PACE Business Development Manager

San Ysidro Health · San Diego, CA

Posted about 1 month ago

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Skills

HMOMedi-CalMedicareSalesMarketingCMSDHCSDMHCReferral processStrategic planning

Job description

Position Summary:
Under the direct supervision of the Senior Manager of Enrollment the PACE Business Development Manager is responsible for direct oversight and management of the PACE (Program of All-Inclusive Care for the Elderly) recruitment & ensuring that budgeted goals are met. In addition, this position will be responsible for development and implementation of marketing and outreach activities to promote and maximize awareness of PACE within the community.

Essential Functions of the Job:

Develops goals that are aligned with the annual enrollment goals for the organization.
Ensures monthly and annual enrollment goals are met by developing and encouraging the marketing team to increase volume of referrals for enrollment.
Conduct market research lo find and develop new markets with a goal of improving market presence.
Organize and develop territories to ensure the marketing team is organized to maximize efficiency towards goals.
Leads, coordinates and supervises the PACE marketing team and assists in
streamlining the referral process to ensure quality and efficiency.
Develops and maintains reports to assess and analyze marketing and outreach activities for the purpose of maximizing awareness, recruitment and meeting/exceeding enrollment goals
Works with Director to develop an annual PACE marketing plan and oversees the
implementation and maintenance of PACE marketing plan.
Develop and maintain relationships and networks with internal and external stakeholders to include but not limited to physicians, care coordinators, social workers, as well as long-term care facilities, housing developers, hospitals and related organizations.
Works with PACE staff and key SYHealth departments to ensure positive experience for potential enrollees/candidates, enrolled participants and their families.
Coordinates and executes key internal and external strategies to best maximize PACE participant/staff experience; including but not limited to sentinel events, onboarding and continued engagement strategies.
Ensures compliance with all applicable CMS (Centers for Medicare & Medicaid Services) and California Department of Health Care Services (DHCS) and/or Department of Managed Health Care (DMHC) sales and marketing policies, rules, and regulations.
Develops policies, procedures, and standards for all recruitment activities and member processes.
Trains and prepares staff to have great interpersonal skills and are knowledgeable/can
speak to the PACE model.
Maintains a safe, secure, and legal work environment and ensures development of personal growth opportunities.
Communicates job expectations with employees to achieve results; manages employee performance through coaching, counseling, and disciplining; develops and enforces policies and procedures, productivity and quality standards; prepares work schedules and ensures employees have necessary resources to succeed.

Additional Duties and Responsibilities:

Participates in the strategic planning and development for PACE.
Performs other duties as assigned
Adheres and ensures compliance with PACE Marketing rules and regulations
Adheres to SYHealth’s and department's attendance and punctuality policies and practices.

Job Requirements:
Education Required:

Relevant Bachelor’s degree required OR equivalent years of relevant experience.

Education Preferred:

Master’s Degree in related or appropriate field

Experience Required:

Minimum of 2 years outreach and marketing experience in senior care, health care or related field
3 years supervisory/management experience
Knowledge of and/or experience with HMO, Medi-Cal/Medicaid, Medicare, and senior care related sales and marketing experience

Experience Preferred:

Knowledge of PACE marketing regulations (state and federal)
General sales/marketing experience
Knowledge and/or experience with the senior care market, including competitors, regulations, and available resources
Systems and procedures to efficiently track and trend all sales activity
Techniques and methods to organize and manage a department
Principles and practices of health care service delivery, managed care, health care systems, and medical administration
Appropriate sales and marketing techniques to outreach to diverse social and ethnic groups and to communicate effectively with them
Principles and techniques of effective supervision, including training and evaluation of subordinates

Certifications/Licenses Required:

CA valid driver’s license and reliable transportation
Proof of current vehicle insurance (if applicable)

Technical Knowledge and Skills Required to Perform the Job:

Must possess the skills necessary to provide care for geriatric patients, must thrive in team environment, must possess good organizational and supervisory skills, ability to effectively handle difficult and unusual interpersonal situations.
Meet a standardized set of competencies for the specific position description established by SD PACE and approved by CMS.

Universal Requirements
Pre employment requirements include I-9, physical, positive background and reference check results, complete application, new hire orientation, pre employment PPDs.

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