US-MA-Worcester
Job ID: 6775
Type: Full Time
# of Openings: 1
Category: Corporate Compliance
Fallon Health – Corp HQ
Overview
About Fallon Health
Founded in 1977, Fallon Health is a leading health care services organization that supports the diverse and changing needs of those we serve. In addition to offering innovative health insurance solutions and a variety of Medicaid and Medicare products, we excel in creating unique health care programs and services that provide coordinated, integrated care for seniors and individuals with complex health needs. Fallon has consistently ranked among the nation’s top health plans, and is accredited by the National Committee for Quality Assurance for its HMO, Medicare Advantage and Medicaid products. For more information, visit www.fallonhealth.org.
Summary:
This position is to support our Medicare compliance program effectiveness through data analysis to identify risks, trends by using data visualization and dashboards to portray information to department leadership, Compliance Committee, and Audit & Compliance Committee of the Board. Individuals with strong organizational, technical, data visualization and reporting skills are encouraged to apply. Paramount to this position is the current monthly Medicare Dashboard; its data accuracy, presentation/optics, timeliness, including all information provided by vendors, must be flawless. This position is responsible for completing all departmental reporting and project related tasks accurately and within all required timeframes. The incumbent must have excellent organizational skills, understand the importance of regulatory and other reporting requirements, be professional at all times, be flexible and have the ability to multi-task, and prioritize work accordingly to ensure the accuracy and integrity of reports.
Responsibilities
Perform departmental reporting and analyze data for trending, issue resolution, and opportunities for efficiencies
Identify opportunities to innovate
Support and execute program activities
Understand and communicate about what we do and why
Qualifications
JT18
PI190090770
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