Director, Affordability of Care

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.

Job Summary

The Director, Affordability of Care (AOC) brings experience in supporting the development and execution of performance improvement programs targeting cost reduction and efficiency improvement. It is a hands-on role that many times involves a healthy balance of player/coach mindset. The position may have a handful of direct reports but will most certainly need to lead within and across all levels of leadership within the company. At times, the incumbent will interact, influence, strategize with various levels external to the company including senior leaders and front-line colleagues. This position will collaborate and work end-to-end across the enterprise to support ways in which the company can operate and execute more effectively and efficiently around the fundamental health plan activity. This role will evaluate opportunities for business process re-engineering, automation, digitizing and reduction in variation, waste and defects in the operating model. The Director, AOC will work with and for the Vice President, Affordability of Care and should be seen as a “change agent” of the company, responsible for spurring a redesign of the operating model across a variety of disciplines. The Director, AOC will prompt and lead managers to re-examine how things are done, challenging their assumptions about what is possible. The successful candidate will be someone with strong technical skills in end-to-end management of projects looking for ways to improve effectiveness and efficiency in complex functional areas. They will have experience in business process re-engineering and helping to create the “ideal design” supporting a managed care organization of size, scale, and complexity. They will have strong communication and collaboration skills yet take a position on topics and support the creation of the most efficient and effective operating model. The right mindset is continuing to push past the convenient compromise, to help people look for paths to success, and to hold fast in an unwavering way to the end goal regardless of the surrounding conditions.

Key Responsibilities/Duties – what you will be doing

• Provides program management for specific areas identified by VP, AOC working in conjunction with responsible line leaders and corporate staff
• Supports identification and execution of improvement opportunities
• Work as part of the performance management workstream sponsors, leads and initiative owners on the successful execution of the program
• Supports a successful restructuring and program, ensuring a “clean sheet”, best-in-class approach to all functions
• Provides senior leaders with coaching, insights and challenge on the tactics and pathways they need to adopt to meet their ambitious targets

Qualifications – what you need to perform the job

Education, Certification and Licensure

• A Bachelor’s degree in finance, accounting, business, or a similar discipline
• An engineering degree is highly advantageous
• Masters or MBA degree from business school is highly advantageous

Experience (minimum years required):

• Has distinctive experience managing major performance uplift/ turnaround efforts in corporations that are >$1B in revenue
• Has led or supported restructuring and turnaround cases both in in both line as well as in interim management roles (CRO, COO, CFO, GM of large (> $1B) Business Unit)
• Has conducted Kaizen and/or similar process improvement events with strong expertise in process re-engineering to drive efficiency and measurable process improvement
• Experience and expertise driving rapid and successful operational turnarounds across key cost and administrative levers
• Experience in identifying metrics which can be used to identify in