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Point32Health Director, BH Network Strategy in Canton, Massachusetts

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 here (https://youtu.be/S5I_HgoecJQ) .

Job Summary

Reporting to the Vice President of Provider Network Contracting, in this highly visible role, the Director of Behavioral Health Network Strategy is responsible for contract strategy for the entire BH Network for the Medicare, Medicaid and Commercial suite of products across multiple states. The Director of BH Network Strategy will be a thought leader and central point of contact for the BH Network withing the organization. Will enable a high performing BH provider network and will foster and maintain strong relationships with strategic providers to support achievement of shared plan and provider objectives.

The Director of BH Network Strategy is member of the Provider Network leadership team and will be actively engaged in division strategy, planning and performance initiatives.

Key Responsibilities/Duties – what you will be doing

  • Lead strategy for advance market intelligence to ensure a best-in-class BH network

  • Assesses all product BH provider network needs for each market (services, provider/facility types, network adequacy)

  • Supports geographical analysis of member access to care gaps

  • Ensures operational, strategic, and tactical alignment across the negotiation teams

  • Develops new and enhances existing relationships with BH Trade Organizations and BH providers across multiple states

  • Represents the Plan at BH Trade Organizations’ meetings

  • Create VBP programs for multiple provider types

  • Development of network BH training and reporting materials

  • Other duties and projects as assigned.

The successful candidate will:

  • Approach this role with a great deal of collaboration and flexibility

  • Be a self-starter and driven individual

  • Be highly organized and assertive

  • Be able to present to all levels within the organization

Qualifications – what you need to perform the job

EDUCATION, CERTIFICATION AND LICENSURE:

  • Bachelor’s degree in related field, Master’s degree preferred

EXPERIENCE (minimum years required) :

  • 5 years of BH network build and or management experience

  • Comfortable in a matrix environment

  • Proficient in influencing teams that do not have a direct reporting relationship

SKILL REQUIREMENTS:

  • Proficient in Power Point, Excel, and Word

WORKING CONDITIONS AND ADDITIONAL REQUIREMENTS (include special requirements, e.g., lifting, travel) :

  • Must be able to work under normal office conditions and work from home as required.

  • Work may require simultaneous use of a telephone/headset and PC/keyboard and sitting for extended durations.

  • May be required to work additional hours beyond standard work schedule.

The above statements are intended to describe the general nature and level of work being performed by employees assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of employees assigned to this position. Management retains the discretion to add to or change the duties of the position at any time.

#LI-Hybrid

#LI-DH1

Compensation & Total Rewards Overview

The annual base salary range provided for this position represents a broad 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; equity with internal colleagues; and other conditions of employment. 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

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

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.

At Point32Health, we strive to be a different kind of nonprofit health and well-being company, with a broad range of health plans, and innovative tools that make navigating health and well-being easier, guiding our members at every step of their health care journey to better health outcomes. We are committed to providing high-quality and affordable health care, improving the health and wellness of our members, and creating healthier communities across the country. The Point32Health name is inspired by the 32 points on a compass. It speaks to the critical role we play in guiding and empowering the people we serve to achieve healthier lives. Our employees are hard-working, innovative, and collaborative. They look for opportunities to grow and make a difference, and they help make us strive to be one of the Top Places to work in New England.

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