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Associate Director Managed Care Jobs (NOW HIRING)

Overview The Director, Managed Care Contracting is responsible for utilizing business and industry expertise, accepts responsibility for all activities in the Managed Care department applying to and ...

$150 - $200/hr

Job Summary The Director of Managed Care Contracting provides strategic leadership for the hospital's payor contracting and Revenue Integrity functions; driving initiatives that optimize ...

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We are seeking a senior‐level Director, Managed Care Strategy to serve as the bridge between product strategy and real‐world managed‐care operations. This role will guide the development and ...

McKesson is seeking a Regional Director, Managed Care Contracting, to serve as a strategic advisor to specialty provider practices across a dynamic payer and reimbursement landscape. In this role ...

Remote, WI Specialty: Managed Care Contracts Schedule: Days | Full-time | Occasional travel ... We empower our 97,000+ associates to bring their skills and expertise every day to reimagining ...

Director of Managed Care Looking to elevate your career? Join us! Work Location: Remote with onsite as needed Work Hours: Full time, business hours The Director, Managed Care is a senior strategic ...

Directs the formulation and execution of all managed care initiatives and strategies that will maximize opportunities with third party payers, including direct-to-employer opportunities, and provider ...

The Director of Managed Care is responsible for providing strategic leadership and oversight of the hospital system's managed care operations, payer contracting, reimbursement strategies, and ...

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Associate Director Managed Care information

What is an associate director managed care?

Associate Directors of Managed Care are healthcare professionals responsible for overseeing managed care operations within healthcare organizations, such as hospitals or insurance companies. They help develop and implement strategies to optimize partnerships with insurance providers, negotiate contracts, and ensure compliance with regulations. Their goal is to balance cost efficiency with quality patient care, working closely with clinical and administrative teams. This role often involves analyzing data, managing teams, and improving care delivery processes.

What are the key skills and qualifications needed to thrive as an associate director managed care?

To thrive as an Associate Director Managed Care, you need deep knowledge of healthcare reimbursement, contract negotiation, and payer/provider relations, typically backed by a bachelor's or master's degree in healthcare administration or a related field. Familiarity with managed care software systems, claims processing tools, and regulatory compliance platforms is often required. Strong leadership, analytical thinking, and interpersonal communication skills help drive strategic initiatives and foster productive partnerships. These skills are essential for optimizing contract performance, ensuring regulatory compliance, and supporting organizational financial goals in a dynamic healthcare environment.

What are the main challenges an associate director managed care faces when negotiating contracts with payers?

As an Associate Director of Managed Care, one of the primary challenges is balancing the organization’s financial goals with the need to maintain positive, long-term relationships with payers. Negotiations can be complex, as they often involve aligning on reimbursement rates, value-based care initiatives, and new service models while ensuring regulatory compliance. Success in this role relies on strong analytical skills, effective communication, and the ability to collaborate closely with finance, legal, and clinical teams to develop strategies that support both patient care and the organization’s sustainability.

What is the difference between Associate Director Managed Care vs Managed Care Coordinator?

AspectAssociate Director Managed CareManaged Care Coordinator
CredentialsBachelor's or Master's in Healthcare Administration, Business, or related field; often with industry certificationsTypically requires a Bachelor's degree; certifications are less common
Work EnvironmentStrategic planning, team leadership, and policy development within healthcare organizationsOperational support, member services, and provider communication in healthcare settings
Employer & Industry UsageHealth insurance companies, healthcare providers, managed care organizations

The Associate Director Managed Care focuses on strategic management, policy development, and overseeing managed care programs, while the Managed Care Coordinator handles day-to-day operations, member interactions, and provider communications. Both roles are essential in managed care but differ in scope and responsibilities.

What states have the most Associate Director Managed Care jobs?

States with the most job openings for Associate Director Managed Care jobs include:

What are popular job titles related to Associate Director Managed Care jobs?

For Associate Director Managed Care jobs, the most frequently searched job titles are:

Infographic showing various Associate Director Managed Care job openings in the United States as of August 2026, with employment types broken down into 2% As Needed, 71% Full Time, 20% Part Time, and 7% Contract. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution.

Director, Managed Care Contracting

Raleigh, NC • On-site

WakeMed Health & Hospitals
Health Care and Social Assistance • 5 - 10K employees

$100 - $125/hr

Other

Re-posted 4 days ago


WakeMed rating

7.7

Company rating: 7.7 out of 10

Based on 135 frontline employees who took The Breakroom Quiz

164th of 898 rated healthcare providers


Job description

Overview

The Director, Managed Care Contracting is responsible for utilizing business and industry expertise, accepts responsibility for all activities in the Managed Care department applying to and impacting WakeMed facilities' managed care contracts including budgeting, analysis, contract modeling, negotiation meetings and monitoring and reporting of payor contracts' compliance. Directs organizational efforts at building relationships with area managed care plans. Directly manages and develops a portfolio of managed care contracts. Directs contracting strategy for hospitals, Healthplexes, hospital outpatient departments, Home Health and Rehab divisions. Develops payment models for facility managed care contracts. Oversees facility what-if modeling analysis performed in STRATA modeling tool. Oversees the following noncontracting Managed Care responsibilities: hospital contract loading in EPIC, hospital payment variances, facility credentialing. Works with CFO, Vice President of Finance, Finance Directors and financial analysts to analyze feasibility of different payment methodologies/utilization patterns and the impact on WakeMed. Monitors market trends and competitive managed care products to develop strategy recommendations. Works with WakeMed's accountable care organization to coordinate contracting efforts and outcomes beneficial to WakeMed providers. When requested, interfaces with external and third‑party auditors; prepares and defends contract questions and challenges; maintains quality of work and creates value through knowledge and experience with governmental regulations and processes. Adheres to service and workforce excellence by maintaining knowledge of third‑party regulations (CMS, NCDHHS, DOI, etc.) for all payors, including governmental and commercial payors. Oversees problem solving related to contract terms, payment promptness, payor‑member issues, and physician‑payor relations. Works closely with other Finance teams to ensure reported data is reliable. Plans and organizes activities for personnel to ensure deadlines and goals are met. Supervises and trains staff to improve and maintain the accuracy and timeliness of contacts.

Department Description

Serving the community since 1961, WakeMed Health & Hospitals is the leading provider of health services in Wake County. With a mission to improve the health and well‑being of our community, we are committed to providing outstanding and compassionate care. For more information, www.wakemed.org.

EOE

Licensure

Certified Healthcare Financial Professional or Certified Public Accountant or Certified Revenue Cycle Representative Preferred

Education

Bachelor's Degree in Business Administration or Healthcare Management or Accounting Required – With College Courses in Finance Required – And Master's Degree in Related Field Preferred

Experience

10 Years Managed Care Contracting Required – And 5 Years Healthcare Multi‑Hospital System Preferred

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About WakeMed

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Serving the community since 1961, WakeMed Health & Hospitals is the leading provider of health services in Wake County. With a mission to improve the health and well-being of our community, we are committed to providing outstanding and compassionate care.

Industry

Health care and social assistance

Company size

5,001 - 10,000 Employees

Headquarters location

Raleigh, NC, US

Year founded

1961