Top 432 Contract administration Jobs in Shrewsbury, 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
Senior HR Generalist
Web Industries Inc —Marlborough, MA
- $70,000 - $80,000 a year
- Full-time
- Hybrid work
- Office
- Recruiting
- Organizational skills
- Employee stock ownership plan
Employee Relations Coordinators - Day and Night shifts
IntelliSource —Worcester, MA
- From $30 an hour
- Overtime
- Microsoft Word
- Microsoft Excel
- Ability to walk for extended periods
- Health insurance
- Dental insurance
Quick Apply
Operation Manager – Contracts & Compliance
Solvus Global —Leominster, MA
- $75,000 - $95,000 a year
- Full-time
- Hybrid work
- Background check
- Mid-level
- Office
Contracts Coordinator
Revvity —Hopkinton, MA
- $62,000 - $75,000 a year
- Full-time
- Remote
- Microsoft Outlook
- Mid-level
- Associate's degree
- Employee stock purchase plan
- Disability insurance
Contract Manager, Managed Care Contracting
UMass Memorial Health —Worcester, MA
- $83,116.80 - $149,593.60 a year
- 8 hour shift
- Hybrid work
- Bachelor of Science
- Mid-level
- Office
Administrative Assistant for Central Office
Central Massachusetts Collaborative —Worcester, MA
- Full-time
- Mid-level
- Office
- Organizational skills
2d
Student (Academic) Support Specialist
Shrewsbury Public Schools —Shrewsbury, MA
- $36.00 - $43.99 an hour
- Full-time
- Classroom
- Bachelor's degree
- Psychology
9d
Sr. Contracts Manager
Tetra Tech —Marlborough, MA
- $60 - $75 an hour
- Part-time
- Hybrid work
- Background check
- Microsoft Excel
- Customer service
8d
Administrative Assistant I, PSLGS and Soc & Crim Depts - Framingham State University
Framingham State University —Framingham, MA
- $2,110.33 a week
- Full-time
- Microsoft Word
- Spanish
- Microsoft Outlook
Senior Contract Administration Specialist
Wolters Kluwer —Waltham, MA
- $85,600 - $149,400 a year
- Full-time
- Microsoft Word
- Writing skills
- Mid-level
- Commuter assistance
- Paid parental leave
Procurement Coordinator
Worcester Public Schools —Worcester, MA
- $80,392 - $101,837 a year
- Full-time
- Google Workspace
- Customer service
- Mid-level
14d
Grant & Contract Analyst - Open Rank
University of Massachusetts Medical School —Worcester, MA
- $50,000 - $95,000 a year
- Full-time
- Customer service
- Mid-level
- Office
Labor & Employee Relations Specialist
UMass Memorial Health —Worcester, MA
- $142,168.00 - $255,902.40 a year
- 8 hour shift
- Hybrid work
- 5 years
- Master's degree
- Bachelor's degree
Assistant Project Manager
W.T. Rich Company —Natick, MA
- $82,000 - $118,000 a year
- Computer literacy
- Bachelor of Science
- Mid-level
Contract Specialist - OSP
University of Massachusetts Medical School —Worcester, MA
- $80,000 - $94,000 a year
- Full-time
- Microsoft Outlook
- Word processing
- Writing skills
Human Resources Coordinator
ABBA Home Care LLC —Worcester, MA
- $27 - $31 an hour
- Full-time
- Spanish
- English
- Mid-level
Quick Apply
Office Manager
Trinity Lutheran Church —Worcester, MA
- $30 an hour
- Part-time
- Background check
- Mid-level
- Office
Quick Apply
Employee Relations Consultant - Open Rank
University of Massachusetts Medical School —Worcester, MA
- $85,000 - $125,000 a year
- Full-time
- Hybrid work
- Word processing
- Writing skills
- Analysis skills
Associate Director, Maintenance Administration and Operational Strategy
University of Massachusetts Medical School —Worcester, MA
- $135,000 - $140,000 a year
- Full-time
- 5 years
- Word processing
- Office
11d

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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

contract administration jobs in shrewsbury, ma

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

Senior HR Generalist

Employee Relations Coordinators - Day and Night shifts

Operation Manager – Contracts & Compliance

Contracts Coordinator

Contract Manager, Managed Care Contracting

Administrative Assistant for Central Office

Student (Academic) Support Specialist

Sr. Contracts Manager

Administrative Assistant I, PSLGS and Soc & Crim Depts - Framingham State University

Senior Contract Administration Specialist

Procurement Coordinator

Grant & Contract Analyst - Open Rank

Labor & Employee Relations Specialist

Assistant Project Manager

Contract Specialist - OSP

Human Resources Coordinator

Office Manager

Employee Relations Consultant - Open Rank

Associate Director, Maintenance Administration and Operational Strategy

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