Fallon Health

  • Product Relationship Manager – MassHealth Medicaid Growth!

    Location US-MA-Worcester
    Posted Date 2 weeks ago(4/4/2018 12:54 PM)
    Job ID
    5182
    # Positions
    1
    Category
    Network Development
  • Overview

    About Fallon Health

    Founded in 1977, Fallon Health is a leading health care services organization that supports the diverse and changing needs of those we serve. In addition to offering innovative health insurance solutions and a variety of Medicaid and Medicare products, we excel in creating unique health care programs and services that provide coordinated, integrated care for seniors and individuals with complex health needs. Fallon has consistently ranked among the nation’s top health plans, and is accredited by the National Committee for Quality Assurance for its HMO, Medicare Advantage and Medicaid products. For more information, visit fallonhealth.org.

     

    Brief summary of purpose:
    Primary responsibility is to provide a superior level of service and act in a consultative manner to ensure the growth and retention of ACO membership and partners.

    Responsibilities

    • Develop and maintain a close working relationship with key decision makers within the assigned ACOs.
    • Develop and implement strategies designed to retain membership and maximize FH enrollment within the assigned ACOs.
    • Maintain an in depth understanding of the contractual relationship with each ACO partner and speak with Fallon partners knowledgably about such.
    • Work as a liaison between the MassHealth department and other Fallon Health departments. Understand how actions taken by the Account Manager affect other areas of the organization.
    • Partner with Outreach in the participation of Fallon sponsored events, internal committees and programs.
    • Provide management with detailed feedback and consistent updates as they pertain to Fallon Health’s efforts to grow and maintain membership.
    • Support the creation of ACO governance presentations, agendas, and meeting minutes.
    • Ensure operating report requirements and SLAs for the ACO are being met.
    • Work with key constituents at the ACOs to identify topics of interest and areas of concern.
    • Support the creation and ongoing management of ACO specific governance mechanisms such as reports, websites, and content libraries.
    • Train internal and external staff as necessary on MassHealth ACO related topics.

    Qualifications

    Education:

    Bachelor’s degree or equivalent experience.

     

    License:
    Current driver’s license, travel required.

     

    Experience:

    • 4-5 years of relationship development, marketing or community outreach experience.
    • Knowledge of customer service, sales, outreach and marketing principles and practices.
    • Knowledge of Medicaid and health insurance products is desirable.
    • Microsoft Office, customer relationship management/database entry skills.
    • Ability and willingness to travel up to 60% of time within Massachusetts in a defined territory.
    • Ability and willingness to work occasional evenings and weekends to cover events

     

    Physical requirements:
    The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

     

    Usual office environment with frequent sitting, walking, standing, and occasional climbing, stooping, kneeling, crawling and balancing. Frequent use of eye, hand and finger coordination enabling the use of office machinery. Oral and auditory capacity enabling interpersonal communication as well as communication through automated devices such as the telephone.

     

     

    Occasional: activity exists less than 1/3 of the time

    Frequent: activity exists 1/3 and 2/3 of the time.

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