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 Positions:
The Medicare Regulatory Affairs Manager acts as a regulatory resource to clarify, monitor and research regulatory requirements and changes that impact the structure and operation of Medicare Advantage, PACE and other Medicare products. The scope of the position includes regulations pertaining to Medicare Advantage, PACE and other Medicare products, such as Medicare applications, including RFI and RFA applications, and expansion applications and compliance oversight. Additionally, this position includes responsibilities for policies and procedures as a Fallon Policy and Procedure Librarian, such as sending annual review policy and procedure reminders and providing education on the development of policies and procedures
Education: Bachelor’s degree required. Advanced degree in law strongly preferred for this position
Experience: 5 years managed care or relevant industry experience