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.

Job Summary

The product planning Specialist will assist the manager of NPVR Triage in Commercial Product Management. The specialist will intake, analyze, and configure request for large group new plan builds in the NPVR request system. The specialist will have knowledge of product filing ranges, compliance roles, and strategic benefit standards. The specialist will work with product management staff, sales staff, product data operations management staff, and others as appropriate.

Product Planning functions:
• Intake, track, and coordinate responses to product questions received through Product team’s benefit inquires mailbox
• Clarify benefits and product rules for internal staff and departments
• Identify product issues and resolve
• Support interdepartmental team meeting to address cross functional product issues – claims, clinical, customer service, etc.
• Support vendor relationship management as necessary, including tracking vendor benefit administration issues and working with vendor and internal stakeholders to resolve
• Other duties and projects as assigned.

Job Description

Education

Required (minimum): Bachelor’s degree
Preferred: Masters’ degree

Experience

Required (minimum) 1-3 years of professional experience
Preferred: 1-3 years of experience in product planning and healthcare
Strong understanding of the managed care field preferably Medicare Advantage plans a plus
Strong understanding of Product Management and Product Development a plus
Experience with Health Plan Management System (HPMS) and CMS PBP software a plus

Skill Requirements

Strong analytical skills.
Strong skills and prior experience with productivity tools such as Excel, Word, and PowerPoint.
Good organizational, communication and facilitation skills are required.
Ability to work cross functionally as well as ability to work cooperatively as a team member.
Strong project and time management skills.
Independent thinker.
Must possess maturity and a high degree of professionalism as this role requires interaction with senior leaders.
Must be able to deal with complexity and uncertainty.
Must be a self-starter, think creatively, take responsibility, be extremely resourceful and have a high energy level.

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.

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