- 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
- Commonwealth Care Alliance (Boston, MA)
- …or more core operational functions, including call centers, enrollment functions, and appeals / grievances . Knowledge, Skills & Abilities Required: + Knowledge of ... department and provides strategic direction and operational insight for CCA's Medicaid/ Medicare Dual Eligible enrollees and MAPD Plan members. + Oversee Member… more