Fast-paced and Growth-Oriented Here is what you will need: * 3+ years of experience in Managed Care, Revenue Cycle Management, or Payer Contracting. * Demonstrated experience supporting contract ...
Fast-paced and Growth-Oriented Here is what you will need: * 3+ years of experience in Managed Care, Revenue Cycle Management, or Payer Contracting. * Demonstrated experience supporting contract ...
Director of Managed Services
Los Angeles, CA ยท On-site
Director of Managed Services Location: Los Angeles, CA Reports to: Vice President of Operations ... You care about the customer experience as much as the operational metrics - and you understand ...
Director of Managed Services
Los Angeles, CA ยท On-site
Director of Managed Services Location: Los Angeles, CA Reports to: Vice President of Operations ... You care about the customer experience as much as the operational metrics - and you understand ...
Managed Care Assistant
Winter Haven, FL ยท On-site
Complete other duties assigned by Director of Managed Care to support the Managed Care Team ... PHYSICAL REQUIREMENTS: * Requires 80% or more time spent standing/walking. * Independently mobile
Managed Care Assistant
Winter Haven, FL ยท On-site
Complete other duties assigned by Director of Managed Care to support the Managed Care Team ... PHYSICAL REQUIREMENTS: * Requires 80% or more time spent standing/walking. * Independently mobile
Managed Care Director
Dyer, IN ยท On-site
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 Director
Dyer, IN ยท On-site
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 ...
This position is responsible for managing daily activities as assigned by System Director or ... Responsible for the mentoring and training of team members as needed, providing subject matter ...
This position is responsible for managing daily activities as assigned by System Director or ... Responsible for the mentoring and training of team members as needed, providing subject matter ...
Managed Care Resource
Los Angeles, CA ยท 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 ...
Managed Care Resource
Los Angeles, CA ยท 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 ...
Managed Care Resource
Atlanta, GA ยท 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 ...
Managed Care Resource
Atlanta, GA ยท 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 ...
Managed Care Resource
Jacksonville, FL ยท 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 ...
Managed Care Resource
Jacksonville, FL ยท 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 ...
Complete other duties assigned by Director of Managed Care to support the Managed Care Team ... PHYSICAL REQUIREMENTS: * Requires 80% or more time spent standing/walking. * Independently mobile
Complete other duties assigned by Director of Managed Care to support the Managed Care Team ... PHYSICAL REQUIREMENTS: * Requires 80% or more time spent standing/walking. * Independently mobile
The SVP provides leadership to the Managed Care team, including Regional Directors of Managed Care, and is responsible for directing departmental priorities, contract negotiations, and implementation ...
The SVP provides leadership to the Managed Care team, including Regional Directors of Managed Care, and is responsible for directing departmental priorities, contract negotiations, and implementation ...
We are hiring a Director of BI & Analytics for our client, a Houston nonprofit managed care organization committed to helping improve the health and well-being for Texas residents. This Director, BI ...
We are hiring a Director of BI & Analytics for our client, a Houston nonprofit managed care organization committed to helping improve the health and well-being for Texas residents. This Director, BI ...
... with the Director of Managed Care or independently as applicable to the negotiation. Execute ... contracting strategies for all service lines in Memorial Hospitals, MHS employed physicians ...
... with the Director of Managed Care or independently as applicable to the negotiation. Execute ... contracting strategies for all service lines in Memorial Hospitals, MHS employed physicians ...
Managed Care Billing Specialist*
Bronx, NY ยท On-site
$20.50 - $27.50/hr
The Managed Care Specialist is responsible for resolving managed care denied and underpaid claims ... Other duties as assigned by Director of Revenue Cycle Qualifications Knowledge, Skills and ...
Managed Care Billing Specialist*
Bronx, NY ยท On-site
$20.50 - $27.50/hr
The Managed Care Specialist is responsible for resolving managed care denied and underpaid claims ... Other duties as assigned by Director of Revenue Cycle Qualifications Knowledge, Skills and ...
Company Description We are a fast growing government contractor specializing in custom analytics and information management and support the Federal Government in the areas of healthcare, defense, and ...
Company Description We are a fast growing government contractor specializing in custom analytics and information management and support the Federal Government in the areas of healthcare, defense, and ...
Director of Care Coordination
Batesville, MS ยท On-site
Are you a RN, LPN, or Therapist that is passionate about case management? As the Director of Care Coordination you will coordinate and lead center's overall case management to include effective and ...
