Top 2659 Coding manager Jobs in Worcester, 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
Real Estate Accounting Manager
Shorelight Real Estate —Westborough, MA
- $80,000 - $90,000 a year
- Full-time
- Office
- Finance
- Bachelor's degree
- Health insurance
- 401(k)
Quick Apply
4d
Manager, Identity & Access Management
First Technology Federal Credit Union —Marlborough, MA
- $116,500 - $140,000 a year
- Email
- Management
- 5 years
- Analysis skills
- Paid holidays
- Health insurance
Quick Apply
Operations Manager Back-end
Precision Castparts Corp. —Worcester, MA
- $130,000 - $170,000 a year
- Full-time
- 5 years
- Bachelor of Science
- Microsoft Office
- Paid holidays
- Health insurance
9d
Business Manager
Company Name Withheld - Confidential —Worcester, MA
- $90,000 - $105,000 a year
- Full-time
- Customer service
- Mid-level
- Office
Quick Apply
CYBERSECURITY MANAGER
City of Worcester —Worcester, MA
- $100,036 - $132,137 a year
- Full-time
- Bilingual
- Computer Science
- HIPAA
Professional Billing- Coding/Education Specialist - REMOTE
UMass Memorial Health —Worcester, MA
- $64,084.80 - $115,336.00 a year
- 8 hour shift
- Remote
- Mid-level
- Analysis skills
- Continuous improvement
Outsourced Accounting Manager - Life Science
CITRIN COOPERMAN ADVISORS LLC —Worcester, MA
- $90,000 - $200,000 a year
- Full-time
- Remote
- 6 years
- Management
- CPA
Hospital Manager - Shrewsbury, Massachusetts
Veterinary Emergency Group (VEG) —Shrewsbury, MA
- $95,000 - $120,000 a year
- Weekends as needed
- Inventory management
- Recruiting
- In-person
- Travel reimbursement
- Continuing education credits
Area Manager
Amazon.com Services LLC —Worcester, MA
- $70,000 - $90,900 a year
- Full-time
- Mid-level
- Ability to climb stairs
- Driver's License
- AD&D insurance
- Health insurance
5d
EDI Manager
Polar Beverages —Worcester, MA
- $110,000 - $125,000 a year
- Computer Science
- 5 years
- ERP systems
3d
System Quality & Regulatory Programs Manager
UMass Memorial Health —Worcester, MA
- $111,384.00 - $200,491.20 a year
- 8 hour shift
- Hybrid work
- 7 years
- Master's degree
- Mentoring
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
Regional Property Manager (NE2024RPM100)
Blue Castle Agency —Worcester, MA
- $125,000 - $200,000 a year
- Full-time
- Customer service
- 5 years
- Recruiting
- Dental insurance
- Vision insurance
Quick Apply
Operations Manager
Eaton —Worcester, MA
- $113,000 - $165,000 a year
- Background check
- Engineering
- Fair chance
- Retirement plan
General Manager
Grifols —Worcester, MA
- $74,800 - $112,200 a year
- Full-time
- Nursing
- 3 years
- Finance
- Paid holidays
- Health insurance
3d
Research Grant Portfolio and Operations Manager
Clark University —Worcester, MA
- $60,900 - $78,650 a year
- Full-time
- Mid-level
- Office
- 3 years
- Health insurance
- Dental insurance
Regional Service Manager
Mobile Air & Power Rentals —Worcester, MA
- $120,000 - $145,000 a year
- Urgently hiring
- Hybrid work
- Mid-level
- Office
- Supervising experience
- Dental insurance
- Paid time off
Quick Apply
Sr. Operations Manager
Amazon.com Services LLC - A57 —Charlton, MA
- $135,000 - $182,700 a year
- Weekends as needed
- Engineering
- Mentoring
- Recruiting
- AD&D insurance
- Health insurance
Part-time Bookkeeping Office Manager
New England Tree Experts —Northborough, MA
- $25 - $35 an hour
- Part-time
- Mid-level
- Office
- 3 years
- Flexible schedule
Quick Apply
5d

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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.

#P01

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Refine Your Search

coding manager jobs in worcester, ma

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

Real Estate Accounting Manager

Manager, Identity & Access Management

Operations Manager Back-end

Business Manager

CYBERSECURITY MANAGER

Professional Billing- Coding/Education Specialist - REMOTE

Outsourced Accounting Manager - Life Science

Hospital Manager - Shrewsbury, Massachusetts

Area Manager

EDI Manager

System Quality & Regulatory Programs Manager

Program Manager, Operations Excellence

Regional Property Manager (NE2024RPM100)

Operations Manager

General Manager

Research Grant Portfolio and Operations Manager

Regional Service Manager

Sr. Operations Manager

Part-time Bookkeeping Office Manager

I want to receive the latest job alert for coding manager in worcester, ma

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