Join the dynamic team of Enterprise Project Management Office (ePMO)! As a valued member of our team, you will be responsible for managing the life cycle of large cross functional projects that are of highest strategic priorities for Fallon Health. You will bring your project management talents to build relationships with key project stakeholders and external vendors and

Is responsible for oversight of quality activities of the Fallon Health Weinberg PACE Program. Provides clinical expertise and technical support for quality initiatives. Reviews the PACE program adherence to CMS and New York State regulations and works to optimize quality of care within the PACE program. Responsibilities Primary Job Responsibilities In collaboration with

The Behavioral Health Clinician provides Behavioral Health services in support of SE participants' health and well being, and to promote effective caregiving and self care skills in participants' caregivers and SE staff. Looking for candidates with trauma informed care and substance use disorder treatment, and bilingual/Spanish speaking preferred. Why should I consider a

As a Solution Architect, you will be responsible for aligning Fallon's business strategy with technology solutions to drive process improvement, competitive advantage, and innovation. You will engage business and IT stakeholders at all levels of the organization to understand the business strategy, capabilities and processes and use this data to identify and shape solutio

Responsible for the analysis, negotiation/renegotiation, implementation, readjustment, evaluation, and continuous improvement of all functions of provider contracting. Manages financial and operational issues related to contractual provider arrangements. Responds to both internal and external customers regarding provider contractual arrangements, both for contract impleme

Responsible for the effective management and delivery of direct nursing care to PACE participants in any setting utilizing nursing process and adhering to standards of nursing practice. Responsibilities Responsibilities Reviews and implements Provider's orders . Conducts nursing assessments according to policy guidelines including physical, psychosocial, behavioral, and M

Responsible for the coordination and supervision of all clinical and business aspects of a PACE site serving 250 participants or less. Responsibilities Primary Responsibilities Coordinates all program services, activities and day to day operations of the PACE center including referral and intake, health monitoring, personal care, rehabilitative services, recreational acti

Respond to physician, hospital, ancillary provider inquiries and requests for services associated with the resolution of provider complaints relating to operational concerns, policy and procedures for Fallon Health products and subsidiaries. Understand Fallon Health policies and facilitate and the research required to resolve provider issues. Work collaboratively with int

Principal responsibility of the Operations Support Service Analyst IV (Senior Business Analyst) is to collaborate with business areas to design, develop, modify and test reports to support business needs and transaction management. The analyst will leverage their developer skill set and experience with large health care data sets and relational databases to develop comple

The Financial Accounting and Reporting Senior Accountant is a strategic partner to management across the organization. The role requires proficiency in the development, accumulation and evaluation of key elements necessary to properly report the financial position of the organization. The Senior is responsible to maintain the general ledger's accuracy by creating, process

The Manager works closely with their counterpart to assist the Senior Director, PACE Operations to manage the program level operational and regulatory functions related to Fallon Health's PACE programs. Responsible for compiling reports and analyzing data and making program level recommendations. T he Manager supports the Senior Director, PACE Operations to manage program

Provides program level guidance and recommendations relevant to the provision of clinical and nursing services. Oversees implementation of discipline specific policies and procedures. Responsible for the operations of the PACE center clinic. Oversees all nursing services provided to the participants at the center. Supervises and directs RNs, LPNs and Health Aides assigned

Applying accounting and business knowledge, supports the Treasury Accounting team by Reviewing daily banking activity to meet accounting policies and Model Audit Rule Controls, Check deposit scanning and other Treasury tasks. Completion of monthly basic journal entries and general ledger account reconciliations Responsibilities Primary Job Responsibilities Perform daily b

Social Worker II Location US MA Webster Job ID 7560 # Positions 1 Category Social Work Overview About us Fallon Health is a company that cares. We prioritize our members always making sure they get the care they need and deserve. Founded in 1977 in Worcester, Massachusetts, we deliver equitable, high quality coordinated care and are continually rated among the nation's to

Responsible for the coordination and supervision of all clinical and business aspects of a PACE site serving 100 participants or less. Responsibilities Coordinates all program services, activities and day to day operations of the PACE center including referral and intake, health monitoring, personal care, rehabilitative services, recreational activities, nutrition, transp