New Member Application - Worcester - Exec

The Mortgage Loan Originator is responsible for originating and processing residential mortgage loans while delivering exceptional member service. · ...

The FH authorization process is an essential function to FH's compliance with CMS regulations, NCQA standards, other applicable regulatory requirements, and customer expectations. The FH Authorization Coordinator serves to administer the FH prior authorization process as outlined ...

The Accountable Care Organization ACO Behavioral Health Case Manager I (BHCM I) is an integral part on an interdisciplinary team focused on transition of care assessment and support, care coordination, care management and improving access to and quality of care for Fallon Health ...

The Cleaner position provides the cleaning and upkeep of an assigned area. · The pay listed is the hourly range or the hourly rate for this position. · ...

The Cleaner position provides the cleaning and upkeep of an assigned area. · ...

+Job summary+ · 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 r ...

The Service Coordinator will communicate with contracted and non-contracted facilities/agencies/providers to collect pertinent prior authorization request data. · This includes receiving incoming faxed/mailed/emailed requests and initiating entry of service request shells into co ...

The Service Coordinator will assist in processing authorization information to facilitate medical services for Fallon Health members. · Accepts authorization service requests and notifications for FCHP members. · ...

This Intake Administrator position is responsible for administering the FH Appeals and Grievance process. · Administer FH Standard and Expedited Appeals Processes. · Triage and assign incoming appeals and grievances. · Gather relevant information from members regarding grievances ...

The Enrollee Service Representative is responsible for processing enrollment applications and handling enrollee inquiries in accordance with SCO contract requirements, CMS regulations, NCQA standards, departmental policies and procedures. · Provides coverage for the NaviCare enro ...

This member intake administrator position is responsible for administering the appeals and grievance process for Fallon Health's compliance with CMS regulations and member expectations. · ...

+PRN/Part-Time weekly visits needed for the Worcester area. · ...

Fallon Health is a company that cares. We prioritize our members—always—making sure they get the care they need and deserve. · ...

The Accountable Care Organization (ACO) Behavioral Health Case Manager (BHCM) is an integral part on an interdisciplinary team focused on transition of care assessment and support, care coordination, care management and improving access to and quality of care for Fallon Health AC ...

This is a Hybrid role where applicants should reside within 30 minutes from Wochester to be strongly considered for this position. The RN conducts high-quality clinical assessments in members' homes and in community settings across Massachusetts. The position will complete intake ...

To manage and oversee all aspects of daily hub operations, including supervising city delivery dispatcher, hub delivery specialists and any other team members assigned to hub. · ...

+ Establish relationships with local businesses+ Conduct loan interviews + Manage branch cash operationsRequirements:College degree · 2–4 years of experience in retail banking · ...

+Job summary · Clinical Research Coverage Analyst will provide day-to-day support and guidance for clinical investigators and research staff when conducting Medicare coverage analysis determinations The position will also act as a liaison with all UMMS clinical partners, · Ensure ...

The Member Service Specialist will deliver a well-rounded member experience under the direction of branch management. They will complete tasks including sales and service activities, maintaining and balancing teller cash drawers, and processing transactions efficiently, · Ability ...

Fantastic Call Center Opportunities with training, career path advancement, great benefits, paid time off, heath insurance and more. · The Great Opportunity · It's an exciting time to join Fallon Health as we experience growth and expansion with new services and products. · ...

+Job Summary · The Cleaner position provides the cleaning and upkeep of an assigned area. · +ResponsibilitiesClean and maintain assigned buildings and facilities to ensure a sanitary and safe environment. · Clean floors by sweeping, mopping, scrubbing, or vacuuming. · ...