Top 1309 Pricing 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
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
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
Manager, Transfer Pricing
Novanta —Bedford, MA
- $109,800 - $175,600 a year
- Full-time
- Oracle
- Mid-level
- Continuous improvement
14d
Channel Strategy Manager, Wellness
Helen of Troy —Marlborough, MA
- $95,000 - $140,000 a year
- Full-time
- Hybrid work
- Marketing
- Merchandising
- Office
- Paid parental leave
- Paid holidays
11d
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
Catering Manager
NEXDINE, LLC —Marlborough, MA
- $100,000 a year
- Weekends as needed
- ServSafe
- Mid-level
- Office
- Paid holidays
- Health insurance
Quick Apply
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
Manager, Secondary Markets (Operations)
First Technology Federal Credit Union —Marlborough, MA
- $116,500 - $140,000 a year
- Email
- Office
- Bachelor's degree
- Experience equivalent to degree accepted
- Paid holidays
- Health insurance
Quick Apply
Product Development Manager (Remote)
American Family Mutual Insurance Company —Boston, MA
- Full-time
- Remote
- Management
- Customer service
- Product management
Quick Apply
Sr. Manager, Strategy & Governance
First Technology Federal Credit Union —Marlborough, MA
- $131,000 - $157,000 a year
- Email
- Office
- Analysis skills
- Bachelor's degree
- Paid holidays
- Health insurance
Quick Apply
Senior Strategy Manager, Pricing & Inventory
ClassPass —Boston, MA
- $99,450 - $132,600 a year
- Remote
- 3 years
- SQL
- Senior level
Quick Apply
Product Manager
Molex —South Grafton, MA
- $130,000 - $170,000 a year
- Pass drug screening
- Mid-level
- Bachelor's degree
- Paid parental leave
- Health savings account
Senior Program Manager, Pricing & Inventory
Playlist —Boston, MA
- $99,450 - $132,600 a year
- Remote
- 3 years
- SQL
- Senior level
Quick Apply
Global Category Manager
Waters Corporation —Milford, MA
- $97,500 - $162,500 a year
- 5 years
- Contracts
- Senior level
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
Change Manager
Wolters Kluwer —Waltham, MA
- $85,600 - $149,400 a year
- Full-time
- 5 years
- Office
- Analysis skills
- Commuter assistance
- Paid parental leave

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pricing manager jobs near marlborough, ma

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

Fallon Health -
Worcester, MA

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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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pricing manager jobs in marlborough, ma

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

Sr. Manager, Sales Planning

Commercial Relationship Manager

Manager, Commercial Pricing

Product Manager, Claims Pricing & Financial Operations

Manager, Transfer Pricing

Channel Strategy Manager, Wellness

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

Catering Manager

Manager Pharmacy Pricing

Strategic Negotiations Manager

Manager, Secondary Markets (Operations)

Product Development Manager (Remote)

Sr. Manager, Strategy & Governance

Senior Strategy Manager, Pricing & Inventory

Product Manager

Senior Program Manager, Pricing & Inventory

Global Category Manager

Product Manager

Change Manager

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