Point32Health

Point32Health

Director, Medical Policy

Canton, MA · Director

Sponsorship not specifiedDetected 31 days ago
Project ManagementStakeholder ManagementLeadershipCommunicationCollaborationMentoringOrganizational Skills

About the role

  • The Director, Medical Policy has responsibility for leading the organization's enterprise Medical Policy department activities.
  • The Director will demonstrate subject matter expertise in the areas of medical technology assessment and medical policy development and implementation for the organization.
  • She/he ensures that initiatives are on schedule and within budget, and guides strategy, policies, and protocols in accordance with organizational goals.

Responsibilities

  • Proven ability to achieve goals, deliver "bottom line" results, successfully lead people and work at all levels of an organization to achieve the intended results
  • Ensures appropriate department documentation and structure to support reliable departmental and interdepartmental performance and functionality
  • Continually evaluates opportunities to support organizational effectiveness and priorities and marshalls dedicated work efforts to reach corporate goals and objectives
  • May need to coordinate the participation of other internal contacts to develop and or maintain programs.
  • We enjoy the important work we do every day in service to our members, partners, colleagues and communities.
  • He/she is responsible to identify and oversee the analysis and implementation of process changes to improve administrative efficiencies and optimize results and value for his/her teams' work.

Requirements

  • Must be able to work under normal office conditions and work from home as required.
  • May be required to work additional hours beyond standard work schedule.
  • They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of employees assigned to this position.
  • Using knowledge of company, able to resolve most roadblocks to program progress.
  • May be required to coach/mentor less experienced program managers and effectively lead in a matrixed environment.

Nice to have

  • Proficiency in computer use, specifically PC-based systems including advanced word processing, database management and spreadsheets.
  • Requires excellent written, oral communication and presentation skills, including experience in business writing, such as project proposals and descriptions.
  • Project management experience preferred
  • The ability to establish short and long-term goals that will achieve the needs of the company
  • must be able to establish realistic timelines and follow-through to meet those goals within the established time parameters
  • Preferred: Project management experience preferred

Skills

  • Strong communications skills (formal and informal, written and verbal)

Compensation

  • $161,904.80 -$242,857.20
  • 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
  • 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.

Benefits

  • 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.
  • 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.
  • Leads inter-departmental projects to maximize efficiency of resources, ensure application of regulatory requirements and ensure consistency of medical policy implementation and oversight of for our products.
  • Leads inter-departmental projects to maximize efficiency of resources, promote consistency of application of regulatory requirements and ensure consistency of medical policies for all lines of business, as appropriate.

Company info

  • 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.
  • Our culture revolves around being a community of care and having shared values that guide our behaviors and decisions.
  • 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.
  • Learn more about who we are at Point32Health.
  • He/she leads cross departmental and cross company initiatives, and may represent Point32Health to outside organizations, vendors and agencies related to these functions.
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This listing is sourced directly from Point32Health's careers page and normalized into a canonical job model.