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Project Manager II - Operational Readiness



Canton, MA, USA
Posted on Tuesday, September 19, 2023

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

Manage projects for the Health Care Services Precertification Operations and Admission Management areas using waterfall or hybrid Agile constructs. Projects may be corporate agenda, compliance, system updates or department process improvement in origin. May act as lead PM or coordinate with other PM's, depending on size and scope of projects. Position is primarily remote but may require on site at Canton office infrequently as needed by projects or for employee engagement activities.

Key Responsibilities/Duties – what you will be doing


    • Manages operational readiness of the project to ensure goals and objectives are met within the established time and budget guidelines.

    • Partner with the CPMO to understand end-to-end business impact of the solution/decisions from a health care services perspective.

    • Lead cross-functional team members and ensure leadership is engaged and up to date on program activities.

    • Lead team members to parse and synthesize operation readiness issues of above average complexity, including cost/benefit analysis and resource estimating as applicable.

    • Create the Clinical Services Readiness Plan and ensure the teams are prepared for go-live.

    • Regularly review operational readiness status of project and modify schedule as necessary.

    • Oversee and facilitate project team meetings and prepares status documents periodically throughout the project.

    • Facilitate planning sessions.

    • Resolve roadblocks to project progress.

    • Influence key stakeholders when applicable. Ensure Shared Serves are engaged at the right level and appropriate times.


    • Responsible for the timely and accurate completion of major departmental projects and ongoing corporate initiatives as assigned.

    • Manage the timely and accurate implementation of new programs and supporting ongoing programs for the business, as applicable. Will require gathering and synthesizing data to submit to IT and vendors related to ongoing programs, problem solving issues or implementing process improvements.

    • Lead or participate on multi-functional implementation and service teams. Represent business as a Subject Matter Expert (SME) in cross-functional meetings and projects. Proactively manage tasks with cross functional interfaces. This includes collaborating with multiple areas within the organization and with vendors and outside agencies as needed to ensure timely processes and workflows.

    • Perform analysis and data validation in support of the project and effectively interpret and communicate results.

    • Perform other responsibilities as required, including responding to internal and external audit requests, providing cross-training to team members, working with management to ensure there are effective ongoing operational and regulatory business processes, and identifying and implementing process improvements and working on other projects/initiatives as assigned.

Qualifications – what you need to perform the job

  • Bachelor’s degree required, with a concentration in business or healthcare preferred.

  • Minimum of 6-8 years of business experience, which includes 3-5 years of project management experience leading significant departmental level and cross-functional projects.

  • Requires experience in healthcare and/or operations, and the ability to use knowledge of the company to ensure proper resolution of project progress roadblocks.

  • Requires fundamental knowledge of project management concepts and the ability to apply these concepts to project deliverables. Project management certification is a plus.

Skill requirements :

Project Manager II is expected to be self-motivated & detail-oriented with the ability to operate in a fast-paced environment and have the flexibility to adapt to changing processes and timelines. Requires the ability to perform in dynamic situations, manage multiple complex responsibilities, and be effective working autonomously to meet multiple deadlines.

Requires the ability to prioritize competing issues and manage deliverables and to effectively communicate across workgroups. Requires strong process management, project management, critical thinking, and problem solving skills. Project Manager II should possess a basic level of competency with applying project management techniques, tools and methods for documentation including gathering business/technical requirements, communication planning and schedule development.

Requires the ability to analyze and resolve operational issues and the ability to exercise timely & sound judgement in order to escalate issues to appropriate team members or management for resolution. Requires the ability to interpret new and existing regulations and business ideas and understand the finance implication to processes and applications.

Requires strong analytical and technical skills with advanced/high proficiency in Microsoft Excel, PowerPoint, Visio and Word. Proficiency in project management software tools (e.g. Smartsheet, JIRA, and Kanban) and/or analytical query/report writing tools (e.g. Cognos) is a plus.

Interpersonal skills:

Requires a high level of organizational skills as well as strong verbal and written communication skills with the ability to facilitate planning and review sessions and high-level presentation skills. Requires ability to partner and communicate with all departments and organization levels across Tufts Health Plan as well as external customers, vendors, auditors, and government agencies.

The Project Manager II is expected to successfully manage the environment which includes flexibility, relationship building, professional accountability and the ability to communicate at all levels required to support the various reporting relationships in a professional manner.

Requires strong team collaboration and relationship building skills.

Principal duties and responsibilities occur simultaneously, therefore, the employee must be able to appropriately handle each essential function, prioritize them and seek assistance when necessary. These functions need to be performed on a consistent and regular basis, using good judgment. Ability to learn and apply company policies consistently, seeking out guidance when necessary.

Confidential data:

All information (written, verbal, electronic, etc.) that an employee encounters while working at Tufts Health Plan is considered confidential. Will be exposed to and required to deal with highly confidential and sensitive material. Must adhere to corporate compliance policy, department guidelines/policies and all applicable laws and regulations at all times.

Working Conditions or Additional requirements (include special requirements, e.g., lifting, travel, overtime)

Must be able to excel in a fast-paced business environment and handle multiple priorities. Must be able to work in excess of 40 hours per week as the job may require, including evenings and weekends

*Essential functions occur simultaneously, therefore, the employee must be able to appropriately handle each essential function, prioritize them and seek assistance when necessary. These functions need to be performed on a consistent and regular basis, using good judgment. Ability to learn and apply company policies consistently, seeking out guidance when necessary, is required.


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.