Affordable, comprehensive health insurance for Massachusetts small businesses and large businesses.

Insurance

Fallon Health

Fallon Health's headquarters in Worcester, MA, United States

Richard P. Burke

Matt Herndon

David Brumley

Emily West

Todd Bailey

Lora Council

Colleen F.

Jill Green Lebow

Anthony Consolmagno

Scott Walker

Mark Mosby

James Gentile

James R. Buonomo

Janet S. Rico

Victor Woolridge

Frederick M. Misilo Jr.

Deborah Enos

Wanda J. McLain

B. John Dill

Joseph N. Stolberg

Peter Straley

Alice Bonner

This department coordinates patient care and resources through comprehensive case management services.

Case Management

This department manages interactions and relationships with healthcare providers to ensure effective communication and collaboration.

Provider Relations

This department focuses on managing and improving clinical programs and services related to Accountable Care Organizations (ACOs) within Medicaid.

ACO Services

This department focuses on managing, delivering, and coordinating care for individuals with behavioral health needs.

Behavioral Health

The Compliance and Regulatory Affairs Team at Fallon Health ensures adherence to all relevant laws and regulations in the healthcare industry. This team conducts audits, manages Medicare compliance, and develops policies to mitigate fraud, waste, and abuse, ensuring that the company operates within legal guidelines while providing affordable health insurance to small and large businesses in Massachusetts.

Compliance and Regulatory Affairs Team

The Information Technology and Development Team at Fallon Health is responsible for designing, building, and maintaining the technological infrastructure that supports affordable health insurance solutions for businesses in Massachusetts. This team ensures the seamless operation of applications, manages data security and cloud services, oversees project implementations, and develops innovative software solutions to enhance the overall efficiency and effectiveness of the organization's IT services.

Fallon Health

Org chart

Board & advisors

Teams

Case Management

Provider Relations

ACO Services

Behavioral Health

Compliance and Regulatory Affairs Team

Information Technology and Development Team

Offices

Fallon Health

Org chart

Board & advisors

Teams

Case Management

Provider Relations

ACO Services

Behavioral Health

Compliance and Regulatory Affairs Team

Information Technology and Development Team

Offices

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