Product Manager: Payer Pricing & Claims Operations
Mass Digital Health
Mass Digital Health in Southborough, Massachusetts is seeking an experienced Product Manager to work closely with the Chief Product Officer in enhancing the payer transaction engine on their Aria platform. This role involves defining product features for claims adjudication and overseeing the configuration for various payer models. The ideal candidate should possess a bachelor's degree and have extensive experience in product management, specifically with health plans or payer platforms. Strong communication skills, technical proficiency, and familiarity with regulatory requirements are essential to succeed in this position. #J-18808-Ljbffr
Vacancy posted 1 day ago
Similar jobs that could be interesting for youBased on the Product Manager: Payer Pricing & Claims Operations in Southborough, MA vacancy
- ...nirvanaHealth is building the payer enterprise on a... ...outcomes, and product innovation. Aria... ...translate payer operations into platform... ...Summary The Product Manager works closely with... ...on Aria, including claims adjudication, benefit... ...execution, pricing, payment, recoupment...OperationsClaimsContract work
Mass Digital Health
Southborough, MA3 hours ago - ...nirvanaHealth, LLC seeks a Product Manager to enhance our Aria platform's payer transaction engine. You will collaborate with the Chief Product Officer... ...teams to build financial constructs and streamline claims operations. Ideal candidates have at least 5 years in...OperationsClaims
Nirvana Health Service
Southborough, MA3 hours ago - ...The Global Product Manager Microbiology is responsible for the global strategy... ...customer, regulatory, and operational requirements into clear R&D... ..., ensuring audit‑ready claims, datasets, and documentation... ...portfolio strategy, roadmap, pricing, and business objectives, informed...OperationsClaims
Cytiva
Marlborough, MA1 day ago - ...Summary Persivia is seeking a Product Owner to join our Product Management team. In this role, you... ...quality reporting; claims, eligibility, and clinical... ...frameworks (HIPAA), and payer/provider workflows. Proven... ...managed care, or health plan operations. SQL proficiency and...OperationsClaims
Persivia
Marlborough, MA3 hours ago $124.6k - $150k
...lead the upstream filtration products including ATF and TFDF systems... ..., sales, manufacturing, operations, support, applications, and product... ...strategy and tactics, and manage the product life cycle to ensure... ...and recommend appropriate pricing and discounting. Liaise with...OperationsFlexible hoursRepligen
Marlborough, MA3 hours ago- ...Product Manager, Detection & Control Ashland, MA KiddeFenwal is a global leader in industrial... ...detection solutions. With global operations spanning the U.S., U.K., and India,... ...for product development, positioning, pricing, and sales enablement initiatives. This...OperationsWork at office
Kidde-Fenwal
Ashland, MA1 day ago $124.6k - $150k
...as a preferred partner in the production of biologic drugs that... ..., R&D and Marketing teams to manage new launches and line extensions... ...product life cycle activities. Operations: Generate forecasts to ensure... ...run Excel models with revenue/pricing/margin analysis. Qualifications...OperationsWorldwideFlexible hoursRepligen
Marlborough, MA4 hours ago- ...The Business Analyst, Pricing and Underwriting , is responsible... ...services within a Pharmacy Benefit Manager (PBM) setting. Partner cross-... ...reports to inform daily operations and executive decision-making... ...strategy. Analyze pharmacy claims, drug pricing, rebate models,...OperationsClaimsFull timeTemporary workWork at officeRemote workWork from home
Maxor National Pharmacy Services
Wellesley, MA2 hours ago $172k - $236.5k
...Director & Senior Counsel, Consumer Products & Technology page is loaded##... ...legal processes in business operations; and general legal counseling... ...-picture perspective while managing day-to-day business needs.**... ....* Review B2C advertising claims and advise teams on related truth...OperationsClaimsContract work- ...POS), transaction lifecycle management, and the downstream systems... ...accuracy, reporting integrity, and operational excellence. This role is... .... We are seeking a Product Manager - Retail POS to... ...Collaborate with Merchandising and Pricing teams to ensure accurate and...OperationsLocal areaFlexible hours
Staples
Framingham, MA3 days ago $128.5k - $164k
BJ's Wholesale Club, Inc. is seeking an experienced Product Manager for Merchandising Tech to own the strategy and execution of technology products related to Retail Pricing and Promotions. In this hybrid role, you will work on-site in Marlborough, MA Tuesday through Thursday...Remote workMonday to Friday- ...Overview The Elite Support Manager is a mission‑critical... ...health systems, ACOs, payers, governments, and... ...velocity technical and product support. This leader owns... ..., customer empathy, operational rigor, and the ability... ...health, quality, claims, AI, or analytics). Exposure...OperationsClaimsFull time
Persivia
Marlborough, MA3 hours ago - ...Skills Who You Are: Experienced in product ownership within complex retail... ...Retail Merchandising with specific focus on Pricing and Promotion processes and systems Skilled at leading, driving, managing stakeholder expectations, planning and estimating...
