Who We Are

Point32Health is a leading not-for-profit health and well-being organization dedicated to delivering high-quality, affordable healthcare. Serving nearly 2 million members, Point32Health builds on the legacy of Harvard Pilgrim Health Care and Tufts Health Plan to provide access to care and empower healthier lives for everyone. Our culture revolves around being a community of care and having shared values that guide our behaviors and decisions. We’ve had a long-standing commitment to inclusion and equal healthcare access and outcomes, regardless of background; it’s at the core of who we are. We value the rich mix of backgrounds, perspectives, and experiences of all of our colleagues, which helps us to provide service with empathy and better understand and meet the needs of the communities where we serve, live, and work.

We enjoy the important work we do every day in service to our members, partners, colleagues and communities. Learn more about who we are at Point32Health.

Job Summary

The Performance Manager (Product Strategy) is responsible for supporting product strategy design, planning, and end-to-end performance management for Point32Health’s dual eligible products., inclusive of products serving under and over 65 members in Massachusetts (“One Care”, and “Senior Care Options”).

The Performance Manager leads Duals Products performance key processes associated with the product performance management plan across a highly matrixed organization and a broad set of external stakeholders. This role works closely with a cross-section of division and enterprise business and functional teams (operations, clinical services, network management, finance, and actuarial, etc.) to ensure appropriate product management and successful performance tracking and performance improvement.

The Manager is responsible for supporting the development of key performance targets, the completion of required analytical initiatives and the creation of action-oriented performance improvement recommendations based on analytic findings.

Under the direction of the Director of Product Strategy, the Manager contributes to building presentations of key business cases and updates to the senior leadership team to facilitate strategic decision-making.

Job Description

Key Responsibilities/Duties – what you will be doing (top five)

Analytics

• Support ongoing product and market assessment, including analysis of product performance and competitors
• Monitor product performance throughout the year and provide data-driven performance improvement recommendations across a variety of domains including medical trend, financial and operational performance, member/provider experience, care management, network development and compliance
• Assess and support performance management of vendors as applicable (for new services and product enhancements)
• Develop and maintain oversight of product dashboard and necessary reporting for the product performance
• Drive analysis and reporting standardization, where applicable, across Duals products
• Support ad hoc analytical initiatives required to evaluate and improve product performance
• Communicate product performance to internal and external stakeholders, including senior leadership

Strategy and Implementation

• Support the Director of Product Strategy, working collaboratively with the Policy and Strategy Manager to develop recommendations to optimize product performance in alignment with strategic aims of the products
• Develop recommendations for annual product design changes in bid process
• Implement key elements of the product performance management approach including financial targets, growth targets, and key performance indicators for key initiatives
• Serve as the key liaison for Actuarial, Finance, Risk Adjustment, Corporate Data and Analytics, Medical Cost Management, and Pharmacy amongst others
• Serve as liaison with key external vendors impacting product performance, e.g., Cityblock
• Build product competencies, in collaboration with the Policy and Strategy manager of Product Strategy to ensure analysis design, assessment and performance takeaways are rooted in product operations and regulatory and policy environment

Qualifications – what you need to perform the job

Certification and Licensure

• N/A

Education

• Required (minimum): Bachelor’s degree
• Preferred: Master’s in Public Health, Business Administration, or related field

Experience

• Required (minimum): 5 years in Medicare Advantage, Medicaid managed care, or healthcare product strategy.
• Preferred: 5 years of experience with D-SNPs or dual-eligible populations.

Skill Requirements

• Strong analytical, strategic thinking, and problem-solving skills.
• Excellent communication and stakeholder management abilities.
• Proficiency in data analysis tools and Microsoft Office Suite.
• Familiarity with quality improvement programs and value-based care models.
• Demonstrated success leading cross-functional healthcare projects

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.

Salary Range

$94,363.70 -$141,545.54

Compensation & Total Rewards Overview

The annual base salary range provided for this position represents a 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; as well as internal equity. 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/

We welcome all
All applicants are welcome and 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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