Managed Care Marketing Manager jobs in Illinois

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 Manager
  • Aperion Care
  • Lincolnwood, IL FULL_TIME
  • Description:

    In support of Managed Care Case Management perform the duties of facilitating daily referral request for all Commercial, MMAI and Medicare Advantage plans for skilled care stays for all Aperion Care facilities. Case Management Consultant follows the patient from the time of Auth request to the time the patient discharges. This includes obtaining the original Auth, updates/extensions to the NOMNC.

    RESPONSIBILITIES:

    •In support of Managed Care Case Management perform the duties of triaging daily referralrequests for all Commercial, MMAI, and Medicare Advantage plans for skilled care stays for all Aperion Care Communities

    •Responsible for obtaining authorization from Insurance companies on pending admissions.

    •Working closely / communicating with each Community to obtain neededclinical/doctor/admission date to process each referral according to the Case Managementprocess.

    •Communicates and maintains effective working relationships with marketing teams, facilitycontacts, and case management team as relates to referral process.

    •Monitor the patient throughout the skilled stay by requesting current clinical from thecommunities and forwarding updates to the appropriate insurance company on the requestedupdate date.

    •Issuing NOMNC’s 48 hours prior to last covered day on Medicare Advantage plans – perInsurance companies discretion.

    •Accurately documents all benefits/authorization on Communities insurance verification sheetsand forward information to appropriate Community.

    •Maintaining a positive team work / communication with the MCO Case Managementdepartment.

    •Educate Aperion Community members on benefits and Insurance details concerning theirreferrals.

    •Maintain a current log of all cases.

    Skills, Knowledge, and Abilities Required:

    •Self-Starter and results orientated personality

    •Strong organizational, planning and problem-solving skills

    •Able to work multiple tasks before a task is completed

    •Understanding of the differences in types of insurance that is taken at a skilled nursing facility

    •Working understanding of Medicare rules as it is applied to a skilled nursing facility

    Preferred Requirements:

    •Experience working in a skilled nursing facility

    •Understanding of how claims are paid under Commercial and Medicare Advantage plans forskilled services.

    •2 years working with MCO insurance experience is preferred

     

  • 22 Days Ago

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Field Marketing Representative
  • Oakland Manager LLC
  • Chicago, IL FULL_TIME
  • As a Field Marketing Representative for Justice Cannabis Co. you will represent our brands across Illinois for the purposes of brand awareness and the sampling of non-medicated products. You will love...
  • 3 Days Ago

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Field Marketing Representative
  • Oakland Manager LLC
  • Edgewood, IL FULL_TIME
  • As a Field Marketing Representative for Justice Cannabis Co. you will represent our brands across Illinois for the purposes of brand awareness and the sampling of non-medicated products. You will love...
  • 3 Days Ago

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Marketing & Graphic Design Coordinator
  • Oakland Manager LLC
  • Chicago, IL FULL_TIME
  • Summary The Marketing & Graphic Design Coordinator works to conceptualize, design, and implement creative graphics and content. This role is key to supporting marketing and social media campaigns that...
  • 13 Days Ago

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Managed Care Coordinator
  • Aperion Care
  • Lincolnwood, IL FULL_TIME,PART_TIME
  • SUMMARY: In support of Managed Care Case Management perform the duties of triaging daily referral requests for all Commercial, MMAI, and Medicare Advantage plans for skilled care stays for all facilit...
  • 24 Days Ago

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Senior Manager - Managed Care/Payor Provider
  • INCPG
  • Chicago, IL FULL_TIME
  • Job Summary: Provide strategic direction for and oversight of all managed care network development activities. Oversees negotiation of all managed care contracting activities, both fee-for-service (FF...
  • 19 Days Ago

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Senior Marketing Manager/ Marketing Director
  • J2 Health
  • At J2 Health, we know that healthcare is complicated and falls short of what consumers deserve. J2 wants to change that ...
  • 3/28/2024 12:00:00 AM

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Marketing Lead
  • Gallagher Animal Management
  • Riverside, MO
  • Together with the rest of the Animal Management Marketing Team, you will be responsible for driving growth and market su...
  • 3/27/2024 12:00:00 AM

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Digital Marketing Manager, Marketing - Lakeland
  • Publix Super Markets, Inc.
  • Lakeland, FL
  • Description Passionate about digital marketing with a focus on paid search (SEM) marketing? The Digital Marketing Manage...
  • 3/27/2024 12:00:00 AM

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Market Leader
  • Fitlife Foods
  • Wesley Chapel, FL
  • Job Description Job Description Market Leader Opportunity at Fitlife Foods - Wesley Chapel Store Elevate Your Career: Po...
  • 3/27/2024 12:00:00 AM

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Marketing Manager / Marketing Director
  • Ossia Inc
  • Redmond, WA
  • Be on the forefront of a new ground-breaking technology: Cota® Real Wireless Power™. Spearheaded by a team of highly exp...
  • 3/26/2024 12:00:00 AM

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Market Leader
  • Church's Texas Chicken
  • The Church’s Market Leader is a dynamic leader who is passionate about providing our guests a high quality, value-orient...
  • 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

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Market Leader
  • Macy's
  • Market Leader - LA South Lakewood, CA, United States Full time Schedule $176,550-$294,250 Annually* * based on job, loca...
  • 3/24/2024 12:00:00 AM

Illinois (/ˌɪlɪˈnɔɪ/ (listen) IL-ih-NOY) is a state in the Midwestern and Great Lakes region of the United States. It has the fifth largest gross domestic product (GDP), the sixth largest population, and the 25th largest land area of all U.S. states. Illinois is often noted as a microcosm of the entire United States. With Chicago in northeastern Illinois, small industrial cities and immense agricultural productivity in the north and center of the state, and natural resources such as coal, timber, and petroleum in the south, Illinois has a diverse economic base, and is a major transportation hu...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Marketing Manager jobs
$89,365 to $123,802

Managed Care Marketing Manager in Baton Rouge, LA
An integrated care manager for Medicaid patients in a large metropolitan area was developing a new product for real-time care alerts.
December 02, 2019
Managed Care Marketing Manager in Frankfort, KY
Explores the difficulty of adopting ethical standards for managed care organizations in the United States.
December 16, 2019
Managed Care Marketing Manager in Bloomington, IN
Trexin created the sales material by mining existing sales collateral and presentations, working iteratively with our Client’s marketing team to develop and refine winning sales messages and presentation content to illustrate and reinforce the product’s value proposition.
December 20, 2019