Job Summary. The Associate Account Executive is responsible for supporting new business sales executives or existing business account executives. Key Responsibilities/Duties – what you will be doing. Provides support to 2-3 sales executives in all new and/or existing business sales activities, including developing benefit comparisons by reading and analyzing competitive benefit products and comparing them to one of several P32H benefit products, ...
Job Summary. The Workforce Planning Consultant tackles complex business challenges by analyzing workforce data and provides actionable insights. The individual leverages the Verint Workforce Management tool that is key to optimize resource allocation and support Member and Provider Services. This role collaborates with senior leaders, facilitating workgroups, and offering strategic recommendations to enhance operational performance and improve th...
Job Summary. As a Learning Consultant, you will play a pivotal role in the organization’s talent development initiatives. Reporting to the Senior Manager of Learning & Development, you will be responsible for managing a portfolio of work aligned to Point32 Health’s colleague development strategy and programs. You will partner in the development and implementation of learning programs that align with the company's business objectives and colleague...
Job Summary. As a Learning Consultant, you will play a pivotal role in the organization's talent development initiatives. Reporting to the Senior Manager, Learning & Development, you will be responsible for managing a portfolio of work aligned to support the learning needs within the operations function with a focus on Servicing and Experience. You will partner in the development and implementation of learning programs that align with the company...
Job Summary. The Actuarial Analyst I support the analysis and data needs for a broad range of financial and actuarial functions. This support will include rate reviews, financial planning and projections, trend analysis, product development, provider reimbursement analysis, fee schedule development, provider risk analysis, and medical cost containment analysis. This role will work closely with a variety of departments including underwriting, sale...
Job Summary. The Care Manager - Nursing (RN CM) will ensure that all members receive timely care management (CM) across the continuum, including transitions of care, care coordination and navigation, complex case management, population health and wellness interventions, and disease/chronic condition management per department guidelines. The nurse care manager possesses strong clinical knowledge, critical thinking skills, and ability to facilitate...
Job Summary. Under the general direction of the Director, Appeals & Grievances, the Manager, Appeals and Grievances is responsible for the overall management of the member appeals and grievance processes for their responsible lines of business. The Manager is charged with ensuring compliance with all requirements for each state, regulatory and accreditation body. The Manager will facilitate the involvement of internal and external contributors to...
Job Summary. Reporting to the Workforce Management Manager, the Workforce Management Specialist is tasked with performing primarily administrative tasks in support of short-term staffing requirements. Utilizing forecasting data provided from the Sr. Workforce Management Specialists, the specialist allocates resources effectively to uphold service level standards. Responsibilities include real-time staff allocation, schedule adjustments, and limit...
Job Summary. Under the general direction of the Director, Appeals & Grievances, the Manager, Appeals and Grievances is responsible for the overall management of the member appeals and grievance processes for their responsible lines of business. The Manager is charged with ensuring compliance with all requirements for each state, regulatory and accreditation body. The Manager will facilitate the involvement of internal and external contributors to...
Job Summary. Under the direction of Federal Affairs leadership, the Government Affairs Associate will provide supportive research regarding public policy topics that inform the collaboration with internal and external stakeholders on analysis of federal legislative and regulatory issues. These issues may impact departments across the Enterprise. Key. Responsibilities/Duties. – what you will be doing. Use publicly available data to research public...
About the Role. Kingsley Gate has been retained by a luxury hospitality client to recruit for a. General Manage. r. opportunity at one of Kentucky’s most prestigious properties. This landmark hotel combines rich historical significance with modern luxury, offering an unrivaled guest experience in the heart of a vibrant regional destination. Known for its iconic charm and exemplary service, this property is a cornerstone of the local community and...
Job Summary. Reporting to the Manager, Provider Relations, the Provider Account Manager (PAM) II plays a critical role in the strategic management and engagement of providers in the Point32Health family of company's provider network, acting as the primary point of contact for the assigned providers. This highly visible role will play a critical role in developing and maintaining key provider relationships while serving as the primary point of con...
