Senior Network Analyst Lead

2 days ago


Canton, Massachusetts, United States Point32Health Full time

Job Overview

We are seeking an experienced Senior Network Analyst Lead to join our team at Point32Health. This is a dynamic opportunity for a strategic thinker with advanced analytical and problem-solving skills to lead cross-functional teams in developing, negotiating, monitoring, and reporting of contractual agreements with healthcare providers.

Key Responsibilities

  • Reporting and Analytics - Design and generate various reports and financial analytics that focus on medical cost, utilization, membership, trends, and ad hoc requirements. Present actionable information to identify trend drivers and opportunities for improvement in Point32Health and provider performance.
  • Cost Avoidance and Recovery - Work independently to identify and present cost avoidance and recovery opportunities.
  • Financial and Utilization Analytics - Perform financial and utilization analytics required by other departments within Point32Health, including Medical Management, Contracting, Payment & Policy, etc.
  • Reimbursement Strategies - Utilize in-depth understanding of reimbursement methodologies and trends in managed care finance to lead the development and analysis of new reimbursement strategies and financial analytics supporting provider contracting in the Point32Health network.
  • Communication and Project Management - Responsible for ongoing communication with customers, providing project status, resolving issues, coordinating continued involvement to meet original expectations or jointly agreed-upon adjusted expectations.

Requirements

  • Bachelor's degree in Business Administration, Finance, Health Services required; Master's preferred.
  • 5-7 years of business experience, preferably in managed care or provider environment.
  • Advanced Excel skills; proficiency with SAS/SQL programming required.
  • In-depth knowledge and understanding of managed care concepts, health care claims data, coding schemes (ICD-9/ICD-10, CPT/HCPCS, DRGs), and health status risk adjustment.
  • Strategic thinker with strong analytic and problem-solving skills, and ability to work in a team environment.

Benefits

  • Competitive salary: $120,000 - $150,000 per annum.
  • Comprehensive total rewards package, including medical, dental, and vision coverage, retirement plans, paid time off, employer-paid life and disability insurance, tuition program, and well-being benefits.

About Us

Point32Health is a leading health and wellbeing organization delivering personalized healthcare experiences to communities nationwide. We leverage our expertise and heritage to help people find healthier living through diverse health plans and tools that simplify navigating health and wellbeing.



  • Canton, Massachusetts, United States Point32Health Full time

    About Point32HealthAt Point32Health, we are committed to delivering an ever-better personalized health care experience to everyone in our communities.About the RoleWe are seeking a Senior Business Continuity Analyst to join our team. This is a critical role that will contribute to the development, implementation, testing and maintenance of the capabilities...


  • Canton, Massachusetts, United States Hebrew Senior Life Full time

    About Us:">Hebrew SeniorLife is a leading provider of senior care services in the Boston area. Our mission is to redefine the experience of aging, and we're committed to delivering exceptional care to our residents.">Job Summary:">We're seeking a skilled Patient Care Associate to join our team at Orchard Cove. As a Patient Care Associate, you will be...


  • Canton, Massachusetts, United States Jobot Full time

    Job Summary:">We are seeking a highly skilled Senior Security Systems Specialist to join our team. The successful candidate will be responsible for the installation, configuration, and maintenance of large-scale integrated security systems.">About Us:">We are a leading engineering firm with a strong commitment to innovation, quality, and reliability. Our...


  • Canton, Massachusetts, United States North American Renewables Full time

    Senior Electrical Engineer P.E.We are seeking a highly experienced Senior Electrical Engineer to join our Solar EPC team at North American Renewables, Inc.The successful candidate will be responsible for overseeing electrical engineering aspects of Direct Generation Solar Projects & Energy Storage.Main Responsibilities:Lead the electrical engineering team as...


  • Canton, Massachusetts, United States Westinghouse Electric Company Full time

    Company OverviewWestinghouse Electric Company is a leading provider of innovative energy solutions, and we are currently seeking a highly skilled Senior Renewable Energy Estimator to join our team. Our company is dedicated to delivering clean, reliable power to our customers, and we believe that the right candidate will play a crucial role in helping us...


  • Canton, Massachusetts, United States Point32Health Full time

    Job SummaryThe Data Analyst Internship Program at Point32Health is designed to provide exposure to basic data analysis and analytic techniques, offering insight into the health insurance field and an opportunity to demonstrate skills taught during the internship.Interns will support the analysis and data needs for a broad range of financial and actuarial...


