Top 2319 Closing 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
Sports Experience Manager
Unrivaled Flag —Massachusetts
- Hybrid work
- Mid-level
- Travel
- Leadership
Quick Apply
Project Manager
Building Evolution Corporation —Worcester, MA
- $90,000 - $135,000 a year
- Full-time
- Up to 50% travel
- Construction site
- 5 years
- Profit sharing
- Disability insurance
Quick Apply
4d
IT Project Manager
E Logic —Woonsocket, RI
- From $90,000 a year
- Contract
- 5 years
- Office
- Bachelor's degree
Quick Apply
Assistant Customer Experience Manager
Millbury National Bank - Millbury, MA —Millbury, MA
- $26 - $32 an hour
- Full-time
- Microsoft Outlook
- Mid-level
- High school diploma or GED
- Health insurance
- Dental insurance
Quick Apply
Client Service Manager
Gallagher —Westborough, MA
- $63,500 - $106,500 a year
- Full-time
- Mid-level
- 3 years
- High school diploma or GED
- Paid parental leave
- Health savings account
Pharmacy Manager Supervisor
CompHealth —Massachusetts
- $160,000 - $195,000 a year
- Full-time
- Spanish
- Management
- Mid-level
- Relocation assistance
14d
Area Manager
Valvoline Instant Oil Change —Worcester, MA
- $85,000 - $95,000 a year
- Full-time
- Clean driving record
- 5 years
- Mid-level
Quick Apply
14d
[MA] Social Worker – Geriatric Care Manager (Remote)
Hera —Massachusetts
- $30 - $60 an hour
- Full-time
- Remote
- Licensed Clinical Social Worker
- Mid-level
- Case management
- Flexible schedule
Quick Apply
Area Manager - Multi-Unit Operations
The MOHR Enterprises LLC —Worcester, MA
- $75,000 a year
- Weekends as needed
- Hospitality
- Inventory management
- 5 years
Quick Apply
4d
Parts Manager - CDJR Millbury
Asbury —Millbury, MA
- $90,000 - $130,000 a year
- Full-time
- 18 years or older
- Dealership
- Customer service
- Paid training
- Paid parental leave
Quick Apply
11d
Entry Level Assistant Manager
Mass Media Sales Group —Worcester, MA
- $56,400 - $63,600 a year
- Full-time
- Organizational skills
- In-person
- Communication skills
Quick Apply
11d
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
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
Customer Service Manager
TransCore, LP —Auburn, MA
- $70,000 - $90,000 a year
- Full-time
- Spanish
- 5 years
- Mid-level
Quick Apply
Store Manager Trainee
Dollar Tree —Worcester, MA
- $63,003.20 - $78,659.36 a year
- Full-time
- Merchandising
- Mid-level
- Ability to lift 50 pounds
- Employee stock purchase plan
- Health insurance
Manager Travel Operations
Staples, Inc. —Framingham, MA
- $96,000 - $138,000 a year
- Background check
- Microsoft Excel
- 5 years
- Store discount
- Paid holidays
11d
RN Case Manager - Milford Regional, 32 hours, Days
UMass Memorial Health —Milford, MA
- $84,011.20 - $176,987.20 a year
- 8 hour shift
- Nursing
- RN License
- Hospital
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
Program Manager
Veterans Inc. —Worcester, MA
- $70,000 - $90,000 a year
- Online Application
- Addiction Medicine
- Mid-level
- 3 years
- 403(b) matching
- Paid parental leave
Quick Apply

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closing manager jobs near worcester 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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Refine Your Search

closing manager jobs in worcester ma

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

Sports Experience Manager

Project Manager

IT Project Manager

Assistant Customer Experience Manager

Client Service Manager

Pharmacy Manager Supervisor

Area Manager

[MA] Social Worker – Geriatric Care Manager (Remote)

Area Manager - Multi-Unit Operations

Parts Manager - CDJR Millbury

Entry Level Assistant Manager

Program Manager, Operations Excellence

System Quality & Regulatory Programs Manager

Customer Service Manager

Store Manager Trainee

Manager Travel Operations

RN Case Manager - Milford Regional, 32 hours, Days

Regional Service Manager

Program Manager

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