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Director Of Managed Care Jobs (NOW HIRING)

Washington Hospital

Director, Managed Care

Fremont, CA

$196K - $294K/yr

Director, Managed Care Contracting Position Summary The Director, Managed Care Contracting ... This includes coordination of commercial, Medicare Advantage, Medi-Cal Managed Care, Value-Based ...

WakeMed

Director, Managed Care Contracting

Raleigh, NC · On-site

Overview The Director, Managed Care Contracting is responsible for utilizing business and industry ... Directly manages and develops a portfolio of managed care contracts. Directs contracting strategy ...

VMG Health

Director, Managed Care

Nashville, TN · On-site

VMG Health is seeking an experienced and highly motivated Director, Managed Care to lead complex ... Conduct comprehensive assessments of payer agreements, reimbursement performance, and market ...

HSS

Managed Care Manager

New York, NY · On-site

$112K - $170K/yr

What you will be doing Managed Care Manager Reporting to the Director of Payer Relations, the Managed Care Manager will play a critical support role in facilitating engagement between Insurance ...

Washington University of St. Louis

Works jointly with the Senior Director of Managed Care Financial Contracting and Rate Analysis to secure optimal terms of participation with third-party managed care organizations. Primary Duties ...

Blue and Company

Managed Care Specialist

Richardson, TX · On-site

Work with clients to define issues, develop practical work plans, and support implementation of recommended solutions. * Support managed care contract negotiations by identifying and prioritizing ...

Ensign Services

Managed Care Resource

Jacksonville, FL · On-site

Ensign Services, Inc. ("ESI") is a subsidiary of The Ensign Group, Inc. whose affiliated entities ... direct service agreements with physicians, physician organizations and hospitals and ancillary ...

Ensign Services

Managed Care Resource

Los Angeles, CA · On-site

$110K - $130K/yr

Ensign Services, Inc. ("ESI") is a subsidiary of The Ensign Group, Inc. whose affiliated entities ... direct service agreements with physicians, physician organizations and hospitals and ancillary ...

Sedgwick Claims Management Services Ltd

$110 - $135/hr

R76583By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 ... The Managed Care Client Services Director (MC CSD) is the primary managed care relationship leader ...

Unlock Health

Manager, Managed Care

Chicago, IL · On-site +1

Working at the intersection of strategy, analytics, relationships, and communication, you'll lead ... Managed Care Consulting * Provide strategic insight and recommendations on contract negotiation ...

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Director Of Managed Care information

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$94.5K

$134.8K

$208K

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

As of Aug 25, 2026, the average yearly pay for director of managed care 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 does a director of managed care do?

A Director of Managed Care oversees an organization's relationships and contracts with health insurance providers and managed care organizations. They are responsible for negotiating rates, ensuring compliance with regulations, and optimizing reimbursement strategies to maximize revenue. This role also involves analyzing healthcare trends, monitoring contract performance, and collaborating with other departments to improve patient access and quality of care. Directors of Managed Care typically work in hospitals, healthcare systems, or large medical practices.

What are the key skills and qualifications needed to thrive as a director of managed care, and why are they important?

To thrive as a Director Of Managed Care, you need a strong background in healthcare administration, contract negotiation, and payer relations, usually supported by a bachelor's or master's degree in health administration or a related field. Familiarity with managed care systems, claims processing software, and regulatory compliance tools like HIPAA is essential. Outstanding leadership, analytical thinking, and interpersonal communication skills set top performers apart in this role. These skills ensure the effective management of provider networks, optimize reimbursement strategies, and maintain compliance in a complex healthcare environment.

How does a director of managed care typically collaborate with clinical and administrative teams to optimize payer contracts?

Directors of Managed Care play a central role in bridging clinical and administrative priorities when negotiating and managing payer contracts. They work closely with clinical leaders to understand care delivery needs and cost structures, ensuring that contract terms support both high-quality patient care and financial sustainability. Regular meetings and cross-functional committees are common, where the Director facilitates communication between finance, legal, and clinical teams to align contract strategies with organizational goals. This collaborative approach helps identify opportunities for value-based reimbursement and process improvements.

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

AspectDirector Of Managed CareManaged Care Coordinator
CredentialsBachelor's degree, often advanced certifications in healthcare managementTypically an associate or bachelor's degree, relevant healthcare certifications
Work EnvironmentExecutive setting, overseeing departments, strategic planningClinical or administrative setting, coordinating care plans
Employer & IndustryHospitals, insurance companies, healthcare organizationsInsurance providers, healthcare facilities, managed care organizations
Primary FocusDeveloping policies, managing teams, strategic oversightImplementing care plans, coordinating patient services

The main difference is that the Director Of Managed Care focuses on strategic leadership and policy development within managed care organizations, while the Managed Care Coordinator handles day-to-day care coordination and patient services. Both roles require healthcare knowledge but differ in scope and responsibilities.

