Top 1608 Pricing manager Jobs in Framingham, 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
Sr. Manager, Sales Planning
Home Market Foods —Norwood, MA
- $150,000 - $180,000 a year
- Hybrid work
- Marketing
- 5 years
- Office
- Relocation assistance
- Health insurance
Quick Apply
Commercial Relationship Manager
The Hollister Group —Boston, MA
- $130,000 - $240,000 a year
- Full-time
- 5 years
- Office
- Business development
Quick Apply
Senior Project Manager/Estimator
INELLO ELECTRIC LLC —Revere, MA
- $135,000 - $150,000 a year
- Full-time
- Management
- Sales
- Mid-level
- Health insurance
- 401(k)
Quick Apply
Manager, Commercial Pricing
SharkNinja —Needham, MA
- $107,100 - $150,000 a year
- Hybrid work
- Oracle
- Office
- Finance
- Health savings account
- AD&D insurance
Product Manager, Claims Pricing & Financial Operations
Rxadvance Corporation —Southborough, MA
- $110,000 - $170,000 a year
- Full-time
- Background check
- 5 years
- No experience needed
Quick Apply
Pricing Manager
Chewy —Boston, MA
- $86,500 - $138,500 a year
- Full-time
- Computer Science
- Mid-level
- Finance
- Paid holidays
- Health insurance
Manager, Transfer Pricing
Novanta —Bedford, MA
- $109,800 - $175,600 a year
- Full-time
- Oracle
- Mid-level
- Continuous improvement
14d
Manager Pharmacy Pricing
CVS Health —Woonsocket, RI
- $66,330 - $145,860 a year
- Full-time
- Mid-level
- Master's degree
- SQL
- Health insurance
- Dental insurance
Strategic Negotiations Manager
Waters Corporation —Milford, MA
- $109,000 - $182,000 a year
- Remote
- Finance
- Analysis skills
- Bachelor's degree
Sr Director, Strategic Pricing and Deal Architecture - (USA REMOTE)
SCIEX —Marlborough, MA
- $235,000 - $255,000 a year
- Full-time
- Remote
- Analysis skills
- Travel
- Senior level
- Health insurance
- Dental insurance
Senior Strategy Manager, Pricing & Inventory
ClassPass —Boston, MA
- $99,450 - $132,600 a year
- Remote
- 3 years
- SQL
- Senior level
Quick Apply
Product Development Manager (Remote)
American Family Mutual Insurance Company —Boston, MA
- Full-time
- Remote
- Management
- Customer service
- Product management
Quick Apply
Manager, Pricing
Goodwin Procter LLP —Boston, MA
- $120,000 - $160,000 a year
- Full-time
- 3 years
- Finance
- Analysis skills
- Paid holidays
- Disability insurance
Regional Manager I
Gopuff —Boston, MA
- $96,900 - $120,750 a year
- Full-time
- Hybrid work
- Travel
- Recruiting
- Organizational skills
- Health savings account
- Disability insurance
Quick Apply
Senior Program Manager, Pricing & Inventory
Playlist —Boston, MA
- $99,450 - $132,600 a year
- Remote
- 3 years
- SQL
- Senior level
Quick Apply
Product Manager
Interra Health —Boston, MA
- $110,000 - $153,000 a year
- Full-time
- Remote
- 5 years
- Analysis skills
- Bachelor's degree
- Paid parental leave
- Health savings account
Program Mgr Paid Search
Staples, Inc. —Framingham, MA
- $80,000 - $110,000 a year
- Marketing
- 5 years
- Analysis skills
- Paid holidays
- Paid time off
Senior Category Manager
Chewy —Boston, MA
- $129,500 - $207,000 a year
- Full-time
- Microsoft Excel
- Sales
- Merchandising
- Paid holidays
- Health insurance
Digital Finance Manager
Waters Corporation —Milford, MA
- $102,000 - $170,000 a year
- Hybrid work
- Office
- Finance
- 8 years

I want to receive the latest job alert for pricing manager in framingham, ma

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

pricing manager jobs near framingham, ma

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

Apply Now

Refine Your Search

pricing manager jobs in framingham, ma

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

Sr. Manager, Sales Planning

Commercial Relationship Manager

Senior Project Manager/Estimator

Manager, Commercial Pricing

Product Manager, Claims Pricing & Financial Operations

Pricing Manager

Manager, Transfer Pricing

Manager Pharmacy Pricing

Strategic Negotiations Manager

Sr Director, Strategic Pricing and Deal Architecture - (USA REMOTE)

Senior Strategy Manager, Pricing & Inventory

Product Development Manager (Remote)

Manager, Pricing

Regional Manager I

Senior Program Manager, Pricing & Inventory

Product Manager

Program Mgr Paid Search

Senior Category Manager

Digital Finance Manager

I want to receive the latest job alert for pricing manager in framingham, ma

Related Searches

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected