Managed Care Marketing Manager jobs in Brockton, MA

Managed Care Marketing Manager develops and implements marketing plans for a managed care organization. Promotes the organization's services to potential members and business partners. Being a Managed Care Marketing Manager identifies and targets new opportunities and sources of additional business and revenue. Requires a bachelor's degree. Additionally, Managed Care Marketing Manager typically reports to a head of a unit/department. The Managed Care Marketing Manager typically manages through subordinate managers and professionals in larger groups of moderate complexity. Provides input to strategic decisions that affect the functional area of responsibility. May give input into developing the budget. Capable of resolving escalated issues arising from operations and requiring coordination with other departments. To be a Managed Care Marketing Manager typically requires 3+ years of managerial experience. (Copyright 2024 Salary.com)

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Managed Care Coordinator - Referrals
  • Beth Israel Lahey Health Primary Care
  • Plymouth, MA FULL_TIME
  • When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives.

    Job Type:

    Regular

    Scheduled Hours:

    40

    Work Shift:

    Day (United States of America)

    This role is now eligible for a $1,500 sign on bonus. Important Details: Bonuses are paid out in $500 increments at 30 days, 6 months and at the 1 year anniversary. To be eligible, you must be a non-BILH employee or a previous eligible employee who returns to BILH after 1 year. Employee must be in good standing to receive the bonus at the time of payment. All bonuses are subject to applicable taxes. This program is subject to change at any point.

    Job Summary: Under the direction of the Sr. Managed Care Coordinator and Surgery Practice Manager initiate and process managed care insurance referral requests for patients of the practice, while maintaining a strong focus on patient-centered care, timeliness, quality, and accuracy. Adhere to the organization's Revenue Cycle Referral Management policy and meet targets regarding expected standard turnaround time goals as set by the practice.

    Job Description:

    Essential Responsibilities:

    Work collaboratively with APG PCPs, patients and practice support staff to coordinate, and process all specialty care managed care referral authorization requests in compliance with APG's, BIDMC's and BIDPO's contractual rules and agreements for multiple managed care insurance payers. Utilize electronic technologies to initiate, issue, and administratively sign off on a high volume of referrals.

    Learn and remain proficient on multiple electronic technologies used by the APG practices and BIDMC to initiate referral requests in an efficient and timely manner. Technologies will include but are not limited to (POS) Point of Service Device, Health Wire Network, Aetna WebMD, NEHEN, HPHC Connect, and other computer and web-based technology, Navinet and NIA.

    Serve as a daily point of contact and as an organizational resource for APG patients, families, specialty practices, physicians and support staff on APG managed care related issues. Communicate to the specialist and/or patient the level of care, number of visits being authorized (e.g. one consult only vs. a consult and treatment), and the extent of the diagnostic testing being authorized.

    Communicate with managed care payers to resolve patient referral management issues; coordinate with Patient Accounts, and other internal and external customers to resolve patient billing problems. Help provide referral management training to new hires. Work with extremely sensitive and highly confidential patient information and adhere to policy of maintaining patient confidentiality.

    Maintain current knowledge base of referral and authorization plan rules and policies for multiple managed care payers and multiple specialties and ancillary/diagnostic testing as they apply to issuing PCP approvals. Work closely with patients and PCP's to refer patients with complex referral needs and complicated problems or situations to the case management at the insurance companies.

    Required Qualifications:

    High School diploma or GED required.

    Certificate 1 Medical Admin Assistant Cert preferred.

    1-3 years related work experience required.

    Experience with computer systems required, including web based applications and some Microsoft Office applications which may include Outlook, Word, Excel, PowerPoint or Access.

    Competencies:

    Written Communications: Ability to communicate clearly and effectively in written English with internal and external customers.

    Oral Communications: Ability to comprehend and converse in English to communicate effectively with medical center staff, patients, families and external customers.

    Knowledge: Ability to demonstrate full working knowledge of standard concepts, practices, procedures and policies with the ability to use them in varied situations.

    Team Work: Ability to interact respectfully with other employees, professional staff and/or external contacts to offer ideas, identify issues, obtain information or deliver services.

    Customer Service: Ability to provide a high level of customer service to patients, visitors, staff and external customers in a professional, service-oriented, respectful manner using skills in active listening and problem solving. Ability to remain calm in stressful situations.


    Physical Nature of the Job:
    Sedentary work: Exerting up to 10 pounds of force occasionally in carrying, lifting, pushing, pulling objects. Sitting most of the time, with walking and standing required only occasionally

    FLSA Status:

    Non-Exempt

    As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) and COVID-19 as a condition of employment. Learn more about this requirement.