Director of Care Coordination
Batesville, MS ยท On-site
Are you a RN, LPN, or Therapist that is passionate about case management? As the Director of Care Coordination you will coordinate and lead center's overall case management to include effective and ...
POSITION SUMMARY/RESPONSIBILITIES The Director, Managed Care Analytics serves as the enterprise ... The Director also contributes to AI governance and the responsible use of data, ensuring ...
POSITION SUMMARY/RESPONSIBILITIES The Director, Managed Care Analytics serves as the enterprise ... The Director also contributes to AI governance and the responsible use of data, ensuring ...
The Senior Vice President of Managed Care provides executive leadership and strategic direction for ... oversight of direct and indirect reports, including remote teams. * Foster a culture of ...
The Senior Vice President of Managed Care provides executive leadership and strategic direction for ... oversight of direct and indirect reports, including remote teams. * Foster a culture of ...
Manager, Managed Care Contracting & Operations
$130K - $150K/yr
This person negotiates for NorthBay with healthcare insurance companies and oversees the implementation, monitoring, and evaluation of hospital, physician, and ancillary managed care payor ...
Quick apply
Manager, Managed Care Contracting & Operations
$130K - $150K/yr
This person negotiates for NorthBay with healthcare insurance companies and oversees the implementation, monitoring, and evaluation of hospital, physician, and ancillary managed care payor ...
Admissions/Marketing Director
Abingdon, VA ยท On-site
Maintain a strong working knowledge of managed care referral process. * Monitor inquiry, admission, and census trends. Prepare an inquiry log and other reports as required. Monitor all active and ...
Admissions/Marketing Director
Abingdon, VA ยท On-site
Maintain a strong working knowledge of managed care referral process. * Monitor inquiry, admission, and census trends. Prepare an inquiry log and other reports as required. Monitor all active and ...
Contract Manager, Managed Care Contracting
Worcester, MA ยท On-site
$88K - $118K/yr
Assists in the renewal of ancillary service and member hospital managed care contracts. I. Major ... from the Director, Legal, Finance, and other departments as appropriate, is responsible for ...
Contract Manager, Managed Care Contracting
Worcester, MA ยท On-site
$88K - $118K/yr
Assists in the renewal of ancillary service and member hospital managed care contracts. I. Major ... from the Director, Legal, Finance, and other departments as appropriate, is responsible for ...
Director Of Managed Care information
See salary details
$94.5K - $104.8K
13% of jobs
$111.2K is the 25th percentile. Wages below this are outliers.
$104.8K - $115.1K
20% of jobs
The median wage is $122.5K / yr.
$115.1K - $125.5K
24% of jobs
$125.5K - $135.8K
15% of jobs
$140K is the 75th percentile. Wages above this are outliers.
$135.8K - $146.1K
8% of jobs
$146.1K - $156.4K
5% of jobs
$156.4K - $166.7K
2% of jobs
$166.7K - $177K
3% of jobs
$177K - $187.4K
3% of jobs
$187.4K - $197.7K
3% of jobs
$197.7K - $208K
3% of jobs
$94.5K
$134.8K
$208K
How much do director of managed care jobs pay per year?
What does a director of managed care do?
What are the key skills and qualifications needed to thrive as a director of managed care, and why are they important?
How does a director of managed care typically collaborate with clinical and administrative teams to optimize payer contracts?
What is the difference between Director Of Managed Care vs Managed Care Coordinator?
| Aspect | Director Of Managed Care | Managed Care Coordinator |
|---|---|---|
| Credentials | Bachelor's degree, often advanced certifications in healthcare management | Typically an associate or bachelor's degree, relevant healthcare certifications |
| Work Environment | Executive setting, overseeing departments, strategic planning | Clinical or administrative setting, coordinating care plans |
| Employer & Industry | Hospitals, insurance companies, healthcare organizations | Insurance providers, healthcare facilities, managed care organizations |
| Primary Focus | Developing policies, managing teams, strategic oversight | Implementing 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.
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:

Manager of Managed Care Operations
Addison, TX โข On-site
Full-time
Medical, Dental, Vision, Retirement, PTO
Posted 23 days ago
Job description
Manager of Managed Care Operations
Looking to elevate your career? Join us!
Work Location: Hybrid
Work Hours: Full time, business hours
The Manager of Managed Care Operations is a high-accountability role serving as the operational backbone of the Managed Care function. This individual acts as the central program manager and coordinator for all managed care initiatives, ensuring seamless coordination from contract negotiation through operational implementation and paid claims.
