Case Study: A Career As A Managed Care Manager

589 Words3 Pages
What Does a Managed Care Manager Do? A Managed Care Manager is a health care professional that helps to control costs and improve quality. These managers will work with insurance providers, health care organizations and even financial services. Below explains what these managers do and why they are so important to the health care system. What is Managed Care? Managed health care refers to a set of techniques designed to reduce health care costs and increase quality of care. This will involve a designated group of doctors and health care organizations, known collectively as a provider network, which provides health care services to patients. There will be detailed provider selection requirements, an official utilization review program and a…show more content…
Managed care organizations (MCOs) encourage patients to use their in-network providers through charging very high fees. However, MCOs also offer proactive programs designed to reduce costs and increase patient health. For example these programs include wellness incentive programs, which encourage patients to independently track and improve their health, and patient education programs, which focus on prevention and awareness. What Does an Entry-Level Managed Care Manager Do? These managers work in entry, mid and senior level positions and perform a variety of tasks and functions. For example, entry-level managers may be referred to as marketing, operation and provider assistants. Their primary responsibilities include marketing, operations, finances and account management. For example, they may conduct health industry research, help sales staff and help out with short-term projects. The education requirement for entry-level managers is an undergraduate business or healthcare degree in something like marketing of health services management.

More about Case Study: A Career As A Managed Care Manager

Open Document