Top 51 Business analyst Jobs in Charlton, Ma

Contract Manager - Hosp/Physician group exp a plus - Hybrid schedule
Fallon Health —Worcester, MA
- Full-time
- Hybrid work
- Clean driving record
- Research
- Mid-level
Business Intelligence Analyst II (Hybrid - Webster or Boston)
MAPFRE —Webster, MA
- $87,700 - $135,300 a year
- Computer Science
- Mid-level
- Office
- Profit sharing
- Health savings account
Business Intelligence Analyst I (Hybrid) Data Visualization Focus
MAPFRE —Webster, MA
- $77,700 - $135,300 a year
- Hybrid work
- Mid-level
- Office
- SQL
- Profit sharing
- Health savings account
Senior Business Analyst
Stanford Technology Partners —Shrewsbury, MA
- Email
- Computer Science
- Office
- Databases
IT Business Analyst
Bose Professional —Hopkinton, MA
- $80,000 - $100,000 a year
- Full-time
- Mid-level
- Office
- Analysis skills
- Health insurance
- Dental insurance
Quick Apply
Sr. Operations Analyst
IPG Photonics —Oxford, MA
- $78,872 - $104,506 a year
- Full-time
- 3 years
- Analysis skills
- Bachelor's degree
- Health savings account
- AD&D insurance
Quick Apply
Business System Analyst
IPG Photonics —Marlborough, MA
- $93,039 - $108,158 a year
- Azure
- DevOps
- Mid-level
- Health savings account
- AD&D insurance
Quick Apply
22h
Sr Business Systems Specialist - MCAD
Cytiva —Marlborough, MA
- $135,000 - $145,000 a year
- Full-time
- Bachelor of Science
- English
- Microsoft Office
- Health insurance
- Dental insurance
Business Analyst
Farm Credit East —Dayville, CT
- $55,000 - $90,000 a year
- Hybrid work
- Mid-level
- Bachelor's degree
- Training & development
- Health savings account
- AD&D insurance
Quick Apply
Financial Analyst (Hybrid)
MAPFRE —Webster, MA
- $58,000 - $81,000 a year
- Microsoft Word
- Mid-level
- Finance
- Profit sharing
- Health savings account
Financial Analyst
Cumberland Farms, Inc. —Westborough, MA
- $62,250 - $83,000 a year
- 8 hour shift
- Hybrid work
- Oracle
- Office
- Analysis skills
- Health savings account
- Health insurance
Quick Apply
12d
SAP Business Analyst - Warehouse Management
Rise Baking Company, LLC —Worcester, MA
- Full-time
- Computer science
- Computer Science
- Mid-level
Server Analyst
Rogers Corporation —Rogers, CT
- Classroom
- System design
- Research
Quick Apply
Program Manager, Operations Excellence
AbbVie —Worcester, MA
- $109,500 - $208,500 a year
- Full-time
- Hybrid work
- 6 years
- Management
- Analysis skills
- Paid holidays
- Health insurance
SAP Business Analyst - Advanced Planning and Optimization
Rise Baking Company, LLC —Worcester, MA
- Full-time
- Computer science
- Computer Science
- Inventory management
Senior Analyst, Business Development
Olympus —Westborough, MA
- $100,263 - $135,355 a year
- Full-time
- Hybrid work
- Bachelor of Science
- Finance
- Analysis skills
- Paid parental leave
- Paid holidays
4d
Sales Rep – Pharmaceutical (Entry / Specialty)
Immune Biopharma —Worcester, MA
- $88,320 - $118,120 a year
- Full-time
- Analysis skills
- Experience equivalent to degree accepted
- Communication skills
Quick Apply
Operations Analyst
BNY Mellon —Westborough, MA
- $22.40 - $28.00 an hour
- Contract
- Hybrid work
- Office
- Finance
- Bachelor's degree
- Health insurance
- Dental insurance
Business Intelligence Engineer, Amazon Robotics
Amazon.com Services LLC —Westborough, MA
- $99,500 - $160,000 a year
- Full-time
- SQL
- Senior level
- Python
- AD&D insurance
- Health insurance
Senior Operations Finance Analyst
LGC Clinical Diagnostics —Milford, MA
- $93,400 - $140,000 a year
- Full-time
- Hybrid work
- 6 years
- Microsoft Outlook
- CPA
Quick Apply

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Contract Manager - Hosp/Physician group exp a plus - Hybrid schedule

Fallon Health -
Worcester, MA

Apply Now

Job Details

Full-time

Qualifications

Managed care organization experience
Presentations for conferences or internal meetings
Employee relationship building
Driver's License
Computer skills
Stakeholder relationship building

Full Job Description

Overview:

About us:

