Current jobs related to Senior Vice President, Health Care Services - Canton, Massachusetts - Point32Health, Inc

  • Dining Server

    2 weeks ago

    Canton, Massachusetts, United States Brightview Senior Living Full time

    About Us: We are honored that Brightview Senior Living has been recognized as one of the top-performing companies in the senior living industry. We're dedicated to delivering exceptional services and groundbreaking care that sets us apart from others. Overview: There are many opportunities to work as a Dining Server, but none will give you the same sense...

  • Senior Physician Leader

    2 days ago

    Canton, Massachusetts, United States Cascade Innovations Full time

    Senior Chief Physician Opportunity in SaxonyWe are seeking a highly skilled Senior Chief Physician to lead our Department of Internal Medicine with a focus on Gastroenterology at our hospital in Saxony.About the RoleAs a Senior Chief Physician, you will be responsible for providing exceptional patient care and leading a team of medical professionals in the...

  • Senior Contract Negotiator

    2 weeks ago

    Canton, Massachusetts, United States Ignyte AI Full time

    Job DescriptionJob Summary:The Senior Contract Negotiator will support all Lines of Business, including Commercial, Senior Products and Public Plans. The Senior Contract Negotiator will serve as the primary point of contact to manage contract negotiations with integrated health delivery systems, hospitals, local care units, physician practices, federally...

  • Senior Contract Manager

    7 days ago

    Canton, Massachusetts, United States Point32Health Full time

    Job SummaryThe Senior Contract Manager will play a critical role in supporting all Lines of Business, including Commercial, Senior Products, and Public Plans. This individual will serve as the primary point of contact to manage contract negotiations with integrated health delivery systems, hospitals, local care units, physician practices, federally qualified...

  • Senior Medical Director

    2 weeks ago

    Canton, Massachusetts, United States Cascade Innovations Full time

    Job Opportunity at Cascade InnovationsAbout the Role:We are seeking a highly skilled and experienced Senior Chief Physician to lead our Department of Internal Medicine with a focus on Gastroenterology. As a Senior Medical Director, you will be responsible for providing exceptional medical care and leadership to our patients and staff.Key...

  • Lead Financial Planning Analyst

    4 weeks ago

    Canton, Massachusetts, United States Point32Health Full time

    About UsPoint32Health is a prominent organization in the health and wellness sector, dedicated to providing a personalized healthcare experience to all individuals in our communities. We are building on the strong, nonprofit legacy of our founding organizations, Tufts Health Plan and Harvard Pilgrim Health Care, utilizing our extensive experience to assist...

  • Director of Talent Acquisition

    2 weeks ago

    Canton, Massachusetts, United States Point32Health, Inc. Full time

    About UsPoint32Health, Inc. is a leading health and wellbeing organization, delivering a personalized healthcare experience to communities nationwide. As a nonprofit organization, we leverage our heritage and expertise to help people find their version of healthier living through a range of health plans and tools that make navigating health and wellbeing...

  • Project Manager

    2 weeks ago

    Canton, Massachusetts, United States Sika Full time

    Job DescriptionSika is a leading global company in the development and production of systems and products for commercial and residential construction, as well as the marine, automotive, and renewable energy manufacturing industries.The Project Engineer will be responsible for managing and supporting local engineering projects as directed by the Vice...

  • Senior Manager, Network Operations

    5 days ago

    Canton, Massachusetts, United States Point32Health Full time

    Job SummaryAs a Senior Manager, Network, you will lead the analytic support of contract negotiations, strategic initiatives, and regulatory requests. You will manage staff, provide training and mentoring, and directly support complex analysis related to negotiations and provider contracts.Key ResponsibilitiesManage analysts in designing and executing complex...

  • Senior Manager, Network Operations

    2 weeks ago

    Canton, Massachusetts, United States Ignyte AI Full time

    Job SummaryWe are seeking a highly skilled Senior Manager to lead our Network Analytics team. As a key member of our organization, you will be responsible for providing strategic support to our contract negotiations, strategic initiatives, and regulatory requests.Key ResponsibilitiesLead Complex Analyses: Manage analysts in the design and execution of...

  • Mental Health Clinician

    2 weeks ago

    Canton, Massachusetts, United States ARK Behavioral Health Full time

    About the RoleWe are seeking a skilled and experienced Clinician to join our team at Ark Behavioral Health. As a Clinician, you will play a critical role in providing direct clinical services to clients at our inpatient treatment facility.Key ResponsibilitiesConduct Comprehensive Assessments: Perform psychosocial evaluations to develop treatment plans and...

  • Per Diem Clinician

    1 week ago

    Canton, Massachusetts, United States ARK Behavioral Health Full time

    About the RoleAt Ark Behavioral Health, we are seeking a skilled and experienced Clinician to join our team in providing direct clinical services to clients at our inpatient treatment facility. As a Clinician, you will be responsible for delivering high-quality care in a variety of modalities, including individual, family, and group psychotherapy and...

