Fallon Health provides equal employment opportunities to all employees and applicants for employment and prohibits...
for successfully addressing member and provider inquiries received through Fallon Health - 1-800 numbers, as well as, providing.../7 operation with occasional evening and weekends. Fallon Health provides equal employment opportunities...
Fallon Health provides equal employment opportunities to all employees and applicants for employment and prohibits... and keeping current with Fallon products, policies and procedures. Responsible for documenting the results of all outbound calls...
but not required. Fallon Health provides equal employment opportunities to all employees and applicants for employment and prohibits... experience Experience Minimum of 3 years’ experience in health care is required and 2-3 years in an auditing or analytical...
to 2 years college preparation) Fallon Health provides equal employment opportunities to all employees and applicants...
proactive follow-up activities with provider and/or Fallon Health staff. Validate data received by providers and update... and procedure (i.e., Fallon Health Service Level agreements) issue resolution timeframes, PUNKS, QNXT case inventory/assignments...
other SE PACE centers either in person or remotely, as appropriate, when there is an opening or a gap in coverage. Fallon Health... health care team, when appropriate. Identifies emergency situations and initiates appropriate nursing orders/interventions...
to Fallon Health members. Attends FH committee meetings as assigned by the Director of UM and PA, such as TruCare Production..., synthesize and effectively communicate information. Fallon Health provides equal employment opportunities to all employees...
Required. Fallon Health provides equal employment opportunities to all employees and applicants for employment and prohibits... health care team, when appropriate. Identifies emergency situations and initiates appropriate nursing orders/interventions...
of Knowledge (PMBOK) Fallon Health provides equal employment opportunities to all employees and applicants for employment.../Certifications PMP Certification preferred Experience: 5 to 8 years of Project Management experience. Health plan experience...
Key Vault integration for secure secrets management. Fallon Health provides equal employment opportunities...
Fallon Health provides equal employment opportunities to all employees and applicants for employment and prohibits... and techniques Working knowledge of Health Insurance Payer, Provider, Financial Services industry Fully engage with business and IT...
Responsibilities Primary Job Responsibilities: Serve as primary Fallon Health contact for providers to resolve..., specialist, hospital, and ancillary providers by conducting physician and office staff visits. Educate providers on Fallon Health...
experience in a health care facility or company/ Proven experience developing and conducting group nutrition programs Fallon... level and socioeconomic status, etc. Consults with other health care team members regarding nutrition care plan as necessary...
of financial acumen throughout Fallon Health Maintains flexibility in a fast-paced environment and evolves to meet changing... business needs Fallon Health provides equal employment opportunities to all employees and applicants for employment...
member and provider inquiries received through Fallon Health's 1-800 numbers, as well as providing direction on Plan policies... About Fallon Health: Founded in 1977, Fallon Health is a leading health care services organization that supports the diverse...
staff. Fallon Health provides equal employment opportunities to all employees and applicants for employment and prohibits...
commitment to the Fallon Community Health Plan Mission, Values and Vision. Specific competencies essential to this position... targets Fallon Health provides equal employment opportunities to all employees and applicants for employment and prohibits...