to member rights Serves as an advocate for members to ensure they receive Fallon Health benefits as appropriate and if member... needs are identified but not covered by Fallon Health, works with community agencies to facilitate access to programs...
for Health Aides on an annual basis. Fallon Health provides equal employment opportunities to all employees and applicants... participates in distribution of work for health aides to ensure care needs of participants and site tasks are completed timely...
Responsibilities Note: Job Responsibilities may vary depending upon the member’s Fallon Health Product Member... Health benefits as appropriate and if member needs are identified but not covered by Fallon Health, works with community...
copies of all denial letters and related documents are kept in the Fallon Health core application and/or the organization...’s security accessed drive(s) Acts as a liaison between Providers, vendors, facilities, members/families, and Fallon Health...
Fallon Community Health Plan Mission, Values and Vision. Specific competencies essential to this position: Adaptability... and diplomatically with staff at all levels Fallon Health provides equal employment opportunities to all employees and applicants...
environments Commitment to pursuing actuarial credentials with the Society of Actuaries and professional development Fallon... Health provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination...
division of insurance support all Fallon Health Products Experience in managing health care and support personnel, as well.... Fallon Health provides equal employment opportunities to all employees and applicants for employment and prohibits...
represents Fallon Health when meeting in-person with customers for eligibility and premium related inquiries. Enters...’s responsibilities. Fallon Health provides equal employment opportunities to all employees and applicants for employment and prohibits...
will depend on the candidate’s experience, skills, and fit with the role’s responsibilities. Fallon Health provides equal...
, skills, and fit with the role’s responsibilities. Fallon Health provides equal employment opportunities to all employees...
’s responsibilities. Fallon Health provides equal employment opportunities to all employees and applicants for employment and prohibits...
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...
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...
Payable processing preferred. Fallon Health provides equal employment opportunities to all employees and applicants...
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...
and standards; problems lacking in clear precedent are reviewed with Manager prior to acting. Fallon Health provides equal...