
1001 - 5000 employees
⚕️ Healthcare Insurance
🤝 Non-profit
🧘 Wellness
Healthcare Insurance • Non-profit • Wellness
Point32Health is a leading nonprofit health and well-being organization that provides health coverage and services for individuals at all life stages. Through its family of companies, including Harvard Pilgrim Health Care and Tufts Health Plan, Point32Health offers a variety of health plans, programs, and services encompassing medical, pharmacy, wellness, and behavioral health. Point32Health is committed to health equity and has been recognized for its inclusive practices, earning distinctions in areas such as health equity, disability inclusion, and LGBTQ+ workplace inclusion. With a focus on innovative solutions and high-quality coverage, Point32Health strives to create a better healthcare experience for its members and communities.
🕒 June 18
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1001 - 5000 employees
⚕️ Healthcare Insurance
🤝 Non-profit
🧘 Wellness
Healthcare Insurance • Non-profit • Wellness
Point32Health is a leading nonprofit health and well-being organization that provides health coverage and services for individuals at all life stages. Through its family of companies, including Harvard Pilgrim Health Care and Tufts Health Plan, Point32Health offers a variety of health plans, programs, and services encompassing medical, pharmacy, wellness, and behavioral health. Point32Health is committed to health equity and has been recognized for its inclusive practices, earning distinctions in areas such as health equity, disability inclusion, and LGBTQ+ workplace inclusion. With a focus on innovative solutions and high-quality coverage, Point32Health strives to create a better healthcare experience for its members and communities.
• Support the General Case Management Process within Case Management Department • Initiates outreach cycle and documents in electronic record and/or member referral status • Track, manage and triage member needs within defined intervention period • Provide education and coaching to the member, family, and/or caregiver about follow up care and health status, goals of transition care, and health insurance benefits • Ensure timeliness in coordination of health care services • Assist members with scheduling appointments, tests, screenings, and transportation • Communicate with outside stakeholders and vendors appropriately to coordinate member care as needed • Accurately enter data into MedHok, Casetrakker and/or Jiva, and other databases • Support the development and implementation of programs related to quality measures
• High School degree required • Associate’s degree in business and/or related administrative or clinical field preferred • 3-5 years’ experience in a professional environment required • Experience in a health care environment, especially in managed care is preferred • Strong knowledge of Clinical Services’ departments and Point32Health organizations • Strong computer skills with proficiency required in Microsoft Word, Excel, in an e-mail program and the Intranet • Experience in Power Point, Access, Visio, and other software applications desirable • Must have well developed written and verbal communication skills • Ability to identify emergency situations and follow the established protocol • Strong organizational skills and ability to handle multiple demands
• 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
Apply Now🕒 June 18
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