Respond to physician, hospital, ancillary provider inquiries and requests for services associated with the resolution of provider complaints relating to operational concerns, policy and procedures for Fallon Health products and subsidiaries. Understand Fallon Health policies and facilitate and the research required to resolve provider issues. Work collaboratively with int

The Revenue Senior Account I is a strategic partner to management across the organization. The role requires proficiency in the development, accumulation, and evaluation of key elements necessary to properly report the financial position of the organization. The role is responsible to maintain the general ledger's accuracy by creating, processing and/or recording business

The Medical Economics Data Analyst will partner with Medical Economics team members in assistance of data and reporting automation and package development, to support internal product line owners, as well as external provider partners. This role will be responsible for engaging with other analysts within the Finance Division and business users to ensure data quality and d

Provides coordination, scheduling and problem resolution for all approved home care services for Summit Eldercare participants. Documents all actions in a timely manner in an electronic medical record (EMR). Supports other program administration needs as assigned. Responsibilities Coordinates and schedules home care services to implement the plan of care established by th

Health Aide Supervisor Location US MA Springfield Job ID 7482 # Positions 1 Category Other 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, we deliver equitable, high quality coordinated care and are continually rated among the nation'

Provides personal care, light housekeeping and assistance with ADLs (Activities of Daily Living) as outlined in each SE participant's plan of care in participant homes as well as at the PACE center; exercises independent judgement; reports any changes in participant status to the IDT; participates in carrying out infection control precautions and increased cleaning and di

Provides personal care, light housekeeping and assistance with ADLs (Activities of Daily Living) as outlined in each SE participant's plan of care in participant homes as well as at the PACE center; exercises independent judgement; reports any changes in participant status to the IDT; participates in carrying out infection control precautions and increased cleaning and di

Provides personal care, light housekeeping and assistance with ADLs (Activities of Daily Living) as outlined in each SE participant's plan of care in participant homes as well as at the PACE center; exercises independent judgement; reports any changes in participant status to the IDT; participates in carrying out infection control precautions and increased cleaning and di

Provides personal care, light housekeeping and assistance with ADLs (Activities of Daily Living) as outlined in each SE participant's plan of care in participant homes as well as at the PACE center; exercises independent judgement; reports any changes in participant status to the IDT; participates in carrying out infection control precautions and increased cleaning and di

Provides personal care, light housekeeping and assistance with ADLs (Activities of Daily Living) as outlined in each SE participant's plan of care in participant homes as well as at the PACE center; exercises independent judgement; reports any changes in participant status to the IDT; participates in carrying out infection control precautions and increased cleaning and di

Manages a primary care panel of participants and provides continuity primary health care to PACE participants that reside in the community or long term care setting with a focus on goal oriented, person centered care, disease progression, disease prevention, wellness and management of chronic and episodic illness consistent with the participant's goals of care. Works in c

Our Physicians have flexibility to devote as much time as needed for the clinical and social needs of our participants and their caregivers to provide individualized quality care by a team of geriatric care professionals who work together with participants and caregivers to address each individual's specific needs. This team of professionals is an essential component of t

1. Utilizing the Blackline automated reconciliation software, prepare monthly account reconciliations 2. Utilizing Oracle prepare journal entries to be recorded in the general ledger 3. Utilizing the QNXT software process provider checks that have been returned 4.Account analysis and reporting as requested. Qualifications Qualification requirements The ideal candidate is

The Behavioral Health Clinician provides Behavioral Health services in support of SE participants' health and well being, and to promote effective caregiving and self care skills in participants' caregivers and SE staff. Looking for candidates with trauma informed care and substance use disorder treatment, and bilingual/Spanish speaking preferred. Why should I consider a

Responsible for the effective management and delivery of direct nursing care to PACE participants in any setting utilizing nursing process and adhering to standards of nursing practice. Responsibilities Primary job responsibilities Reviews and implements Provider's orders . Conducts nursing assessments according to policy guidelines including physical, psychosocial, behav