The analyst will monitor, analyze, and communicate federal legislative and regulatory initiatives that impact the organization's business operations. They will collaborate with internal stakeholders and external partners to develop policy positions and provide technical support for implementation activities.
Point32Health
7 Remote Job Openings at Point32Health
The Research Fellow will conduct research projects under faculty guidance, including developing protocols and analyzing complex healthcare data. They will also prepare manuscripts for peer-reviewed journals and present findings to internal and external audiences.
Manages Utilization Management clinicians and oversees medical management activities for acute inpatient, rehabilitation, and skilled nursing facilities. Accountable for implementing operational measures, ensuring regulatory compliance, and developing team managers to optimize member care experiences.
Handle inbound calls to assist members with health insurance benefits, claims, and eligibility while navigating the healthcare system. Act as a member champion to resolve issues internally and externally with providers and employers.
The role is responsible for evolving and maintaining the Disaster Recovery framework, plans, and standards to ensure organizational resilience. This includes coordinating DR testing, tracking remediation of gaps, and reporting readiness maturity to leadership.
Manage cross-functional programs and vendor operations to ensure effective workflows and timely processes. Lead project planning, perform impact analyses, and make data-driven recommendations for policy and process improvements.
Care Manager - Bilingual preferred (Mandarin/Cantonese, Spanish a plus)
Point32Health
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Full Time
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2 months ago
Point32Health
The Care Manager ensures members receive timely care management, including transitions of care, complex case management, and chronic condition interventions. They collaborate with members, caregivers, and providers to develop and implement member-specific plans of care to improve health outcomes.
