Point32Health

Learning and Development

• Deliver technical training, customer service and other developmental training to new and experienced staff.
• Create engaging learning environments using the capabilities within the tools available (e.g., Adobe and Teams).
• Create and deliver custom training solutions, including quick-turn refreshers and specialized modules, to meet evolving operational requirements.
• Prepare for each course by refreshing examples in training materials and handling program administration needs, such as communication, scheduling activities, and roster management.
• Adhere to the training schedule, communicates any blockers or risks with leadership, and follows through with post-course wrap-up activities.
• Participate in project work to support initiatives that enhance operational excellence
• Responsible for delivering on-the-job training support while maintaining current knowledge of organizational processes and quality assurance standards to ensure compliance and effectiveness
• Schedule and complete peer-to-peer mentor sessions to align with departmental goals, including feedback discussions.
• Lead special projects, including planning, execution, and evaluation.
• Consult and handle complex training-related issues and provide solutions.
• Facilitate team meetings.
• Other duties as assigned.

Senior Training Specialist

Manager

• Ensure that all members receive timely care management across the continuum
• Perform telephonic member outreach and/or face-to-face encounter utilizing key motivational interviewing skills
• Perform departmental assessments and evaluate member holistically
• Develop a member-specific plan of care and implement care manager interventions
• Complete documentation according to departmental policy and regulatory standards
• Provide targeted health education and communication with key providers
• Collaborate with member/caregiver and care team
• Maintain professional growth and development through self-directed learning

OB Care Manager – Nursing

Payroll

• Process bi-weekly, multi-state payroll using the Workday platform with a high degree of accuracy and attention to detail
• Prepare for biweekly payroll processing – Receive all one-time employee pay data changes and review for completeness, accuracy, and reasonableness
• Perform data-entry of all one-time employee pay data changes in accordance with payroll processing deadlines
• Monitor Employee Self Service changes to tax withholdings and address changes
• Support colleagues and managers with timecard and absence corrections as needed

Payroll Specialist

Medical Reviewer

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Freelance Medical Reviewer

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Freelance medical reviewer improving content accuracy for MyHealthTeam. Assessing medical information and ensuring its clarity for laypeople while working remotely.

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🔍🏥 Medical Reviewer

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Clinical Reviewer, Behavioral Health

• Manage daily operations of Behavioral Health Utilization Management team
• Ensure workflow processes are completed within required timeframes
• Collaborate with internal departments to support clinical activities
• Conduct performance appraisals and provide feedback to staff
• Track and monitor utilization management and quality measures
• Develop and maintain departmental policies and procedures

Manager, Behavioral Health UM and Programs

Program Manager

• Manage ongoing assigned program operations and/or vendors
• This may include working with multiple areas within the organization and directly with clients and/or vendors to ensure effective, accurate, timely processes and workflows
• Use analytic skills to develop or improve programs including business opportunity definition and research
• Perform detailed policy and impact analysis as it relates to the current programs, clients and/or vendors; make recommendations for process and/or policy change; present to various levels of the organization and the client the findings and summary options
• This includes determining data scope, consulting with many Point32Health staff, performing analyses, and determining both quantitative and qualitative business implications
• Lead and/or manage projects and/or initiatives by representing program operations during planning and implementation phases
• This may include support of other company programs and coordinating issue resolution with relevant functional business areas and leading and/or facilitating planning and review sessions
• Lead regular cross functional informational or working meetings, including effective agenda planning, facilitation, and tracking/follow up on deliverables until closed
• Other duties and projects as assigned.

Senior Training Specialist

OB Care Manager – Nursing

Payroll Specialist

Clinical Reviewer, Behavioral Health

Manager, Behavioral Health UM and Programs

Program Manager II