1. Utilizing the Blackline automated reconciliation software, prepare monthly account reconciliations 2. Utilizing Oracle prepare journal entries to be recorded in the general ledger 3. Utilizing the QNXT software process provider checks that have been returned 4.Account analysis and reporting as requested. Qualifications Qualification requirements The ideal candidate is

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

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 Primary job responsibilities Reviews and implements Provider's orders . Conducts nursing assessments according to policy guidelines including physical, psychosocial, behav

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 Primary job responsibilities Reviews and implements Provider's orders . Conducts nursing assessments according to policy guidelines including physical, psychosocial, behav

Our Physicians have flexibility to devote as much time as needed for the clinical and social needs of our participants and their caregivers to provide individualized quality care by a team of geriatric care professionals who work together with participants and caregivers to address each individual's specific needs. This team of professionals is an essential component of t

Functions as a member of the PACE Interdisciplinary Team and provides social work services and support to participants, families and other caregivers. Provides direction to bachelors level social workers as assigned by Social Work Manager. Responsibilities Primary job responsibilities Participates in the intake and evaluation process by conducting the initial social work

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 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

The Care Coordinator or Navigator partners with Fallon Health Care Team staff and other providers to communicate at all times what is occurring with the member and their status. The Care Coordinator or Navigator seeks to establish telephonic and face to face (depending upon product and circumstance) relationships with the member/caregiver(s) and provider partners to bette

Responsible for working with 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 su

Our Physicians have flexibility to devote as much time as needed for the clinical and social needs of our participants and their caregivers to provide individualized quality care by a team of geriatric care professionals who work together with participants and caregivers to address each individual's specific needs. This team of professionals is an essential component of t

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

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 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

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