Managed Care Marketing Manager jobs in Caldwell, ID

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
  • Pennant Group
  • Eagle, ID FULL_TIME
  • JOB SUMMARY

    The Managed Care Resource will support our Home Health, Hospice, Private Duty and Senior Living Facility leaders in managed care contracting and revenue enhancement strategies for all healthcare payers as well as assist in the preparation for changes in the healthcare industry.

    The Consultant will negotiate managed care payer contract rates and terms and provide guidance with regards to the development of managed care relationships, ensuring timeliness and appropriateness of negotiated rates.

    Additionally, the Resource will negotiate contracts for new locations, assist with ensuring that contracts are updated for new services and help with contract cancellations, denials, appeals and high level contract payment disputes.

    DUTIES & RESPONSIBILITIES

    Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

    • Establish, plan, direct and evaluate the implementation of tactical plan(s) that will ensure expansion and support of business operations into managed care relationships and brings consistency of contract-related criteria and guidelines to optimize financial performance and minimize risk for operations.
    • Assist in analysis of contract terms and rates and coordinating the submission of amendments, changes in reimbursement, language changes and assist in advising each operation of risks and advantages of signing contracts.
    • Identify, develop and maintain an effective relationship with managed care payors and managed care / health care regulatory agencies.
    • Provide guidance and training when applicable to assist Field Operations partners in order to assist in accelerating the results of the Field.
    • Monitor industry changes, market trends and events to proactively identify opportunities to increase and protect the operations managed care revenue as well as present as subject matter expert with regards to applicable changes in the healthcare industry.
    • Coordinate and assist each operation with any issues such as contract cancellation and denials / appeals.
    • Effectively communicate at all organizational levels and in situations requiring education, consultation, instruction, persuasion, negotiation and advisement as Consultant will serve as internal managed care subject matter expert to Presidents, Executive Directors and Service Center leadership personnel.
    • Teach, train and advise operational leadership on how to administer their managed care contracts by the creation and distributions of tools, training and resources for leadership, AR team, Intake personnel, Case Management and all other Operations or Service Center team members as needed.
    • Assist AR team with high level managed care claims issues and projects to ensure timely collection of monies due.
    • Serve as primary liaison for all operations by distributing to operations and service center all key contract terms and rates for all new and existing managed care payer contracts.

    JOB REQUIREMENTS (Education, Experience, Knowledge, Skills & Abilities)

    • Bachelor’s degree in business administration, management or health care administration preferred.
    • 5 years’ experience in managed care contracting with a managed care payer or provider organization.
    • Analytically oriented with the ability to communicate complex financial matters in a concise, professional manner.
    • Must be knowledgeable about the managed care environment; including Medicare Advantage, Commercial and Managed Medicaid products (HMO, PPO, EPO, POS and Special Needs Plans) as well as knowledge of Accountable Care Organizations (ACO’s).
    • Work collaboratively as part of the Managed Care Team.
    • Knowledge of managed care payer contract language and terms, standard requirements and negotiated rate methodology to support contract compliance and analysis.
    • Must be able to prioritize, plan, and handle multiple tasks / demands simultaneously and have strong analytical and problem solving skills with keen attention to detail and an aptitude for accuracy.
    • Excellent verbal and written communication skills, as well as excellent critical thinking skills.
    • Maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA).
    • Knowledge of Home Health, Hospice, Private Duty and Assisted Living Facility operations is a plus.
    • Ability to be flexible, adaptable, and work in a rapidly and constantly changing environment
    • Knowledge of CPT-4, HCPCS, Revenue and ICD coding.
    • Strong computer skills (MS Word, MS Outlook & Excel) with Smartsheet knowledge a plus.
    • Must be able to travel.

    Please note this job description has been designed to indicate the general nature, working conditions and level of work performed by employees within this job.

    It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities, working conditions and qualifications required of employees assigned to this job.

    Duties, responsibilities and activities may change at any time with or without notice. Additionally, the incumbent may be requested to perform job-related tasks other than those stated in this description.

    Last updated : 2024-03-09

  • 14 Days Ago

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Managed Services GTM Business Manager – Direct Sales
  • Hewlett Packard
  • Boise, ID FULL_TIME
  • Managed Services GTM Business Manager – Direct Sales Description HP’s vision is to create technology that makes life better for everyone, everywhere — every person, every organization, and every commu...
  • 1 Month Ago

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Lead to Cash Managed Solutions Change Management Experience Program Manager
  • Hewlett Packard
  • Boise, ID FULL_TIME
  • About Lead to Cash: Are you ready to imagine the future and help us transform? Lead-to-Cash is an ELT sponsored process re-engineering program tasked to dramatically simplify and streamline HP's proce...
  • 1 Month Ago

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Client Care Manager-Boise
  • Serengeti Care
  • Boise, ID FULL_TIME
  • Serengeti Care Is Seeking A Client Care Manager For Our Boise, Idaho Office. The Client Care Manager Operates Under The Direction Of The Idaho Regional Manager to Oversee All Aspects Of Care Delivery ...
  • 2 Days Ago

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Marketing Manager
  • Conrad & Bischoff
  • Nampa, ID FULL_TIME
  • Conrad & Bischoff is part of Parkland USA and the Parkland Corporation family of brands. Parkland is an independent supplier and marketer of fuel and petroleum products and a leading convenience store...
  • 23 Days Ago

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Manager Marketing
  • Intuit
  • Eagle, ID OTHER
  • Overview SBSEG is seeking a talented and motivated Sr. Pricing Strategist to join our team within the Small Business and Self Employed Group (SBSEG), which is Intuit’s business segment. In this role, ...
  • 2 Days Ago

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0 Managed Care Marketing Manager jobs found in Caldwell, ID area

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Mortgage Originator Market Leader
  • YourWayHome.com LLC
  • Nampa, ID
  • (In-House lender to 11,000 real estate agents, plus guaranteed leads) We are hiring an experienced mortgage originator t...
  • 3/28/2024 12:00:00 AM

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Mortgage Originator Market Leader
  • YourWayHome.com LLC
  • Eagle, ID
  • (In-House lender to 11,000 real estate agents, plus guaranteed leads) We are hiring an experienced mortgage originator t...
  • 3/28/2024 12:00:00 AM

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Mortgage Originator Market Leader
  • YourWayHome.com LLC
  • Kuna, ID
  • (In-House lender to 11,000 real estate agents, plus guaranteed leads) We are hiring an experienced mortgage originator t...
  • 3/28/2024 12:00:00 AM

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Mortgage Originator Market Leader
  • YourWayHome.com LLC
  • Meridian, ID
  • (In-House lender to 11,000 real estate agents, plus guaranteed leads) We are hiring an experienced mortgage originator t...
  • 3/28/2024 12:00:00 AM

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Market Manager (Moxee, WA)
  • The Judge Group
  • Boise, ID
  • The J.R. Simplot Company is a diverse, privately held organization, with roots firmly planted in agriculture and agricul...
  • 3/28/2024 12:00:00 AM

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Senior Account Manager Crop Care (California)
  • The Judge Group
  • Boise, ID
  • The J.R. Simplot Company is a diverse, privately held organization, with roots firmly planted in agriculture and agricul...
  • 3/28/2024 12:00:00 AM

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Assistant Marketing Manager, Campaigns & Content, Sephora Collection &
  • SOVRN - A creative agency
  • Boise, ID
  • Job Description Job Description The AMM C&C role excels in detail and support for campaign communications. This includes...
  • 3/26/2024 12:00:00 AM

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Ecommerce Marketing Manager
  • Intelligent Shop
  • Boise, ID
  • Intelligent Shop (intelligent.shop), a burgeoning E-commerce brand specializing in innovative self-improvement men's pro...
  • 3/25/2024 12:00:00 AM

Caldwell (locally /ˈkɑːlwɛl/) is a city in and the county seat of Canyon County, Idaho, United States. The population was 46,237 at the 2010 census. Caldwell is considered part of the Boise metropolitan area. Caldwell is the location of the College of Idaho and College of Western Idaho. Caldwell is located at 43°39′30″N 116°40′49″W / 43.65833°N 116.68028°W / 43.65833; -116.68028 (43.658239, -116.680390). According to the United States Census Bureau, the city has a total area of 22.11 square miles (57.26 km2), of which, 22.06 square miles (57.14 km2) is land and 0.05 square miles (0.13 km2)...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Marketing Manager jobs
$80,039 to $110,882
Caldwell, Idaho area prices
were up 2.5% from a year ago

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Managed Care Marketing Manager in Sacramento, CA
In addition to successfully completing the market assessment, Trexin launched the concept testing phase by producing a focused and compelling sales presentation deck, an accompanying marketing one-sheet, and a detailed outreach plan that included a step-by-step sales process, sales calendar, and prospect list.
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Managed Care Marketing Manager in Tacoma, WA
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