Fallon Community Health Plan Jobs & Careers

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Member Appeals & Grievances Coordinator - Growing Health Plan and Health Service

Fallon Community Health Plan Worcester, MA

The FCHP Appeals and Grievance process is an essential function to FCHPs compliance with CMS regulations, NCQA standards, other applicable regulatory… CareerBuilder


Provider Relations Representative - Growing Health Care Org

Fallon Community Health Plan Buffalo, NY

Serve as primary liaison between FCHP and all contracted and limited non-contracted physicians/providers, hospitals, and ancillary providers within… CareerBuilder


Registered Nurse - Growing Elder Care Program

Fallon Community Health Plan Worcester, MA +2 locations

• Reviews and implements physicians orders • Conducts nursing assessments including physical, psychosocial and behavioral status • Involves… CareerBuilder


Care Services Coordinator (Navigator)

Fallon Community Health Plan Worcester, MA

Fallon Health is a leader in providing senior care solutions such as NaviCare, a Medicare Advantage Special Needs Plan and Senior Care Options… CareerBuilder


RN Case Manager (SCO) Per Diem - Raynham (Southeast

Fallon Community Health Plan Raynham, MA

NaviCare HMO is a Medicare Advantage Plan and Senior Care Options program from Fallon Community Health Plan. Medicare Advantage contracts between the… CareerBuilder


Licensed Behavioral Health Clinician for Holyoke Area - Spanish Speaking Needed

Fallon Community Health Plan Holyoke, MA

Responsible for assessing an enrollees mental health status and developing a plan to coordinate a continuum of care consistent with the enrollees… CareerBuilder


Graphic Designer Part-time - Exciting Health Care Program

Fallon Community Health Plan Worcester, MA

This position requires the ability to take all of the mentioned software programs and combine them with graphic design skills and corporate standards… CareerBuilder


Enrollee Services Representative - Health Services Org.

Fallon Community Health Plan Worcester, MA

Fallon Health is a leader in providing senior care solutions such as NaviCare, a Medicare Advantage Special Needs Plan and Senior Care Options… CareerBuilder


RN - Summit ElderCare - East Mountain St. Per Diem 8 hours per week

Fallon Community Health Plan Worcester, MA

Summit ElderCare is a medical, insurance, and social support program that helps older adults remain living in the community as an alternative to… CareerBuilder


Claims Supervisor Health Insurance - Auditing COB

Fallon Community Health Plan Worcester, MA

This position will have direct oversight for the Coordination of Benefits and Third Party Liability team and a small team that processes claims… CareerBuilder

Updated Aug 28, 2014

See What Fallon Community Health Plan Employees Are Saying

Employees say it's “OK”   33 ratings

2.7

53% Approve of the CEO   17 ratings

Fallon Community Health Plan President & CEO W. Patrick Hughes

W. Patrick Hughes

President & CEO

Wake Up

Pros: “Sco program is a good product with excellent potential for growth. The employees are dedicated and work harder than management will ever understand or appreciate.”Full Review


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