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Director Of Managed Care Jobs (NOW HIRING)

$75 - $82/hr

Director of Managed Care Services Full Time Management Utica, NY, US 7 days ago Requisition ID: 1565 Salary Range: $75,000.00 To $82,000.00 Annually The Director of Managed Care Services provides ...

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 ...

$150 - $190/hr

We're not just a hospital. We're the heartbeat of the Santa Clarita Valley -- a 357-bed ... Job Summary The Director of Managed Care Contracting provides strategic leadership for the hospital ...

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 ...

Managed Care Resource

Pomona, 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 ...

By raising the expectations of what a community clinic can deliver, we demonstrate our belief that ... Job Overview The Director, Managed Care Revenue provides enterprise-level strategic oversight of ...

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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 Sep 3, 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 Services

ICAN

On-site

$75 - $82/hr

Other

Posted 4 days ago


Job description

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

Director of Managed Care Services

Full Time Management Utica, NY, US

7 days ago Requisition ID: 1565

Salary Range: $75,000.00 To $82,000.00 Annually

The Director of Managed Care Services provides strategic, operational and administrative leadership for the agency’s licensed and designated Medicaid programs and services, such as CMHRS (Children's Mental Health Rehabilitation Services) and CORE (Community Orientated Recovery and Empowerment) provided by Office of Mental Health and partnering Medicaid Managed Care Organizations (MCOs).

This role is responsible for the overall direction, quality, compliance, performance and sustainability of these OMH licensed and designated programs. In addition, promote individual and family empowerment, reduction of emergency room visits, individual and family stability through home and community-based services.

This position provides direct supervision to Program Managers as well as serves as an agency leader responsible for driving operational excellence, measurable outcomes, fiscal stewardship and strategic growth.

The Director of Managed Care services works in close partnership with the VP of Integrated Services and collaborates cross functionally with other programs and operations teams to strengthen systems, implement strategic initiatives, maintain compliance and support agency growth while preserving a strong commitment to quality services and meaningful outcomes.

Duties and Responsibilitiesinclude the following. Other duties may be assigned.

Strategic Leadership & Program Oversight:

  • Provide strategic and operational leadership for adherence to OMH and MCO guidance and collaboration across programmatic departments, ensuring alignment with agency mission, values, strategic priorities, and long-term organizational goals.
  • Translate agency strategy into integrated program operations, workflows, and implementation priorities across Medicaid/OMH based service areas.
  • Directly supervise, coach, and support Program Managers to ensure accountability, strong leadership, quality implementation, staff development, and consistent program performance.
  • Ensure CMHRS and CORE programs are implemented effectively and achieve intended outcomes while maintaining a strong commitment to family and individual-centered, strengths-based, and trauma-informed practices.

Contract Management, Partnerships & Community Engagement:

  • In partnership with VP of Integrated Services serve as a liaison with Managed Care Organizations, State and Central OMH offices and referral partners to maintain strong, collaborative working relationships and effective service implementation.
  • Represent the agency and department in the broader community, including coalitions, planning efforts, task forces, and interagency collaborations.
  • Ensure contractual obligations, reporting requirements, and performance expectations are achieved.
  • Support and maintain collaborative relationships with stakeholders to improve continuity of care, service access, and systems coordination.

Data, Quality Improvement & Compliance:

  • Develop, monitor, and evaluate program outcomes, quality indicators, contractual deliverables, and key performance indicators (KPIs) across managed care services.
  • Utilize programmatic data analytics to identify trends, gaps, opportunities, and emerging community needs and implement strategies to improve outcomes and quality performance.
  • Maintain oversight of program compliance, incident management, quality assurance activities, documentation standards, audits, and corrective action planning in partnership with the Vice President of Integrated Services and Quality Improvement team.
  • Ensure adherence to agency policies, contractual requirements, and applicable state, and federal regulations.
  • Present program accomplishments, risks, needs, and improvement opportunities to senior leadership through data-informed reporting.

Fiscal Stewardship & Operational Management:

  • Collaborate with the Vice President of Integrated Care and Finance Department to develop, monitor, and manage managed care services budgets and fiscal performance.
  • Monitor program expenditures, staffing patterns, contract utilization, and resource allocation to support financial sustainability and quality service delivery.
  • Participate in budget planning, contract implementation, and program sustainability efforts.
  • Make operational and staffing recommendations to maintain fiscal responsibility while achieving contractual and programmatic goals.
  • Partner closely with Human Resources and VP of Integrated Services to support recruitment, onboarding, retention, employee engagement, workforce planning, performance management, and personnel matters.
  • Foster leadership development among Program Managers and support succession planning efforts.
  • Serve as a culture ambassador by proactively supporting, protecting, reinforcing, and modeling agency mission, values, and culture across teams and departments.
  • Promote a culture of accountability, collaboration, inclusion, professionalism, continuous improvement, and psychological safety.
  • Participate actively in agency-wide initiatives, strategic planning efforts, and cross-department collaboration to strengthen organizational alignment.

Qualifications:

  • Bachelor’s degree in Social Work, Human Services, Psychology, Counseling, or related field required.
  • Minimum 5–7 years’ experience in mental or behavioral health, or related human service settings.
  • Minimum 3 years of supervisory or management experience, preferably overseeing leaders or multidisciplinary teams.
  • Experience working collaboratively with county systems, OMH, and community stakeholders strongly preferred.
  • Strong strategic thinking, relationship-building, communication, organizational, and change management skills.
  • Ability to interpret and utilize data to drive decision-making and strengthen outcomes or translate agency strategy into effective program operations, ensuring high quality family and individual centered outcomes, driven service delivery across programs while maintaining fidelity to our licensure and designations, agency mission and our wrap-around principles.
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