Program Manager II - HCS Strategy & Operations

Point32Health • Canton, MA

5h • Hybrid

About The Position

The Program Manager II is responsible for managing major departmental projects and programs with significant cross functional interface and moderate complexity, risk, or cost. Specifically, this role supports the execution, oversight, and continuous improvement of care management programs and Model of Care (MOC) requirements for our Dual Eligible Special Needs Plans (D-SNPs), Senior Care Options (SCO) and OneCare. The Program Manager II also supports program performance monitoring, contributes to quality improvement initiatives, and serves as a connector across teams to ensure consistent execution and accountability. The Program Manager II partners closely with Compliance, Clinical Operations, Quality, Analytics, and other enterprise stakeholders to support program planning, implementation, and operational readiness. Key responsibilities include coordinating cross-functional initiatives, tracking workplans and deliverables, supporting audit preparation and response activities, and assisting with the development, maintenance, and implementation of policies, procedures, and workflows related to regulatory and quality requirements.

Requirements

• Bachelor’s degree or equivalent work experience is required.
• 3-5 years of professional experience.
• Excellent verbal and written communication skills generally acquired through college or other advanced education is required.
• Well-developed verbal and written skills, ability to facilitate planning and review sessions.
• High level presentation skills including ability to interface effectively with external contacts and/or clients.
• Ability to exercise sound judgment and raise issues to appropriate team members or management for resolution.
• Ability to conceptualize the impact of change and propose new methods of conducting business.
• Ability to use analytical skills to develop new or implement change to existing program functions.
• Ability to interpret and explain the implications of planned changes to current state business units.
• Ability to problem solve and overcome obstacles to ensure successful program operations.
• Proficiency with MS Office applications (Word, Excel, PowerPoint).
• Ability to utilize multiple applications simultaneously.
• Requires the ability to work cooperatively as part of a team.
• Must be able to effectively communicate with all internal departments in verbal and written formats.
• Requires some presentation experience.
• Must be able to work in a matrix environment with minimal supervision.
• The position may require a background investigation and fingerprint form on file with the US Office of Personnel Management. Questionnaire For Public Trust Position (standard form 85P) must be completed and approved.
• Access to several secure government websites may be needed.

Nice To Haves

• Master’s degree.
• 3-5 years of health plan experience with 6-8 years working experience.
• Program management or equivalent experience leading significant department level initiatives.

Responsibilities

• 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 Point32Helath 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.

Benefits

• 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

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree
• Number of Employees: 501-1,000 employees