Fallon Community Health Plan Jobs & Careers in Worcester, MA

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Show:  All Results Last 7 Days
18 days ago

IT Business Systems Analyst - Health Care!

Fallon Community Health Plan Worcester, MA

A Business Systems Analyst III will work on projects that generally involve a complex scope. The BSA III is responsible for analyzing and documenting… CareerBuilder


12 days ago

Health Care IT Senior Solution Architect - Great Role in Growing Managed Care Or

Fallon Community Health Plan Worcester, MA

The position will be accountable for defining and setting the technology vision for designated business domains within Fallon Community Health Plan… CareerBuilder


20 hrs ago

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

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


10 hrs ago

EDI Manager in health Care Claims Administration - Growing Payor! – new

Fallon Community Health Plan Worcester, MA

Requires a thorough understanding of industry standards as it relates to claim submission and processing. This includes all standard coding (CPT… CareerBuilder


19 hrs ago

Care Services Coordinator (Navigator) – new

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


10 hrs ago

Customer Service / Call Center Operations Supervisor - Growing Central MA Health – new

Fallon Community Health Plan Worcester, MA

The Call Center Supervisor is accountable for performance of assigned representatives, identifying service improvement opportunities of FCHPs… CareerBuilder


24 hrs ago

Claims Supervisor Health Insurance - Auditing COB – new

Fallon Community Health Plan Worcester, MA

CareerBuilder


19 hrs ago

Claims Department Trainer/ Business Analyst - Great Health Plan Company – new

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


20 hrs ago

Navicare RN - Case Manager – new

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


20 hrs ago

Director, Underwriting & Actuarial Services - Medicare Programs – new

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


Fallon Community Health Plan Reviews

32 Reviews
2.5
32 Reviews
Rating Trends

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Approve of CEO
Fallon Community Health Plan President & CEO W. Patrick Hughes
W. Patrick Hughes
16 Ratings
  1.  

    Extremely Unhealthy

    • Comp & Benefits
    • Work/Life Balance
    • Senior Management
    • Culture & Values
    • Career Opportunities
    Current Employee - Navigator  in  Worcester, MA
    Current Employee - Navigator in Worcester, MA

    I have been working at Fallon Community Health Plan full-time for more than 3 years

    Pros

    The Team. The team. Coworkers have an education. The team. The commute. The team. Making the best of the crap they throw at you as a team.

    Cons

    Unprofessional, total chaos, zero support,Upper Management has no clue what they are doing. No-one in upper management knows the regulations of CMS. Things change daily...no make that hourly. You are made to feel like you are a failure because upper managementmanagent does not know how to run the SCO program. Nightmare!

    Advice to ManagementAdvice

    Get a clue on how to run a SCO!!!!!

    Negative Outlook
    Disapproves of CEO