  • Senior Accounting Professional

    1 week ago

    Canton, Massachusetts, United States Premier Fence, LLC Full time

    About the RolePremier Fence, LLC is seeking a highly skilled Senior Staff Accountant to join our team. As a key member of our financial operations, you will play a crucial role in ensuring accurate reporting and supporting various accounting functions.Key ResponsibilitiesFinancial Operations: Manage accounts payable, accounts receivable, collections, and...

  • Tax Senior Accountant

    3 days ago

    Canton, Massachusetts, United States Gray Gray & Gray Full time

    About Our FirmGray, Gray & Gray is a leading independent full-service consulting, accounting, and advisory firm in New England. We're committed to growth, development, and teamwork.Role DescriptionWe're seeking a Tax Senior to join our growing team. As a Tax Senior, you'll assume responsibility for performing tax engagements with minimal supervision. You'll...

  • Registered Nurse

    1 week ago

    Canton, Massachusetts, United States InfiCare Health Full time

    Job SummaryInfiCare Health is seeking a skilled and dedicated Registered Nurse to join our team as a Long Term Care Specialist. This is a fantastic opportunity for a compassionate and experienced nurse to make a meaningful difference in the lives of our patients.Key Responsibilities:Provide high-quality patient care in a long term care settingDevelop and...

  • Senior Risk Adjustment Coding Specialist

    4 weeks ago

    Canton, Massachusetts, United States Point32Health Full time

    Position OverviewUnder the supervision of the Risk Adjustment Supervisor/Manager, the Senior Risk Adjustment Coding Specialist is responsible for the precise and prompt assessment and confirmation of Medicare Advantage, Commercial, and Medicaid Hierarchical Condition Categories (HCCs) through comprehensive medical record evaluations. Key ResponsibilitiesThe...

  • Senior Manager, Network Operations

    2 weeks ago

    Canton, Massachusetts, United States Point32Health Full time

    Job SummaryWe are seeking a highly skilled Senior Manager to lead our Network Analytics team. The successful candidate will be responsible for managing a team of analysts, providing training and mentoring, and directly supporting complex analysis related to contract negotiations and provider contracts.Key ResponsibilitiesLead Team to Analyze Contract...

  • Senior Printing Specialist

    7 days ago

    Canton, Massachusetts, United States Point32Health Full time

    Job SummaryWe are seeking a highly skilled and detail-oriented individual to join our team as a Senior Printing Specialist. In this role, you will be responsible for operating high-speed, high-volume floor model inserters and digital production printers.Key ResponsibilitiesSet up and program menus on equipment, including printers and inserters.Release...

  • Senior Project Manager

    2 weeks ago

    Canton, Massachusetts, United States Timberline Construction Corporation Full time

    Job Summary:The Senior Project Manager is responsible for overseeing the planning, execution, and delivery of construction projects. This role requires a high level of expertise in project management, construction methods, and regulatory compliance.Key Responsibilities:Develop and implement project plans, schedules, and budgets to ensure timely and...

  • Senior Electrical Maintenance Technician

    3 weeks ago

    Canton, Massachusetts, United States Jobot Full time

    Exciting Opportunity for a Senior Electrical Maintenance TechnicianAbout the Company:We are a prominent global manufacturer specializing in specialty chemical products and industrial materials, serving diverse markets. With a presence in over 100 countries and more than 300 production facilities, our workforce exceeds 25,000 dedicated professionals.Why Work...

Senior Vice President, Health Care Services

3 months ago

Canton, Massachusetts, United States Point32Health, Inc Full time
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. To learn more about who we are at Point32Health, click here.

Job Summary


Reporting to the Chief Medical Officer, the SVP of Health Care Services leads Point32Health's business functions that control medical cost, ensuring that the company is able to execute its strategy of selling affordable, high quality products and developing collaborative relationships with network providers.

The function supports Point32Health's three health insurance divisions that operate in a four-state New England market: Commercial (employer sponsored business), Senior Products and Public Plans (inclusive of Medicaid and Exchange business).

This position requires extensive personal contact with internal and external stakeholders, providers and business partners.

Critical to this executive's success will be developing collaborative relationships with the company's Chief Financial Officer, Executive Vice President of Markets, Chief Operating Officer, Chief People Officer and other functions across the company.

