: In collaboration with stakeholders and business owners, manage the assessment and implementation planning of specific projects.
a. Support meeting readiness and facilitation for stakeholder meetings, program governance, ideation, and approvals
b. Oversee the overall Program Tracker and initiative-specific templates.
Significant emphasis will be placed on frequent and meaningful interactions with business segments and functional department leadership to ensure that medical cost initiatives are identified and executed in a timely manner
EDUCATION: Bachelor's Degree required; Master's or other advanced degree preferred.
EXPERIENCE: 6-8 years’ experience in a managed care environment; clinical background will be a plus
Previous health plan or consulting experience, preferably in one of more of the following areas: finance, analytics, medical cost management
Ability to manage major programs with significant cross-functional interface, complexity, risk.
Able to evaluate the cost and feasibility of multiple options/ alternatives to resolve program issues and make recommendations.
Highly developed verbal and written skills, ability to facilitate planning and review sessions with senior management, interact effectively with all levels of personnel, facilitate cross-departmental interactions and negotiations to drive consensus, generate creative and innovative ideas with compelling benefits to the organization.
Strong presentation, time management and organizational skills.
Ability to work independently and prioritize multiple demands.
Requires sufficient comfort with subject matter content areas to manage the process and implementation of programs.
A strategic thinker who can synthesize information, assess implications, and formulate plans for action
Ability to lead and influence change in the face of complexity and ambiguity
Ability to work independently with limited direction, meticulous attention to detail, organization, and prioritization
Excellent quantitative and analytic skills with ability to synthesize complex information, create and evaluate options
Strong relationship building skills to influence and work collaboratively with physicians and other provider leaders
Lead in a matrixed work environment: (a) Influence other departments where you do not have direct authority, (b) Be persistent in following up with senior management and stakeholders from numerous departments,
Strong PC skills with MS Office (Word, Excel & PowerPoint), MS Project, and Visio.
WORKING CONDITIONS AND ADDITIONAL REQUIREMENTS: May require occasional evening or weekend hours as programs dictate. Travel/ overnight stays required on an as needed basis.
What we build together changes our customer's health for the better. We are looking for talented and innovative people to join our team. Come join us!
As of Nov. 1, 2021, full vaccination against COVID-19 is required to enter any Point32Health office or if, on behalf of Point32Health, you are meeting in-person with individuals outside of a Point32Health office. As of Dec. 8, 2021, all employees — including remote employees — must be fully vaccinated. This position will require the successful candidate to show proof of full vaccination against COVID-19. Point32Health is an equal opportunity employer, and will consider reasonable accommodation to those individuals who are unable to be vaccinated consistent with federal, state, and local law.
Valid through: 1/27/2022
$150K — $200K *
34 days ago