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Director Of Managed Care Jobs (NOW HIRING)

Director, Managed Care

Fremont, CA · On-site

$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 ...

SCOPE: This role leads direct contracting with self-funded employers and employer coalitions to ... Directs the formulation and execution of all managed care initiatives and strategies that will ...

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 ...

Managed Care Resource

Los Angeles, CA · On-site +1

$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 ...

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 ...

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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 20, 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.

More about Director Of Managed Care jobs

What cities are hiring for Director Of Managed Care jobs?

Cities with the most Director Of Managed Care job openings:

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

The most popular types of Of Managed Care jobs are:

What states have the most Director Of Managed Care jobs?

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

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 of Managed Care Reimbursement

US Physical Therapy

Houston, TX

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 11 days ago


U.S. Physical Therapy rating

5.5

Company rating: 5.5 out of 10

Based on 6 frontline employees who took The Breakroom Quiz


Job description

Company Description

U.S. Physical Therapy, Inc. ("USPh"), which was founded in 1990, is a publicly held company which operates 780+ outpatient physical and/or occupational therapy clinics in 44 states. The Company's clinics provide post-operative care for a variety of orthopedic-related disorders and sports-related injuries, treatment for neurologically related injuries, rehabilitation of injured workers and preventative care.

Job Description

We are seeking a highly energetic individual who has a "can do" attitude to join our exciting outpatient healthcare company as a seasoned Director of Managed Care Reimbursement. This position will be housed on the Managed Care team and reports to the Vice President of Managed Care Operations. The primary objective for this role is to develop strategic initiatives to grow the company’s revenue stream.

Qualifications

KNOWLEDGE AND SKILLS:

  • Minimum of five years (5) experience in: Finance, Medical Economics or Revenue Cycle
  • Versed in modeling and analytics
  • Skilled in synthesizing data
  • High proficiency maneuvering private, federal & state fee schedules as well as supporting guidelines in a nationwide setting for all payor mix types.
  • Provide VP with strategic analysis and trend evaluation
  • Translate reimbursement changes & the impact to revenue stream
  • Communicate policy changes cross-functionally
  • Familiar with various reimbursement models and methodologies including but limited to: Daily Max, Fee for Service, RBRVS, Medicaid, value-based payment models, escalators, bundled payments & shared savings.
  • Drive initiatives to identify and recoup underpayments
  • Oversee the Payment Compliance & Chargemaster teams
  • Support VP in due diligence for strategic partnerships

EDUCATION & EXPERIENCE:

  • Bachelor’s/Masters in Business, Finance, Health Care or related field required
  • EMR experience, Raintree experience a plus
  • Experience with BI tools
  • Advanced Microsoft experience in: Excel, Pivot Tables, Vlookup, etc.
  • Effective project management skills
  • Strong critical and analytical skills, ability to work strategically
  • Excellent oral and written communication skills
  •  Proven strong organization, interpersonal and management skills. 5+ years’ experience in health care setting

Additional Information

All your information will be kept confidential according to EEO guidelines.

The anticipated base salary range for this position is 135,000-145,000.  Salary is based on various factors, including relevant experience, knowledge, skills, other job-related qualifications, and geography. Medical, dental, vision, 401(k), paid time off, and other benefits are also available, subject to the terms of the Company's plan.


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