Director, Individual Markets Engagement & Operations

Director Of Individual Markets Engagement And Operations

Point32Health is a leading not-for-profit health and well-being organization dedicated to delivering high-quality, affordable healthcare. Serving nearly 2 million members, Point32Health builds on the legacy of Harvard Pilgrim Health Care and Tufts Health Plan to provide access to care and empower healthier lives for everyone. Our culture revolves around being a community of care and shared values that guide our behaviors and decisions. We've had a long-standing commitment to inclusion and equal healthcare access and outcomes, regardless of background; it's at the core of who we are. We value the rich mix of backgrounds, perspectives, and experiences of all of our colleagues, which helps us to provide service with empathy and better understand and meet the needs of the communities where we serve, live, and work.

Job Summary

The Director of Individual Markets Engagement and Operations is responsible for the overall success of Point32Health's Individual Markets sales, products and operations, including both the Tufts Health Plan Direct products in MA, as well as the Harvard Pilgrim Health Care products in MA, ME and NH, for combined total of serving over 200,000 members. The Director is accountable for sales performance, broker engagement, distribution channels, member experience, and overall operations. The Director is responsible for ensuring identification of the deliverables necessary to execute on the strategy set by the LOB and coordinating with leaders across the organization to facilitate implementation, establishing a management structure that monitors the performance of established targets, including identifying key performance indicators and for driving operational integration across the two logos in the MA market and ensuring best practices.

Key Responsibilities / Duties

what you will be doing (top five) :

• Establish key performance objectives, monitor results, and coordinate data-driven recommendations for both sales and operations.
• Accountable for individual market sales and meeting membership targets across three states and two logos through the following channels : direct individual, federal and state-based exchanges, intermediaries.
• Develop multi-year growth strategy for both membership and margin in partnership with the ISG leadership, including all states served, population dynamics and distribution channels.
• Represent both logos with external stakeholders, including broker partners, intermediary channels and exchanges in all states. Manage all processes related to these partnerships, including providing product portfolio input, marketing, and vendor management, including contract negotiations and execution.
• Responsible for the success of sales team for prospective individual members to assist with plan choice and enrollment.

Qualifications

what you need to perform the job

Education, Certification and Licensure :

Experience (minimum years required) :

Skill Requirements :

Working Conditions And Additional Requirements

(include special requirements, e.g., lifting, travel) :

Compensation & Total Rewards Overview

The annual base salary range provided for this position represents a range of salaries for this role and similar roles across the organization. The actual salary for this position will be determined by several factors, including the scope and complexity of the role; the skills, education, training, credentials, and experience of the candidate; as well as internal equity. 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 :

For more details on our total rewards programs, visit https : / / www.point32health.org / careers / benefits / .

We welcome all. All applicants are welcome and 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.