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

Facilitate all processes related to maintenance of Commercial Pricing and Forecasting team data and internal and external reporting needs. The analyst will work closely with leaders on the team, as well as IT and Finance.

An understanding of the health insurance industry, a working knowledge of industry code sets (e.g., diagnoses, procedures, paces of service, etc.), proficiency in relational databases, data warehouses, SAS or related query language, Excel, as well as strong communication and interpersonal skills are required.

Job Description

Maintain team data sets
- run monthly process to update membership, claims, and premium data
- check this data against other sources and investigate variances
Regulatory Reporting
- run queries of data warehouses to support regulatory and other reporting
- independently check these results
- present preliminary reports to team leaders

Support other reporting and ad hoc analyses

QUALIFICATIONS – what you need to perform the job

EDUCATION, CERTIFICATION AND LICENSURE:

College degree required

EXPERIENCE (minimum years required):

3+ year’s experience

SKILL REQUIREMENTS:

Demonstrated experience in analytic work
Proficiency in the use of personal computers, relational databases, statistical packages, spreadsheet and/or database applications
Well-developed verbal and written skills
Able to facilitate planning and review sessions
Developing presentation skills, presents mostly within department and to project teams
Able to operate in a matrix environment
Able to implement Actuarial department standards and processes.
Must be able to work cooperatively as a team member.Regular interface with various levels of staff and management is required as well.

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.

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