  • Canton, Massachusetts, United States Ignyte AI Full time

    Job OverviewWe are seeking an experienced Agile Transformation Lead to join our team at Ignyte AI. This role is ideal for a motivated and results-driven professional with a strong background in Agile methodologies and Scrum.The Agile Transformation Lead will be responsible for leading multiple Scrum teams, coaching and facilitating continuous improvement,...


  • Canton, Massachusetts, United States Michael Page Full time

    About Our CompanyWe are partnered with a reputable Civil contractor based in South Shore, MA. Due to a large portfolio of work, this leading Contractor is seeking a Senior Project Manager to join their team.This opportunity comes with huge growth potential as our client looks to continue building the company.


  • Canton, Massachusetts, United States Johnson Controls Full time

    Secure Your Future with Johnson ControlsSalary: $85,000 - $110,000 per yearWe are seeking an experienced Senior Security Systems Installation Manager to join our team at Johnson Controls. As a key member of our installation team, you will be responsible for the installation and maintenance of security, fire, CCTV, network, and access control systems.About...


  • Canton, Massachusetts, United States Analogic Corporation Full time

    Job OverviewAt Analogic Corporation, we are seeking a highly skilled Senior Electrical Engineer to lead the design and development of high-performance power supplies. The ideal candidate will have a strong background in electrical engineering, with a focus on power electronics and power supply systems.Responsibilities:Lead the design and development of...


  • Canton, Massachusetts, United States Point32Health Full time

    Job OverviewWe are seeking an experienced Senior Project Director to lead cross-functional projects at Point32Health, a leading health and wellbeing organization. This role requires strong project management skills, with a focus on delivering high-quality results within established time and budget guidelines.Key Responsibilities:Manage all phases of the...


  • Canton, Massachusetts, United States Michael Page Full time

    A reputable civil contractor is seeking an experienced senior project manager to join their team. With a rich history of almost 80 years, the company prioritizes building quality work through teamwork and passion.Located in Canton, MA, the company specializes in water, wastewater, and sewer enhancements. They leverage their extensive experience and resources...


  • Canton, Massachusetts, United States Ignyte AI Full time

    About the RoleWe are seeking a highly skilled Senior Marketing Specialist to join our team at Ignyte AI. As a key member of our marketing department, you will be responsible for driving data-driven results and collaborating with cross-functional teams to identify issues, complete root-cause analysis, and propose/develop analytic-based solutions.Key...


  • Canton, Massachusetts, United States Medical Information Technology, Inc. Full time

    About the RoleWe are seeking an experienced Enterprise Healthcare Solutions Representative to join our sales team at Medical Information Technology, Inc. As a key member of our organization, you will play a vital role in marketing and selling our cutting-edge enterprise health record solutions and services to C-suite, boards, physician, and nurse leadership,...


  • Canton, Massachusetts, United States Point32Health Full time

    Job SummaryThis position is responsible for analyzing the information security environment for Point32Health and developing security measures to safeguard the confidentiality, integrity, and availability of corporate information and data. In this role, you will be expected to implement, monitor, assess, and report on IT security under guidance from senior...


  • Canton, Massachusetts, United States DW Simpson Full time

    Exciting Opportunity for an Actuarial Analyst II at DW SimpsonCompany OverviewDW Simpson, a leading Health insurer, is seeking an experienced actuarial student to fill this challenging role. This position requires strong analytical skills and experience with rate filings, pricing models, and data analysis.SalaryThe salary for this position is up to $100K per...


  • Canton, Massachusetts, United States Point32Health Full time

    About Point32HealthPoint32Health is a leading health and wellbeing organization, dedicated to delivering an exceptional personalized healthcare experience to our communities. We build on the quality, nonprofit heritage of our founding organizations, Tufts Health Plan and Harvard Pilgrim Health Care, leveraging our expertise to help people find their version...


  • Canton, Massachusetts, United States ARK Behavioral Health Full time

    About UsArk Behavioral Health is a leading network of addiction treatment facilities, committed to delivering high-quality care and support to individuals on their journey towards recovery.


  • Canton, Massachusetts, United States Point32Health Full time

    Job Summary:The point of contact for this position will be leading Point32Health's operational resilience, focusing on preparedness and response to potential disruptions. As the Director Cyber & Information Security, you will oversee a team responsible for:• Developing and implementing strategies and practices that ensure business continuity in the face of...


  • Canton, Massachusetts, United States Timberline Communications Inc. Full time

    Job SummaryWe are seeking an experienced Wireless Infrastructure Project Director to lead large-scale projects for new site build and modifications to existing facilities.This role provides the primary interface between our company and customers, working with minimal direction and reviewed by senior management. The position is 80% office and 20% field.Key...