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Director Managed Care Contracting Jobs (NOW HIRING)

WakeMed

Director, Managed Care Contracting

Raleigh, NC · On-site

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 ...

HENRY MAYO NEWHALL MEMORIAL HOSPITAL

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 ...

Washington Hospital

Director, Managed Care

Fremont, CA

$196K - $294K/yr

Director, Managed Care Contracting Position Summary and profitability by providing contracting expertise to existing and new contractual relationships; and providing subject matter expertise ...

Washington Hospital

Director, Managed Care

Fremont, CA · On-site

$196K - $294K/yr

Director, Managed Care Contracting Position Summary The Director, Managed Care Contracting, contributes to WHHS' growth and profitability by providing contracting expertise to existing and new ...

BJC HealthCare

Manager Managed Care Contracting

Saint Louis, MO · On-site

$83K - $136K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... and direct to employer solutions. Preferred Qualifications Role Purpose In collaboration with leadership, the Managed Care Contracting Manager manages and leads the contract negotiations with the ...

Main Line Health

Manager, Managed Care Contracting

Radnor, PA · On-site

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

This position provides support to Patient Access, Patient Accounting, and Finance Directors to ... Minimum of five (5) years of experience in payer contracting, provider contracting, managed care ...

Main Line Health

Manager, Managed Care Contracting

Radnor, PA · On-site

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

This position provides support to Patient Access, Patient Accounting, and Finance Directors to ... Minimum of five (5) years of experience in payer contracting, provider contracting, managed care ...

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Director Managed Care Contracting information

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$94.5K

$134.8K

$208K

How much do director managed care contracting jobs pay per year?

As of Aug 20, 2026, the average yearly pay for director managed care contracting in the United States is $134,799.00, according to ZipRecruiter salary data. Most workers in this role earn between $111,500.00 and $146,500.00 per year, depending on experience, location, and employer.

What is a director managed care contracting?

A Director of Managed Care Contracting is responsible for negotiating, managing, and optimizing contracts between healthcare providers and insurance companies or other payers. They analyze reimbursement structures, ensure regulatory compliance, and develop strategies to maximize financial performance. This role requires strong analytical, negotiation, and relationship management skills to secure favorable contract terms. Additionally, they collaborate with internal stakeholders to align contract terms with organizational goals and ensure operational efficiency.

What are the key skills and qualifications needed to thrive as a director managed care contracting?

To excel as a Director Managed Care Contracting, you need expertise in healthcare finance, contract negotiation, and analytics, along with a bachelor’s or master’s degree in business, healthcare administration, or a related field. Familiarity with contract management software, claims adjudication systems, and reimbursement modeling tools is often required. Strong leadership, strategic thinking, and the ability to build relationships across organizations are crucial soft skills in this role. These competencies enable effective negotiation, organizational alignment, and the successful management of complex payer-provider agreements.

What are the most common challenges faced by directors of managed care contracting?

One of the main challenges in this role is balancing the financial objectives of your organization with the requirements and demands of various payers, such as insurance companies and government programs. Navigating frequent regulatory changes, managing competitive reimbursement rates, and coordinating with multiple internal departments can add complexity to negotiations. Directors of Managed Care Contracting also need to track and analyze contract performance to ensure organizational profitability. This position often involves working in cross-functional teams and requires strong communication and problem-solving skills to address both expected and unexpected challenges.

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Director Managed Care Contracting jobs near you
Infographic showing various Director Managed Care Contracting job openings in the United States as of August 2026, with employment types broken down into 2% As Needed, 68% Full Time, 22% Part Time, and 8% Contract. Highlights an 93% Physical, 1% Hybrid, and 6% Remote job distribution, with an average salary of $134,799 per year, or $64.8 per hour.

Director, Managed Care Contracting

WakeMed

Raleigh, NC • On-site

Full-time

Re-posted 23 days ago

WakeMed rating

7.7

Company rating: 7.7 out of 10

Based on 135 frontline employees who took The Breakroom Quiz

159th of 889 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 organizations 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, visit www.wakemed.org .
EOE
Licensure
Certified Healthcare Financial Professional Or Certified Public Accountant Or Certified Revenue Cycle Representative Preferred
Education
Bachelor's Degree Business Administration Or Healthcare Management Or Accounting Required - With College Courses Finance Required - And Master's Degree Related Field Preferred
Experience
10 Years Managed Care Contracting Required - And 5 Years Healthcare - Multi-Hospital System Preferred

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About WakeMed

Sourced by ZipRecruiter

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

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