14 Job Openings at Fallon Health

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Senior EDI Coordinator - Possible Remote
Fallon Health $80K - $95K*
Worcester, MA
In-Person
2 days ago
Advance the EDI Process by managing file transmissions, enhancing provider engagement, and leading training initiatives. Collaborate with teams to ensure efficiency, troubleshoot issues, and document procedures for continuous improvement.
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Senior EDI Coordinator - Possible Remote
Fallon Health $80K - $95K*
Virtual / Travel
Remote
2 days ago
Transform the EDI process by orchestrating electronic submissions, troubleshooting issues, and training staff, while enhancing communication among departments and increasing provider engagement for smoother operations.
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Serve as a vital Code Auditor in healthcare, conducting comprehensive coding audits of medical records, identifying fraud and abuse risk factors, collaborating with providers, and supporting investigations to ensure compliance and accuracy in billing practices.
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SCO Assessment Nurse Case Manager - Westport
Fallon Health $95K - $100K*
North Dartmouth, MA
In-Person
6 days ago
Tackle the complexities of patient care as you conduct assessments, onboard new members, and collaborate with care teams to drive health initiatives and ensure compliance with regulatory standards in a dynamic environment.
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SCO Assessment Nurse Case Manager - Westport
Fallon Health $95K - $100K*
Dartmouth, MA
In-Person
6 days ago
Drive impactful health assessments and care solutions through home visits, collaborating with multidisciplinary teams while ensuring compliance with regulatory requirements and providing member education and advocacy.