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


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


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


Senior PEGA Architect

Fallon Community Health Plan Worcester, MA

Responsible for analyzing, designing, coding, testing and implementing application enhancements, as well as providing general production support… 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


Claims Department Trainer/ Business Analyst - Great Health Plan Company

Fallon Community Health Plan Worcester, MA

This role requires working with business owners and IT to define approach, requirements and timelines as well as lead cross functional development… CareerBuilder


Navicare RN - Case Manager

Fallon Community Health Plan Worcester, MA

Fallon Community Health Plan (FCHP) is a nationally recognized health care services organization with corporate headquarters in Worcester, Mass. From… CareerBuilder


Director, Underwriting & Actuarial Services - Medicare Programs

Fallon Community Health Plan Worcester, MA

include developing actuarial models for pricing, development by product with attention to local markets. Conduct actuarial studies and develop and… CareerBuilder


Program Manager, Government Services Quality (Medicare & Medicaid) - Great Healt

Fallon Community Health Plan Worcester, MA

With general direction from the Director of Quality Programs, the program manager ensures that the health plan is compliant with all quality related… CareerBuilder

Updated Sep 2, 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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