Temporary to Hire Prior Authorization RN - Hybrid Remote

copies of all denial letters and related documents are kept in the Fallon Health core application and/or the organization...’s security accessed drive(s) Acts as a liaison between Providers, vendors, facilities, members/families, and Fallon Health...

Lugar: Worcester, MA | 20/12/2025 19:12:12 PM | Salario: S/. No Especificado | Empresa: Fallon Health

ACO Behavioral Health Case Manager

to member rights Serves as an advocate for members to ensure they receive Fallon Health benefits as appropriate and if member... needs are identified but not covered by Fallon Health, works with community agencies to facilitate access to programs...

Lugar: Worcester, MA | 20/12/2025 19:12:22 PM | Salario: S/. No Especificado | Empresa: Fallon Health

Lead Sourcing and Contract Administrator

Fallon Community Health Plan Mission, Values and Vision. Specific competencies essential to this position: Adaptability... and diplomatically with staff at all levels Fallon Health provides equal employment opportunities to all employees and applicants...

Lugar: Worcester, MA | 20/12/2025 01:12:46 AM | Salario: S/. No Especificado | Empresa: Fallon Health

Customer Service-Field Representative (Water and Sewer)

The City of O'Fallon, MO is looking to hire a full time Customer Service Field Representative for the Water and Sewer... of $25.98 - $32.49. The City of O'Fallon values its employees and their wellbeing. Our benefits package includes comprehensive insurance...

Lugar: O'Fallon, MO | 18/12/2025 18:12:15 PM | Salario: S/. $25.98 - 32.49 per hour | Empresa: City of O'Fallon

Customer Service-Field Representative (Water and Sewer)

The City of O'Fallon, MO is looking to hire a full time Customer Service Field Representative for the Water and Sewer... of $25.98 - $32.49. The City of O'Fallon values its employees and their wellbeing. Our benefits package includes comprehensive insurance...

Lugar: O'Fallon, MO | 18/12/2025 01:12:14 AM | Salario: S/. $25.98 - 32.49 per hour | Empresa: O’Fallon

Director, Utilization Management & Prior Authorization - Hybrid

to UM and represent the plan at clinical joint operating committees to support collaborative Fallon/provider group relationship. Manages... with and represents Care Services for utilization management on the different product line task forces at Fallon. Serves as SME and Point...

Lugar: Worcester, MA | 18/12/2025 01:12:58 AM | Salario: S/. $155000 - 175000 per year | Empresa: Fallon Health

Support Staff Supervisor

. Maintains referrals. Manages memorial donations and communicates to appropriate Fallon Health staff. Maintains attendance logs... and word processing Excellent verbal and written communication skills Fallon Health provides equal employment opportunities...

Lugar: Dartmouth, MA | 17/12/2025 20:12:31 PM | Salario: S/. No Especificado | Empresa: Fallon Health