This role bridges strategy and execution. Once a payer agreement is negotiated, the Operations Manager owns the end-to-end transition into live operations - aligning Legal, Revenue Cycle, Credentialing, Clinical Leadership, and Technology teams to ensure contracts are accurately built, activated, and performing as intended.
Success in this role requires exceptional organization, contract fluency, cross-functional leadership, and the ability to proactively remove barriers that delay implementation or impact reimbursement.
Department Highlights:
- Highly engaged culture.
- Collaborative team environment
- Fast-paced and Growth-Oriented
Here is what you will need:
- 3+ years of experience in Managed Care, Revenue Cycle Management, or Payer Contracting.
- Demonstrated experience supporting contract implementation or payer enrollment processes.
- Bachelor's degree in healthcare administration, Business Administration, Finance, or a related field required; equivalent combination of education and relevant experience will be considered.
- Working knowledge of payer enrollment workflows, credentialing, billing system configuration, and claim adjudication processes.
- Ability to interpret contract language and translate financial terms into operational requirements.
- Proficiency in Excel and data management; experience working with healthcare systems (EMR, PM, billing platforms).
- Strong project management skills with the ability to manage multiple concurrent initiatives.
- Exceptional organizational skills and attention to detail.
- Independent problem-solving with appropriate escalation judgment.
- Ability to influence without authority across cross-functional teams.
A Day in the Life of a Manager ofManaged Care Operations:
- Program & Project Management
- Develop and maintain a centralized Managed Care Master Project Tracker covering contract negotiations, renewals, expansions, compliance deadlines (e.g., MIPS), and recurring reporting obligations.
- Establish clear timelines, ownership, and accountability across departments.
- Proactively identify bottlenecks and escalate risks that could delay operational readiness or revenue realization.
- Drive projects to completion with measurable outcomes.
- Contract Lifecycle Management
- Own the administrative transition of negotiated agreements into operational execution.
- Translate contract rates, terms, carve-outs, and provisions into actionable build instructions for Revenue Cycle and system teams.
- Ensure contract terms are accurately reflected in billing systems, payer setups, and reimbursement logic.
- Confirm readiness prior to go-live and monitor initial claims performance post-implementation.
- Payer Enrollment & Network Expansion
- Coordinate addition of new locations, Tax Identification Numbers (TINs), and providers to existing payer agreements.
- Manage ownership letters, roster submissions, and payer documentation for both commercial and government plans.
- Track and confirm payer approvals and effective dates to prevent reimbursement disruption.
- Maintain accurate provider and location alignment across all payer contracts.
- Cross-Functional Liaison & Implementation Leadership
- Serve as the primary operational liaison between Managed Care, Legal, Revenue Cycle, Credentialing, Clinical Leadership, and IT.
- Ensure new agreements are fully operationalized across systems (EMR, practice management, clearinghouse, billing platforms).
- Lead internal communication of contract changes and implications.
- Facilitate resolution of implementation gaps that impact revenue or patient access.
- Payer Plan Build & Data Integrity
- Extract and translate contract data into structured rate tables and build documentation.
- Coordinate creation and maintenance of insurance plans ("iplans") within applicable technologies.
- Ensure alignment between negotiated terms, system configuration, and billing outputs.
- Maintain a master database of payer contracts, rate structures, and effective dates.
- Issue Resolution & Performance Support
- Triage and research managed care inquiries, including in/out-of-network status, excluded products, and reimbursement discrepancies.
- Investigate patient leakage and payer denials related to contract misalignment.
- Escalate systemic issues impacting reimbursement or network status.
- Support reporting and closeout activities, including MIPS and charity reporting coordination.
Why Solis Mammography?
- A Great Place to Work, earning this prestigious award for multiple years running.
- Offer competitive benefits such as Medical, Dental, Vision, 401k, PTO, Paid Holidays, Backup Child/Adult Care as well as other unique benefits.
At Solis Mammography, we save lives. We shape the future of women's health. We are empowered, appreciated, and part of something bigger. Together, we deliver compassionate, exceptional care. Every patient. Every time.
Our patient-focused culture is at the heart of every interaction. We deliver the care, compassion and high-touch experience that have made us a valued healthcare partner to the generations of women that we serve. As the nation's leader in breast health services, our commitment to providing excellence in patient care is realized at every level of our organization.