    More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger.

    Equal Opportunity Employer/Veterans/Disabled

  • 7 Days Ago

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Care Manager
  • WeCare 365-Adult Foster Care/Adult Family Care
  • Brockton, MA FULL_TIME
  • Care Manager, Adult Foster Care REPORTS TO: Supervisor of Care Management Team CAPE VERDEAN CREOLE, PORTUGUESE, OR SPANISH SPEAKER ENCOURAGED TO APPLY Serving Brockton Demonstrated leadership ability ...
  • 12 Days Ago

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Marketing Manager
  • Mariani Premier Group
  • Medway, MA FULL_TIME
  • RP Marzilli & Company is a premier landscape construction and maintenance company providing service throughout southern New England. With nearly 40 years of experience, we are committed to creating br...
  • 1 Month Ago

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Marketing Manager
  • Marzilli Landscape
  • Medway, MA FULL_TIME
  • RP Marzilli & Company is a premier landscape construction and maintenance company providing service throughout southern New England. With nearly 40 years of experience, we are committed to creating br...
  • 1 Month Ago

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Marketing Manager
  • R.P. Marzilli & Company
  • Medway, MA FULL_TIME
  • RP Marzilli & Company is a premier landscape construction and maintenance company providing service throughout southern New England. With nearly 40 years of experience, we are committed to creating br...
  • 1 Month Ago

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Store Manager
  • Garage clothing-Store manager-Southshore-...
  • Braintree, MA FULL_TIME
  • Seize the opportunity to join a global fashion retailer with two brands at the heart of its success, Garage and Dynamite, selected as one of Montreal's Top Employers 2020 and as one of Canada’s Top em...
  • 20 Days Ago

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0 Managed Care Marketing Manager jobs found in Brockton, MA area

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Partner Marketing Manager
  • Epsilon
  • Boston, MA
  • Job Description As a Partner Marketing Manager at Epsilon, you will play a pivotal role in supporting the growth and suc...
  • 3/28/2024 12:00:00 AM

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Marketing Manager
  • A-Line Staffing Solutions
  • Boston, MA
  • Job Description Job Description Title: Senior Marketing Manager – Healthcare Delivery In-Store Experiences Pay Rate: $40...
  • 3/27/2024 12:00:00 AM

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Marketing Manager
  • BlueSnap
  • Waltham, MA
  • BlueSnap is a rapid growth international FinTech company, headquartered in Waltham, MA, with offices in Israel, Ireland,...
  • 3/27/2024 12:00:00 AM

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Field Marketing Manager
  • Devo
  • Boston, MA
  • Devo, the cloud-native logging and security analytics company, empowers security and operations teams to maximize the va...
  • 3/27/2024 12:00:00 AM

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Marketing Manager
  • The Walter F Morris Co.
  • Foxborough, MA
  • Job Description Job Description We are looking for a Marketing Manager to join our team! You will be responsible for ove...
  • 3/25/2024 12:00:00 AM

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Marketing Manager
  • OJB Landscape Architecture
  • Boston, MA
  • MARKETING MANAGER OJB Landscape Architecture is seeking a Marketing Manager to be based in Boston, MA. This role is resp...
  • 3/25/2024 12:00:00 AM

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Senior Marketing Manager
  • Marchon Partners
  • Boston, MA
  • THE ROLE This is a newly created role within the Global Investment Marketing team will support overall business growth o...
  • 3/25/2024 12:00:00 AM

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Market Leader
  • Affiliated Engineers, Inc.
  • Boston, MA
  • Overview: Affiliated Engineers, Inc. (AEI) is a leading, multidisciplinary consulting engineering firm and collaborative...
  • 3/24/2024 12:00:00 AM

According to the United States Census Bureau, the city has a total area of 21.6 square miles (56 km2), of which 21.5 square miles (56 km2) is land and 0.1 square miles (0.26 km2) (0.56%) is water. Brockton is the 162nd largest city by land area in the Commonwealth, and the twelfth largest of the twenty-seven towns in Plymouth County. Brockton is bordered by Stoughton to the northwest, Avon to the north, Holbrook to the northeast, Abington to the northeast, Whitman and East Bridgewater to the southeast, West Bridgewater to the south, and Easton to the west. Brockton is approximately 25 miles s...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Marketing Manager jobs
$94,975 to $131,574
Brockton, Massachusetts area prices
were up 1.6% from a year ago

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