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Fallon Community Health Plan - FCHP Jobs & Careers - Remote Work From Home & Flexible
About Fallon Community Health Plan - FCHP
Researched & Written by Adrianne Bibby on the FlexJobs Team
Fallon Community Health Plan - FCHP on FlexJobs
Flexibility Offered
* Based on all jobs posted on FlexJobs
Remote Work Options
100%
Flexible Schedule
0%
Full-Time
100%
Part-Time
0%
Employee
100%
Freelance
0%
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For Research: Past Remote and Flexible Jobs at Fallon Community Health Plan - FCHP
We include these past jobs as a way for you to explore what kinds of remote and flexible jobs Fallon Community Health Plan - FCHP has hired for in the past and might be likely to hire for again in the future.
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11 days agoThe Member Services Representative is accountable for successfully addressing member and provider inquiries received through the company's 1-800 numbers, as well as providing direction on Plan policies, procedures, and benefits. High School diploma.
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29 days agoObtains information necessary from enrollees/caregivers to process Medicare/Medicaid enrollments.Coordinates application processes to assure required timeframes and desired outcomes are met.Communicates appropriate information to NC and SE staff.Provide..
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30+ days agoUnder the direction of the Manager of Prior Authorization, communicates with contracted and non-contracted facilities/agencies/providers to collect pertinent prior authorization request data and disseminates information to the Authorization Coordinators.
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30+ days agoConduct research regarding regulatory/contractual questions to support business requirements including product development, procedural and operational issues, and changes for products from a state perspective. Conduct research and analyses of matters...
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30+ days agoResponsible for translating standard and complex and varied business needs into our configuration rules. To be successful, must possess the technical expertise of the required operational phases of the business systems and analysis skills to...
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30+ days agoDemonstrate strong sales skills and willingness to own a prospect from start to finish by making contact with an interested prospect, engaging them, and continuously working with them to their final stage of enrollment.Generate written correspondence.
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30+ days agoYou will be responsible for modernization and establishment of best practices and their governance framework. You will have deep insights into cloud and application architecture and, ideally, come from an API development background with hands-on...
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30+ days agoAssist in developing the audit planning (scope) and development of audit work programs, and in the execution of audit testing within a specific timeline. Also, prepare and present findings and recommendations based on audit work performed to improve...
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30+ days agoThe Member Services Representative is accountable for successfully addressing member and provider inquiries received through our 1-800 numbers, as well as providing direction on Plan policies, procedures, and benefits.
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30+ days agoMember Service Representatives are the primary liaison for our members to obtain the information or support they need. As such, our representatives are expected to fully understand member/provider needs, and within corporate/department policies...
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30+ days agoWork across departments to increase efficiencies in the enrollment and eligibility processes, including MassHealth enrollment. Monitor types of issues and resolutions with members, as handled by the Enrollee Services team. Bachelor's degree & 5 yrs exp.
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30+ days agoConsults, designs and produces health care information, business analysis, market analysis, geo analysis, survey analysis and reports to help support senior leadership and organizational priorities in addition to external reporting entities such...
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30+ days agoCoordinate and maintain benefit enrollment, qualifying events and terminations of all the benefit programs such as health insurance and retirement. Respond to employee questions and concerns. Presents Benefits to New hires and support employee enrollment.
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30+ days agoMeets or exceeds all department standards: productivity; quality; and attendance.Responsible for resolving a high volume of claims edits for all lines of business.Have an understanding of authorizations, benefits, contracts, enrollment and fee schedules
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30+ days agoOwnership for development of knowledge and skills, as training program provides material and framework for success. Ownership for customer satisfaction. Member Service Representatives are the primary liaison for our members to obtain the information or...
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30+ days agoThe Member Services Representative is accountable for successfully addressing member and provider inquiries received through the 1-800 numbers, as well as providing direction on Plan policies, procedures, and benefits. High school diploma and 2+ yrs exp.
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30+ days agoConduct concurrent and retrospective utilization review for inpatient, observation or SNF services. Oversee utilization management decisions completed by Senior Nurse Case Managers to ensure decisions are appropriate and identify and implement...
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30+ days agoOwnership for development of knowledge and skills, as training program provides material and framework for success. Ownership for customer satisfaction. Member Service Representatives are the primary liaison for our members to obtain the information...
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30+ days agoOwnership for development of knowledge and skills, as training program provides material and framework for success. Ownership for customer satisfaction. Member Service Representatives are the primary liaison for our members to obtain the information or...
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30+ days agoSocial worker needed for a part-time position. Will perform assessments, monitor participant progress, help team to understand patient's needs, and maintain records. Two years' experience in a similar role and master's degree in social work required.
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30+ days agoTake part in intake as well as evaluation process through conducting social work assessment. Develop intake summary. State license would be preferred. This is a part time role requiring approximately 20 hours a week. Master's degree required.
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30+ days agoOn call, work from home role covering every other weekend for a Board Certified Nurse Practitioner. Will provide medical consultation and advice to senior adults via phone and will routinely make nursing home or home visits to check patients.
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30+ days agoTemporary Communications Specialist for healthcare company. Duties include writing articles, researching stories, drafting news releases, acting as media contact and developing intranet content. BA/BS and 5-7 years of communications exp. required.
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Fallon Community Health Plan - FCHP on FlexJobs
Flexibility Offered
* Based on all jobs posted on FlexJobs
Remote Work Options
100%
Flexible Schedule
0%
Full-Time
100%
Part-Time
0%
Employee
100%
Freelance
0%
