Top 757 Group manager Jobs in Sturbridge, 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
Nurse Practitioner (NP) or Physician Assistant (PA) Full Time Stafford, CT
IMPACT HEALTH PC —Stafford, CT
- $110,000 - $200,000 a year
- Full-time
- Skilled nursing facility
- Mid-level
- Critical & Intensive Care
- Paid training
- Continuing education credits
Quick Apply
106-07 Assistant Residential Group Home Manager
Venture Community Services Inc —Sturbridge, MA
- $19.50 - $21.00 an hour
- Overtime
- CPR Certification
- Experience working with individuals with disabilities
- Mid-level
- Paid training
Quick Apply
4d
Radiologic Technologist
Hartford Health | GoHealth Urgent Care —Killingly, CT
- Part-time
- Anatomy knowledge
- BLS Certification
- Urgent Care
- Referral program
Quick Apply
LPN (407-14)
Venture Community Services Inc —Leicester, MA
- $34 an hour
- Part-time
- CPR Certification
- Nursing
- BLS Certification
Quick Apply
4d
Cook
Quaboag Rehabilitation and Skilled Care Center —West Brookfield, MA
- $16 an hour
- Full-time
- Skilled nursing facility
- Rehabilitation center
- Organizational skills
- 403(b) matching
- Health insurance
Quick Apply
LPN (407-17)
Venture Community Services Inc —Leicester, MA
- $34 an hour
- Part-time
- CPR Certification
- Nursing
- BLS Certification
Quick Apply
4d
Assistant Property Manager
Way Finders —Charlton, MA
- $25.50 - $29.00 an hour
- Full-time
- Spanish
- Mid-level
- Travel
- 403(b) matching
- Commuter assistance
7d
116-04 Assistant Residential Group Home Manager
Venture Community Services Inc —Charlton, MA
- $19.50 - $21.00 an hour
- Overtime
- CPR Certification
- Experience working with individuals with disabilities
- Mid-level
- Paid training
Quick Apply
4d
Maintenance Supervisor
The United Group of Companies, Inc —Worcester, MA
- $31.90 - $32.90 an hour
- Weekends as needed
- Ability to walk for extended periods
- 5 years
- Mid-level
- Health savings account
- Paid holidays
Quick Apply
Clinician-Addiction Recovery Services (Adult)-Dayville, CT
United Services, Inc. - Connecticut —Dayville, CT
- $55,370 - $73,730 a year
- Multiple hires
- LMFT
- Spanish
- Addiction Medicine
- Mileage reimbursement
- Health savings account
Quick Apply
Commercial Insurance Learning Specialist
MAPFRE —Webster, MA
- $58,800 - $104,700 a year
- Hybrid work
- Classroom
- Mid-level
- Bachelor's degree
- Health insurance
- Tuition reimbursement
Nurse Practitioner (NP) or Physician Assistant (PA) Full Time Tolland, CT
IMPACT HEALTH PC —Tolland, CT
- $50,000 - $200,000 a year
- Full-time
- Skilled nursing facility
- Mid-level
- Critical & Intensive Care
- Paid training
- Continuing education credits
Quick Apply
Radiologic Technologist
Hartford Health | GoHealth Urgent Care —Killingly, CT
- Anatomy knowledge
- BLS Certification
- Urgent Care
- Referral program
Quick Apply
Costume Shop Manager
Old Sturbridge Village —Sturbridge, MA
- $43,000 - $52,000 a year
- Weekends as needed
- Background check
- High school
- Ability to walk for extended periods
- Health savings account
- Health insurance
LPN (400-01)
Venture Community Services Inc —Worcester, MA
- $34 an hour
- Full-time
- CPR Certification
- Nursing
- BLS Certification
Quick Apply
4d
Ford Automotive Technician - B Level
BALISE MOTOR SALES COMPANY —Wilbraham, MA
- $23 - $30 an hour
- ASE Certification
- Dealership
- Customer service
- Paid holidays
- Disability insurance
Quick Apply
Senior Environmental Compliance Specialist
Atlas —Massachusetts
- Full-time
- Hybrid work
- Travel
- Senior level
- Leadership
- Paid parental leave
- AD&D insurance
Quick Apply
Registered Nurse (RN) Full-Time
Healogics —Palmer, MA
- $41.98 - $52.90 an hour
- Full-time
- Nursing
- Microsoft Excel
- Microsoft Outlook
Quick Apply
Restaurant Manager at Avvio Millbury
AVVIO MILLBURY INC —Millbury, MA
- $70,000 - $80,000 a year
- Weekends as needed
- Mid-level
- Ability to lift 50 pounds
- Ability to stand for extended periods
- AD&D insurance
- Paid holidays
3d

I want to receive the latest job alert for group manager in sturbridge, 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

group manager jobs near sturbridge, ma

Environmental Compliance Specialist jobs in Massachusetts

Nurse Practitioner jobs in Tolland, CT

Radiologic Technologist jobs in Killingly, CT

Registered Nurse jobs in Palmer, MA

Contract Manager jobs in Worcester, MA

Maintenance Supervisor jobs in Worcester, MA

Restaurant Manager jobs in Millbury, MA

Licensed Practical Nurse jobs in Worcester, MA

Group Manager jobs in State College, PA

Group Manager jobs in Fish Camp, CA

Group Manager jobs in Ridgewood, NJ

Group Home jobs in Fort Worth, TX

Performance Food Group jobs in Lebanon, TN

Group Manager jobs in Avenel, NJ

Fp&a Manager jobs in New Jersey

Addiction Recovery Consultant jobs in Paramus, NJ

Addiction Nurse jobs in Chicago, IL

Addiction Nurse Practitioner jobs in New York State

Addiction Recovery Consultant jobs in New Brunswick, NJ

Educational Consultant jobs in Richmond, VA

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

group manager jobs in sturbridge, ma

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

Nurse Practitioner (NP) or Physician Assistant (PA) Full Time Stafford, CT

106-07 Assistant Residential Group Home Manager

Radiologic Technologist

LPN (407-14)

Cook

LPN (407-17)

Assistant Property Manager

116-04 Assistant Residential Group Home Manager

Maintenance Supervisor

Clinician-Addiction Recovery Services (Adult)-Dayville, CT

Commercial Insurance Learning Specialist

Nurse Practitioner (NP) or Physician Assistant (PA) Full Time Tolland, CT

Radiologic Technologist

Costume Shop Manager

LPN (400-01)

Ford Automotive Technician - B Level

Senior Environmental Compliance Specialist

Registered Nurse (RN) Full-Time

Restaurant Manager at Avvio Millbury

I want to receive the latest job alert for group manager in sturbridge, ma

Related Searches

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected