Develops and coordinates the plan's community outreach program to foster corporate visibility and present a positive image of the organization and its Medicaid products and services. Interacts with appropriate groups to promote corporate visibility and Medicaid products and services.

Ensures that... [+] More

Develops and coordinates the plan's community outreach program to foster corporate visibility and present a positive image of the organization and its Medicaid products and services. Interacts with appropriate groups to promote corporate visibility and Medicaid products and services.

Ensures that representatives keep informed of changes in territories that might affect product sales. Collects, analyzes, and reports data on current and prospective membership. Makes forecasts on anticipated market sales. Establishes and maintains relationships within the community to enhance enrollment. Submits reports of sales/marketing activity and maintains records. Promotes positive community relations. Assists in the coordination of advertising and marketing campaigns [-] Less

Directs and manages medical service departments that may include utilization management, inpatient case management, ambulatory case management, disease management, appeals and support functions of the health plan. Develops and implements programs for determining levels and implementing changes in utilization, quality... [+] More

Directs and manages medical service departments that may include utilization management, inpatient case management, ambulatory case management, disease management, appeals and support functions of the health plan. Develops and implements programs for determining levels and implementing changes in utilization, quality and cost of medical care. Prepares policies and procedures to ensure compliance with regulatory agencies. This position typically requires a licensed nurse or significant experience in the administration of health programs.

Directs and manages medical service departments that may include utilization management, inpatient case management, ambulatory case management, disease management, appeals and support functions of the health plan. Develops and implements programs for determining levels and implementing changes in utilization, quality and cost of medical care. Prepares policies and procedures to ensure compliance with regulatory agencies. Develops and conducts educational programs for department staff and providers. Participates in committees for the development of standards of care for concurrent and retrospective review. Develops guidelines to evaluate over-utilization and under-utilization of services. Prepares and manages the departmental budget. Hires, develops and motivates a qualified medical department staff. Reviews and analyzes the inpatient census to determine workload, resource needs and opportunities for reducing utilization or length of stay. This position typically requires a licensed nurse or significant experience in the administration of health programs. [-] Less

Directs and oversees all marketing and sales functions. Plans, develops, and implements objectives, policies, and programs for marketing and sales activities of the organization.

Plans and directs activities that include estimating market values and conditions; investigating market conditions and facilities to... [+] More

Directs and oversees all marketing and sales functions. Plans, develops, and implements objectives, policies, and programs for marketing and sales activities of the organization.

Plans and directs activities that include estimating market values and conditions; investigating market conditions and facilities to determine time, place, type of sales; preparing advertising material and selecting media for its release; assigning and directing activities of sales personnel; determining method of display; and setting prices of items to be sold in conformity with value and market. May have both Top Marketing and Top Sales Officers reporting to this position. [-] Less

Manages and maintains websites and develops and implements online marketing strategies to drive online sales growth. Develops and coordinates all online marketing activities to increase online traffic, customer loyalty, and retention. Identifies opportunities for online sales traffic optimization and provides... [+] More

Manages and maintains websites and develops and implements online marketing strategies to drive online sales growth. Develops and coordinates all online marketing activities to increase online traffic, customer loyalty, and retention. Identifies opportunities for online sales traffic optimization and provides recommendations to improve program performance.

Develops search engine marketing strategies to increase online traffic, including SEO (natural search optimization), SEM (paid search marketing), and affiliate programs. Defines and helps implement effective online marketing strategies, tactics, programs, and incentives to drive customer acquisition, retention, and sales. Coordinates e-mail campaigns to achieve targeted ROI for retention and up-sell marketing opportunities. Increases e-commerce performance indicators such as conversion rate and average order value through cart analysis and sell and up-sell merchandising strategy. Shapes web analytics key performance indicators (KPI's), and implements or oversees implementation and ongoing use of web analytics tools. [-] Less

Develops and implements an effective marketing plan. Manages the marketing services staff and implements strategies relative to the development and management of an effective marketing plan. Typically requires a bachelor's degree with seven years of client services or marketing experience.

Designs... [+] More

Develops and implements an effective marketing plan. Manages the marketing services staff and implements strategies relative to the development and management of an effective marketing plan. Typically requires a bachelor's degree with seven years of client services or marketing experience.

Designs and implements programs to maintain positive relationships between the health plan, physicians, providers, and practice managers. Develops marketing materials and communications for employers and plan members. Maintains awareness of the competitive environment and develops appropriate product and sales strategies. Works with Account Executives to service client groups and assists in the development and management of strategic accounts. Oversees hiring, developing, and managing a qualified staff concerned with the maintenance and expansion of client relationships within the health plan. Oversees preparation, coordination, and delivery of plan performance presentations. Identifies supporting strategies for product and program pricing, retention, and net revenue growth. May also oversee the activities of Account Executives in building strong relationships with clients. Prepares, manages, and monitors the departmental budget. [-] Less

Manages marketing and/or sales administration. Assures that marketing/selling activities are in accordance with policies, principles, and procedures. Directs and coordinates personnel who provide administrative sales and marketing support.

Updates the status of sales orders and coordinates deliveries from the point of... [+] More

Manages marketing and/or sales administration. Assures that marketing/selling activities are in accordance with policies, principles, and procedures. Directs and coordinates personnel who provide administrative sales and marketing support.

Updates the status of sales orders and coordinates deliveries from the point of production and distribution. Directs personnel program. Directs preparation of accounting records. Recommends budgets to management. May confer with customers and customer representatives to evaluate and promote possibilities for improved and expanded marketing. May direct marketing and sales aids, advertising, promotional programs, and field services. [-] Less

Provides a broad range of marketing and public relations services in accordance with the goals of the company. Promotes, markets, and sells the company's products and services through effective sales and marketing techniques and the overall coordination and management of... [+] More

Provides a broad range of marketing and public relations services in accordance with the goals of the company. Promotes, markets, and sells the company's products and services through effective sales and marketing techniques and the overall coordination and management of seminars and special events activities. Establishes the strategic direction of marketing communications initiatives.

Implements and periodically revises the company's public relations plan. Prepares and distributes press releases and public service announcements. Develops and maintains effective media contacts. Produces brochures, flyers, and direct mail campaigns as well as information displays, utilizing creative marketing techniques and strategies. Participates in various company trade shows and other related events. Supervises all aspects of newsletter production to include writing, editing, soliciting articles and artwork, coordinating design and layout, distribution, and mailings. Processes and submits new leads and other documentation to appropriate staff as required. Develops lead generation priorities. Maintains and updates customer information in computer database. Executes innovative Internet (e-commerce) marketing programs and direct mail services. Creates an analytical framework to track, test, and report on marketing communication effectiveness. Directs internal and external creative groups and vendors and coordinates the production and implementation of print and electronic communication. Manages all aspects of the communication plan including monitoring expenditures and evaluating effectiveness. [-] Less

Directs, plans, and administers media programs in advertising department. Confers with representatives of advertising agencies, product managers, and corporate advertising staff to establish media goals, objectives, and strategies within corporate advertising budget. Selects specific programs and negotiates advertising to ensure... [+] More

Directs, plans, and administers media programs in advertising department. Confers with representatives of advertising agencies, product managers, and corporate advertising staff to establish media goals, objectives, and strategies within corporate advertising budget. Selects specific programs and negotiates advertising to ensure optimum use of budgeted funds and long-term contracts, upon conferring with advertising agents or media representatives.

Studies demographic data and consumer profiles to identify target audiences of media advertising. Reads trade journals and professional literature to stay informed of trends, innovations, and changes that affect media planning. [-] Less

Directs and coordinates activities concerned with gathering, recording, and analyzing data about current and potential customers, competitors, and the market for the purpose of creating a business plan, launching a new product or service, fine tuning existing products or services,... [+] More

Directs and coordinates activities concerned with gathering, recording, and analyzing data about current and potential customers, competitors, and the market for the purpose of creating a business plan, launching a new product or service, fine tuning existing products or services, and/or expanding into new markets. Plans, develops, and establishes policies and objectives of the organization's market research function. Develops market research programs, including methods of marketing, in accordance with organization's objectives.

Monitors market trends and analyzes, reviews, and formulates findings of market research staff, and works with management and appropriate departments to devise and adapt a sales and marketing plan based on the results of findings and sales forecasts. Develops and implements methods and procedures for monitoring projects, such as preparation of progress reports, records of expenditures, sales records, trend research, and other research findings in order to keep management informed. Devises new marketing research programs to add value and profitability to products and services provided. May negotiate contracts with consulting firms to perform research studies. [-] Less

Directs the Medicare Membership function in a health plan.

Plans and directs operations within the Medicare Membership department to provide explanation of benefits and response to Medicare members’ questions and complaints. Plans, implements and continuously evaluates the member service program to... [+] More

Directs the Medicare Membership function in a health plan.

Plans and directs operations within the Medicare Membership department to provide explanation of benefits and response to Medicare members’ questions and complaints. Plans, implements and continuously evaluates the member service program to enhance the effective use of services and to improve customer satisfaction. Instructs departmental staff on proper member service procedures and monitors service levels. Researches and evaluates complaint reports to detect patterns, formulate solutions and report needed actions to appropriate individuals, departments or committees. Works with Medicare members on complex issues to offer mutually acceptable alternatives to problems and complaints. Responsible for hiring, developing and managing a qualified staff concerned with providing member service to Medicare members of the health plan. Prepares and manages the departmental budget. Monitors departmental statistics, reports results and develops action plans that address deficits. Participates on various committees to formulate actions to proactively address member and provider needs. Prepares and presents management reports that show departmental activities as well as specific problems identified and solutions. Develops and implements policies and procedures related to customer service. This position typically requires a Bachelor’s degree with five years of health plan experience in a customer service call center. [-] Less