Fallon Health is a company that cares. We prioritize our members—always—making sure they get the care they need and deserve. Founded in 1977 in Worcester, Massachusetts, Fallon Health delivers equitable, high-quality, coordinated care and is continually rated among the nation’s top health plans for member experience, service, and clinical quality. We believe our individual differences, life experiences, knowledge, self-expression, and unique capabilities allow us to better serve our members. We embrace and encourage differences in age, race, ethnicity, gender identity and expression, physical and mental ability, sexual orientation, socio-economic status, and other characteristics that make people unique. Today, guided by our mission of improving health and inspiring hope, we strive to be the leading provider of government-sponsored health insurance programs—including Medicare, Medicaid, and PACE (Program of All-Inclusive Care for the Elderly)— in the region. Learn more at fallonhealth.org or follow us on Facebook, Twitter and LinkedIn.

Brief Summary of purpose:

Responsible for the analysis, negotiation/renegotiation, implementation, readjustment, evaluation, and continuous improvement of all functions of provider contracting. Manages financial and operational issues related to contractual provider arrangements. Responds to both internal and external customers regarding provider contractual arrangements, both for contract implementation and ongoing operations.

Responsibilities:

Primary Job Responsibilities:

Negotiates, develops and designs contractual provider (Hospital and physician) arrangements including language and pricing methodologies.
Evaluates contractual payment methodologies in order to determine financial risk to insurer and provider (per diem, capitation, discount from charge, DRG, case rate, bundled payments, pay for performance programs, etc.). Ensures the design, production, and distribution of site financial, utilization and member information; ensures the production and completeness of annual site settlement reports. Interfaces between the Plan’s Finance department and individual sites for budget, financial reporting and settlement arrangements for all relevant products.
Performs quantitative analyses of various financial and clinical data in order to evaluate multiple contracting options. Reports on performance of ongoing contractual arrangements to appropriate parties.
Manages, coordinates and resolves operational issues related to specific areas of responsibility. Serves as contact person for internal departments (i.e. Claims, Finance, Care Management Services, Patient Relations, Marketing, Credentialing, Provider Relations, etc.).
Researches, analyzes and presents recommendations to Manager regarding contractual and financial decisions.
Manages provider correspondence relating to contracts and responds to requests from potential new providers for FCHP.
Maintains computerized tracking system for new and revised agreements. Coordinates and communicates contractual information to appropriate departments within FCHP.
Maintains assigned provider network; physician, hospital, ancillary, and/or carve out vendor as assigned by Director or Manager.
Prepares, updates and maintains files and database for all assigned provider contracts.
Serves as committee member in cross-functional teams as assigned by Director or Manager.
Assists in Provider Relations activities including servicing, educating and distributing information to contracted providers.
Analyzes and presents financial reports to providers. Makes recommendations to providers regarding quality and cost improvements.
Other duties as assigned.

Additional Performance Requirements:

Must be a team player with strong relationship building skills.
Must be able to prepare and conduct formal presentations to small and large audiences both internally and externally

Qualifications:

Education:

Bachelor’s degree or equivalent experience required.

Master’s degree in Business Administration, Healthcare Administration, or Public Health preferred. Previous background in nursing or any allied health field is often valuable but not required

License/Certifications

Valid Driver’s License and Clean Driving Record Required

Experience:

Minimum of three years experience in managed healthcare environment(s) with related work in provider contracting, healthcare finance, provider reporting/profiling, and/or provider relations. Experience in provider contract negotiations, including FFS, capitation models, Hospital contracts and pay for performance models is preferred. Excellent analytical, strategic thinking, and creative thinking skills are required. Superior verbal and written skills, excellent computer skills (Word, Excel, Access) are essential to this position.

Pay Range Disclosure:
In accordance with the Massachusetts Wage Transparency Act, the pay for this position is $100,00-$120.000 annually which reflects what we reasonably and in good faith expect to pay at the time of posting. Final compensation will depend on the candidate’s experience, skills, and fit with the role’s responsibilities.

Fallon Health provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

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Refine Your Search

business analyst jobs in charlton, ma

Contract Manager - Hosp/Physician group exp a plus - Hybrid schedule

Business Intelligence Analyst II (Hybrid - Webster or Boston)

Business Intelligence Analyst I (Hybrid) Data Visualization Focus

Senior Business Analyst

IT Business Analyst

Sr. Operations Analyst

Business System Analyst

Sr Business Systems Specialist - MCAD

Business Analyst

Financial Analyst (Hybrid)

Financial Analyst

SAP Business Analyst - Warehouse Management

Server Analyst

Program Manager, Operations Excellence

SAP Business Analyst - Advanced Planning and Optimization

Senior Analyst, Business Development

Sales Rep – Pharmaceutical (Entry / Specialty)

Operations Analyst

Business Intelligence Engineer, Amazon Robotics

Senior Operations Finance Analyst

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