Tata Consultancy Services
Marlborough, MA2 days ago - ...serve as the General Manager for Target FBM (Fulfilled... ...storefront strategy, operational excellence, and cross-... ...closely with Pricing, Merchandising, Marketing... ...and exclusive Staples products. Improve Buy Box competitiveness... ..., returns, and claim rates. Cross-...OperationsClaimsWork experience placement
Staples Advantage Canada
Framingham, MA3 hours ago - ...Job Description Commercial Insurance Account Manager Established agency seeking a detail-oriented person who demonstrates clear... ...solving techniques to various issues including cancellations, claims, renewal issues, audits, receivables, carrier issues. Experience...Claims
The Jonus Group
Framingham, MA1 day ago $160k - $180k
...we believe strong financial operations are essential to delivering life... ...President of Revenue Cycle Management to lead and strengthen our enterprise... ...cycle functions including claims submission, payment posting,... ...initiatives. Oversee payer relationships and negotiate contracts...OperationsClaimsFull timeMonday to FridayAdvocates
Framingham, MA4 days ago$80k - $85k
...and improving revenue cycle operations for Primary Care by coordinating... ...outsourced Revenue Cycle Management (RCM) vendor(s) to ensure timely... ...paid, and denied medical claims. This role focuses on monitoring... ...established processes and payer requirements. It plays a key...OperationsClaimsFull timeWork experience placementWork at office3 days per weekHealthDrive
Framingham, MA5 days ago$96.3k - $112k
...and efficient billing operations across Quest's national... ...that support clean claims, timely reimbursement,... ...operational requirements and payer rules into effective... ...go-live preparation, production validation, and post-... ...payer rules, denial management, and revenue cycle compliance...OperationsClaimsWork experience placementWork at officeRemote workWork from homeQuest Diagnostics Incorporated
Marlborough, MA5 days ago- ...Post Market Surveillance Manager At Boston Scientific, we'll give you the opportunity... ...quality liaison across functions to ensure product safety, regulatory compliance and... ...regulatory authorities Monitor daily operations and provide direction to supervisors, exempt...OperationsWork at officeLocal areaRelocation package3 days per week
Intracept by Boston Scientific
Marlborough, MA2 days ago - ...Sr. Manager, Global Product Management, Cytology and Digital Pathology Marlborough, MA, United States... ...Partner with service, quality, and operations teams to monitor fleet performance... ...teams to implement recurring revenue and pricing business models: (ex: SaaS, pay per...OperationsWork at officeLocal areaFlexible hours
Hologic
Marlborough, MA3 hours ago $110k - $185k
...looking for an enthusiastic, result-driven, Product Manager to work closely with a team of Product... ...by partnering with engineering, operations, and other internal functions to successfully... ...of ROI (return on investment) and pricing in relation to products/solutions, and...OperationsWork experience placementSecond jobNight shiftCognex
Natick, MA4 days ago$66.33k - $159.12k
...clientele. With a range of flexible pricing and buying models, including... .... Develop within the broader product team the long‑term product... ..., design, data science, and operations to build scalable, high‑... ...Sales, Marketing and Account Management teams to understand advertiser...OperationsHourly payFull timeTemporary workWork at officeLocal areaRemote workWork from homeFlexible hours3 days per weekHispanic Alliance for Career Enhancement
Wellesley, MA4 hours ago$106.8k
...effectiveness of complaint processes, support risk management activities and serve as a key quality liaison across functions to ensure product safety, regulatory compliance and... ...regulatory authorities Monitor daily operations and provide direction to supervisors,...OperationsHourly payWork at officeLocal areaRelocationRelocation packageShift work3 days per weekBoston Scientific
Marlborough, MA2 days ago$137.5k - $175.5k
...Senior Product Manager This Senior Product Manager role will focus on overall membership and renewal experiences and capabilities while... ...roadmaps. Partner with engineering, UX, marketing, and operations to deliver scalable solutions. Drive AI integration to personalize...OperationsWork at officeRemote workMonday to FridayBJ's Wholesale Club
Marlborough, MA3 days ago- Tata Consultancy Services is seeking an experienced product manager to oversee Pricing and Promotion Technology products in Marlborough, Massachusetts. The ideal candidate will possess over 5 years of product management experience in retail, with a strong focus on Pricing...
- Tata Consultancy Services is seeking an experienced Product Manager in Marlborough, MA to lead Pricing and Promotions technology initiatives. The ideal candidate will possess at least 5 years of proven product management experience, specifically in retail, and have a strong...
- ...innovation pipeline for the future and to bring products and solutions to market seamlessly. We... ...acumen to join our team. The product manager plays a critical role in shaping the... ...services across customers and workflows. Operational & Data Rigor: Proven ability to improve...OperationsWork experience placementLocal area
- ...innovation pipeline for the future and to bring products and solutions to market seamlessly. We... ...acumen to join our team. The product manager plays a critical role in shaping the... ...Strong understanding of product catalog operations, including item setup, item health monitoring...OperationsWork experience placementWork at office
$21.53 - $26.91 per hour
...Framingham, Massachusetts. The position involves managing billing activities, ensuring accurate reimbursements, and supporting overall operations. Ideal candidates will have a high school... ...billing. Responsibilities include claim submissions, tracking documentation, and...OperationsClaimsHourly payTufts Medical Center
Framingham, MA1 day ago$106.8k
...effectiveness of complaint processes, support risk management activities and serve as a key quality liaison across functions to ensure product safety, regulatory compliance and... ...regulatory authorities Monitor daily operations and provide direction to supervisors, exempt...OperationsHourly payWork at officeLocal areaRelocationRelocation packageShift work3 days per week
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Product Manager: Payer Pricing & Claims Operations. Be the first to apply!
Related searches