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 fallonhealth.org.
Brief Summary of Purpose:
Responsible for working with Summit ElderCare pre-enrollees, participants, caregivers, staff and external regulatory staff (such as Mass Health) and NaviCare NHC pre-enrollees to assure that enrollment in the Medicare and Medicaid systems is accomplished accurately and efficiently with appropriate information entered in the FCHP systems. Also, responsible to ensure recertifications are submitted timely and ensure MassHealth has processed. Will interact with FCHP corporate staff as well as NC and SE staff to produce defined reports. Acts as administrative support person to non adult day health center personnel as needed.
Education: High School graduate. Associate or Bachelor’s degree desirable.