Market Finance Senior Consultant

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 .

Job Summary

The Market Finance Senior Consultant serves as the key financial business partner with Commercial Markets leaders to support the optimization of financial outcomes of the business.

The position will be the financial liaison to the business, working to educate leaders on all matters related to financial performance and supporting activities to drive performance.

This position will play an active role in developing annual budget / forecast as well as in analyzing monthly business performance to provide business insight and actionable advice.

This position will report to Market Finance Lead and will lead the function of providing business partner and analysis support to business leaders.

Key Responsibilities / Duties what you will be doing

• Partner with accounting department to ensure accurate and timely close on a monthly basis
• Monthly P&L analysis in identifying Risks and Opportunities
• Drive P&L forecast and planning work and manage business segment expenses
• Support bottom's up development for forecasts and annual budgets
• Support Pricing / Bid / Rate Filing analyses and validate key assumptions
• Research, analyze, validate, and prepare data for use in identification and execution of strategic initiatives
• Participate in periodic Monthly Operating Review and other financial performance reviews with both internal / external audience on a needed basis.
• Oversee ad hoc analysis in measuring effectiveness of various marketing programs including but not limited to direct marketing efforts for Open Enrollments,
• Understand and drive transparency and performance on metrics in service areas such as care management and operations
• Operation metrics include Service Quality and Productivity metrics
• Care Management metrics include Service utilization
• Perform what-if scenario analysis regarding business model, evaluate trade off, e.g., broker vs direct sales and influence decisions based on findings.
• Support management of medical cost trend and gross margin improvement opportunities
• Analyze the impact of contracts and support negotiations, as required, in driving market performance
• Identify areas for continuous improvements
• Competitor benchmarking and opportunity identification
• Quantify financial impact of risks per Enterprise Risk Management
• Other duties and projects as assigned

Qualifications what you need to perform the job

Education, Certification and Licensure

Bachelor’s degree or ASA recommended. Master’s degree or FSA preferred.

Experience (minimum years required) :

• 10+ years of relevant health plan experience with responsibility in driving financial outcomes
• Business Knowledge-Demonstrates an understanding of business operations with the goal of becoming the spokesperson for your assigned area
• Experience in working in fast paced, matrixed environment

Skill Requirements

Ability to collaborate with Finance team and business partners to achieve results. Acts as one team to ensure work is completed.

Act as an owner and driver - always asking how you can help with a constant focus on proactive behavior

Treats business partners as clients with a focus on returning phone calls and emails timely, setting up meetings to discuss critical topics, sharing processes before executing and allowing ample time to review draft documents.

Err on the side of over communicating

• Communicates effectively within informal and formal channels, including written communications, presentations and informal communications with peers, management and business partners
• Ability to work cross functionally and influence performance in Health Care Services, Service Operations and Provider Performance
• Critical Thinking- Constructively challenges each decision and process to ensure optimal decision making and performance.

Always thinking of more efficient processes, better messaging and ease of understanding

Deep understanding of performance metrics and ability to communicate business trends, needs and outcomes

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

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.