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What are the most commonly searched types of Of Managed Care jobs?

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Director Of Managed Care jobs near you
Infographic showing various Director Of Managed Care 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

Fremont, CA

Washington Hospital
1 - 5K employees
Learn more about Washington Hospitalexternal

$196K - $294K/yr

Full-time

Re-posted 15 days ago

Job description

 Salary Range: $196,000.00 - $294,000.00


Washington Hospital Healthcare System Job Description  

Job Code: 714  

The Director, Managed Care Contracting, contributes to WHHS’ growth  

Job Title: 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 contractual relationships; and providing subject matter expertise, guidance, and direction regarding Managed Care Contracts.  This includes coordination of commercial, Medicare Advantage, Medi-Cal Managed Care, Value-Based, Medicare Shared Savings, and other third party managed care contracts and Payor relation activities for Washington Hospital, Washington Township Medical Foundation, and DEVCO entities (surgery centers and other ancillary entities).  The Director will be responsible for overseeing administration, review, and financial analyses of managed care contracts for the healthcare system, performing financial reporting and financial modeling for senior management strategic managed care decision­ making, and overseeing all Payor relations and managed care denial follow-up and resolution activities for the health care system.  In addition to performing the essential functions listed below, may also be assigned other duties as required.
 
Statement of Accountability:

Reports to: Vice President & Chief Revenue Officer  

Qualifications 

  • Education:

Required:  Bachelor's degree (minimum ten 10 years’ experience can be substituted for formal education). 

Desirable:  Master's degree in health related field 

  • Experience: 

-    Minimum seven (7) years in a Managed Care Contracting capacity within a health plan or hospital; and at least the five (5) years of experience managing and mentoring Contract Manager or Payor Relations representatives.

-    Experience in an administratively responsible position with significant intra-department work. 

-    Demonstrated interpersonal skills. 

-    Demonstrated skill in working with a large variety of people of various organizations and levels. 

-    Knowledge of legal terminology, understanding of governmental and legislative regulations. 

-    Previous experience in the areas of managed care/finance/or patient accounting. 

-    Demonstrated ability to perform financial analysis, including managed care contracting financial modeling. 

-    Computer Skills:  Financial Modeling, Windows 2000, Excel, 2000, Work 2000, PowerPoint. 

  • Skills and Abilities: 
-         Must possess technical and professional skills and knowledge of finance, patient accounting functions and managed care.  Must possess strong interpersonal skills, be an effective public speaker and be comfortable in working with diverse groups of individuals.  Must be able to competently represent Washington Hospital at administrative functions.   Must be able to work independently and creatively.

Essential Job Responsibilities 

  • Responsible for negotiating Managed Care Contracts.  This includes routine contracting activities, maintaining strategic relationships, evaluating contracts, and acting as an internal resource in interpreting contracts.
  • Responsible for the initial reading and financial analysis of managed care contracts for content, administrative issues, and appropriate financial return. 
  • Evaluate financial performance of existing contractual relationships and monitor performance of new contractual relationships.  This includes production of financial impact reports on an ongoing basis by both Payor and medical group.
  • Working closely with Managed Care and Finance leadership to develop contract proposals based on WHHS’ defined strategies, goals and objectives.
  • Working closely with WHHS Strategy to participate in Employer Direct contracting, contracting for new WHHS services, and other strategic growth initiatives that require managed care contracting support.
  • Prepare historical and financial data to provide support for contract negotiations and contract renewals. 

5.   Ensuring appropriate dissemination of contract details to all applicable stakeholders. 

  • Always ensures the accuracy and completeness of all projects, information, and analysis. 
  • Support WHHS RCM and Compliance with price transparency efforts and initiatives. 
Demonstrates Skill

1. Direct and oversee Contract Manager to perform modeling, financial impacts, utilizing Financial Planning and Analysis data based on a project-by-project basis. 

2. Develop recommendations regarding rates and contract language for new and renewed contracts. 

3. Administer managed care contracts, as well as develop and monitor tracking and reporting mechanisms to ensure appropriate reimbursement and adherence to contract terms. 

4.   Work with all relevant Washington Hospital Healthcare System computer systems to garner needed information for financial modeling, tracking, analysis, customer relations, etc. 

5. Work with internal departments, particularly Utilization Management and Patient Financial Services, to proactively promote managed care and to ensure appropriate working relationship between Washington Hospital Healthcare Systems and Payor/medical groups. 

6. Stand in for Chief Revenue Officer when needed at intra-hospital and external hospital meetings. 

7.  Always complies with established department policies and guidelines in developing projects, information and analysis. 

8. Consistently challenges the appropriateness of assumptions and formulas used in the preparation of all projects, information and analysis.

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