Key Responsibilities/Duties - what you will be doing

  • Overseeing the management of functions that control medical costs, care management, utilization management, and provider contracting.
  • Working with direct reports to achieve both operational efficiency for business functions as well as development of market leading affordability of care and total cost of care solutions
  • Partnering with Divisional Presidents so that provider contracting and medical management strategies are product-specific, supporting the business strategy developed by Division Presidents for their respective business lines
  • Responsible for developing and advancing our clinical capabilities in collaboration with the Office of the Chief Medical Officer and Provider Partnerships
  • Overseeing the medical trend management process across the Enterprise, designed to understand drivers of medical trend within each Division, develop solutions specific to products and geographic markets, and implement those solutions in partnership with company resources
  • Building upon the company's strategy of developing collaborative provider relationships across business lines, identifying opportunities to improve performance in value based contracts and develop closer business partnerships with Tufts Health Plan
  • Evaluating Point32Health's approach to population health management, recommending solutions and overseeing the implementation of strategies to improve quality, lower costs and differentiate the company in the market
  • Assess financial implications of strategic decisions and initiatives related to clinical within the model of care and provide recommendations to optimize financial outcomes.
  • Remaining alert to trends and future federal/state policies that may impact the company's approach to controlling medical costs and interacting with network providers
  • Recruiting, developing and retaining exceptional professionals and staff who are dedicated to working with peers in the organization to control medical costs and improve Point32Health's delivery of high quality medical care and superior service
  • Working closely with enterprise technology and service functions to ensure appropriate execution of medical management programs and implementation of new initiatives
  • Provide strong leadership, mentorship, and guidance to clinical teams and fostering a culture of collaboration, accountability and continuous improvement.
  • Fostering an environment of and accountability
  • Ensuring a high level of morale, business ethics and integrity, including sound management process and controls
  • Maintaining close working relationships with other members of the corporate senior management team
  • Leading by example, coaching, counseling and mentoring, and developing bench strength

Desired Outcomes:

  • Aligns Health Care Services priorities to overall Enterprise strategy.
  • Develops strong cross-functional relationships and collaborative approach across all lines of business.
  • Position as best in class cost structure.
Qualifications - what you need to perform the job

Background & Experience

  • MSN, MBA, or equivalent
  • 15+ years of experience health care experience with a focus on clinical care
  • Clinical licensure preferred
  • Proven executive with a broad and impressive background, including a demonstrated track record of leading teams focused on medical cost control.
  • Experience working with and developing positive relationships with network providers is critical, with specific experience in the New England market preferred.
  • Proven track record of driving innovation, process improvement, and achieving results in a complex health care environment.
  • Potential to lead teams, develop productive business relationships in a matrixed environment, and understand the drivers for highly effective clinical and contracting strategies.
  • Ability to understand business strategy and formulate concise solutions to problems as well as the ability to affect change and meet business goals, monitor progress and take corrective action.
  • Effective leader with superior communication, presentation and interpersonal skills and the ability to generate enthusiasm and commitment.
  • Dynamic, execution-oriented executive, capable of representing the company externally while developing relationships with peers internally.
Leadership Profile

Establishing a Competitive and

Compelling Vision:
Orchestrates a competitive and compelling mission with an aligned set of values, goals, and a winning strategic path.

This vision ensures a forward-looking aspirational framework that guides current and future decisions and choices for an entire enterprise or business unit.

Managing an Effective and

Agile Plan Execution:
Establishes, manages, and monitors the operational tactical annual plan to effectively accomplish the mission, vision, values, and strategy.

Creating and Cultivating Culture:

Formulates, communicates, and lives the culture and tone of the organization through highlighting mission and strategy aligned citizenship behaviors, standards, and norms.


Optimizing Structure and Staffing:

Attracts and selects staff and structures units, roles, and responsibilities; deploys aligned staff whose capabilities enable the organization to achieve its goals.

Approaches decisions on talent utilization with both a tactical and strategic orientation.

Marshalling and Optimizing Resources:

Obtains and distributes all the hard and soft resources aligned to priorities, goals, and strategy; deploys the resources that best enable the organization to do their work today and to prepare for tomorrow.


Monitoring and Appraising Results:
Monitors and measures progress against plan; provides real time supportive and corrective feedback and assistance.

Representing and Responding to Stakeholders:

Prepares and delivers presentations to and managers productive relationships with critical stakeholders; recognizes and responds to the diverse needs of key inside and outside stakeholders.


Intervening In and Managing Conflict:

Monitors and referees the normal and inevitable individual, team, and business unit conflicts; offers assistance and direction that moves to productive resolution.

Utilizes productive conflict as a source of creativity, enhanced trust, and effective interpersonal problem solving.

Investing In and

Assuring Future Leadership:

Actively supports a vigorous talent management and succession process that provides a continuous flow of senior talent well into the future.

Senior-Level Clinical Leadership in

Related Industry Experience:

Experience in financial roles of increasing scope and responsibility; credibility earned from having served at least 20 years in executive finance positions in publicly traded or not-for-profit health organizations.

Significant experience interacting with the board of directors and its audit committee and managing the organization's relationship with banks and outside auditors.

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.

#LI-TK

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

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.