About Fallon Health:
Founded in 1977, Fallon Health is a leading health care services organization that supports the diverse and changing needs of those we serve. In addition to offering innovative health insurance solutions and a variety of Medicaid and Medicare products, we excel in creating unique health care programs and services that provide coordinated, integrated care for seniors and individuals with complex health needs. Fallon has consistently ranked among the nation’s top health plans, and is accredited by the National Committee for Quality Assurance for its HMO, Medicare Advantage and Medicaid products. For more information, visit www.fallonhealth.org.
Brief Summary of purpose:
The Internal Audit Department (IA) at Fallon Health (FH) is designated Fraud, Waste and Abuse Unit for the company. As such, it’s our responsibility to provide guidance and oversight regarding preventive and detective activities. IA reports administratively to the Chief Compliance Officer and functionally to the Audit & Compliance Committee, and plays a key role in employing various procedures to detect fraud, waste and abuse.
Associates degree or equivalent in education and experience required.
Bachelor’s degree preferred or similar work experience
Certificate of Professional Coding, strongly preferred.