Top 620 Patient access manager Jobs in Marlborough, 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
Manager, Patient Access Brand Strategy & Operations – Dermatology
Takeda Pharmaceutical —Boston, MA
- $116,000 - $182,270 a year
- Full-time
- Hybrid work
- 7 years
- Microsoft Excel
- Office
- Paid holidays
- Disability insurance
Patient Access Support Services, Enterprise Access & Reimbursement Manager - Boston, MA Northeast Region
Bristol-Myers Squibb —Boston, MA
- $153,000 - $185,400 a year
- Email
- Hybrid work
- 5 years
- Analysis skills
- Bachelor's degree
- Paid holidays
- Disability insurance
Risk and Patient Safety Manager
Beth Israel Lahey Health —Needham, MA
- $130,000 - $159,994 a year
- Full-time
- Remote
- Nursing
- Microsoft Excel
- Microsoft Outlook
13d
Medical Practice Manager, Allergy West, Westford, MA
Pediatrics West —Westford, MA
- $80,000 - $95,000 a year
- Nights as needed
- Background check
- Private practice
- Research
- Health insurance
- Dental insurance
Quick Apply
Home Health Registered Nurse, RN Case Manager
Care at Home —Lowell, MA
- $84,300.22 - $107,481.20 a year
- Weekends as needed
- Nursing
- RN License
- Bachelor of Science
- 403(b) matching
- Health insurance
RN Hospice Case Manager
Hands and Hearts Hospice —Wayland, MA
- $90,000 - $110,000 a year
- Full-time
- Nursing
- Vital signs
- RN License
- Mileage reimbursement
- Health insurance
Quick Apply
Social Work and Behavioral Health Manager
Upham's Community Care —Roxbury, MA
- $90,000 - $120,000 a year
- Full-time
- Ability to walk for extended periods
- Writing skills
- Mid-level
Quick Apply
Associate / Lead Dentist
Tend —Cambridge, MA
- $175,000 - $425,000 a year
- Email
- CPR Certification
- Dental office
- Management
- Wellness program
- Commuter assistance
Quick Apply
Clinical Manager, RN
DAVITA —Cambridge, MA
- $49 - $65 an hour
- Weekends as needed
- Microsoft Word
- 18 years or older
- CPR Certification
- Paid training
- Health insurance
Department Lead Scientific Communications
BioNTech AG —Cambridge, MA
- $221,700 - $354,700 a year
- Full-time
- Background check
- Medicine
- Doctor of Philosophy
RN Case Manager
Care Dimensions —Waltham, MA
- $47 - $56 an hour
- Part-time
- Nursing
- RN License
- Mid-level
- Disability insurance
- Health insurance
Quick Apply
RN Case Manager
Care Dimensions —Brighton, MA
- $47 - $56 an hour
- Part-time
- Nursing
- RN License
- Mid-level
- Disability insurance
- Health insurance
Quick Apply
Global Rezurock Marketing Lead
Sanofi EU —Cambridge, MA
- $206,250.00 - $297,916.66 a year
- Medicine
- Office
- Bachelor's degree
- Parental leave
Registered Nurse / Patient Care Manager, Home Health
AccentCare, Inc. —Norwood, MA
- $90,000 - $100,000 a year
- Full-time
- Nursing
- RN License
- Mid-level
- Health savings account
- Paid holidays
Quick Apply
RN Case Manager - $15k Sign-On Bonus!
Brookhaven Hospice —Westborough, MA
- $98,000 - $108,000 a year
- Full-time
- CPR Certification
- RN License
- Computer literacy
- Health insurance
- Dental insurance
10d
Area Business Manager - Dupixent
Sanofi EU —Cambridge, MA
- $125,250.00 - $180,916.66 a year
- Remote
- Driver's License
- Bachelor's degree
- Travel
- Parental leave
5d
Director, Global Regulatory Lead - Oncology
Takeda Pharmaceutical —Boston, MA
- $177,000 - $278,080 a year
- Full-time
- Hybrid work
- 8 years
- Bachelor's degree
- Senior level
- Paid holidays
- Disability insurance
Branch Manager - Home Care Agency
Multicultural Home Care —Brighton, MA
- $75,000 - $80,000 a year
- Monday to Friday
- Office
- 3 years
- Bachelor's degree
- AD&D insurance
- Paid holidays
Quick Apply
Manager of Technical Sales Specialist - Massachusetts
Sartorius —Marlborough, MA
- Full-time
- Remote
- Up to 50% travel
- 5 years
- Product management
- Health savings account
- AD&D insurance
Quick Apply
3d

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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

patient access manager jobs in marlborough, ma

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

Manager, Patient Access Brand Strategy & Operations – Dermatology

Patient Access Support Services, Enterprise Access & Reimbursement Manager - Boston, MA Northeast Region

Risk and Patient Safety Manager

Medical Practice Manager, Allergy West, Westford, MA

Home Health Registered Nurse, RN Case Manager

RN Hospice Case Manager

Social Work and Behavioral Health Manager

Associate / Lead Dentist

Clinical Manager, RN

Department Lead Scientific Communications

RN Case Manager

RN Case Manager

Global Rezurock Marketing Lead

Registered Nurse / Patient Care Manager, Home Health

RN Case Manager - $15k Sign-On Bonus!

Area Business Manager - Dupixent

Director, Global Regulatory Lead - Oncology

Branch Manager - Home Care Agency

Manager of Technical Sales Specialist - Massachusetts

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