• Member Appeals and Grievance Intake Admin

    Fallon Health (Worcester, MA)
    **Overview** **The Member Appeals and Grievances Intake Administrator is working M - F 8 am to 5 pm in the office 5 days/week. We are looking for someone that is ... of Coverage, departmental policies and procedures, and regulatory standards. The Member Appeals & Grievances Intake Administrator is responsible for triaging and… more
    Fallon Health (06/19/24)
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  • Program Manager, Accreditation & Audit- Growing…

    Fallon Health (Worcester, MA)
    …as quality improvement, credentialing, member rights, utilization management, including member appeals and grievances to support them in accreditation ... to be the leading provider of government-sponsored health insurance programs-including Medicare , Medicaid, and PACE (Program of All-Inclusive Care for the Elderly)-… more
    Fallon Health (06/01/24)
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