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Managed Care Jobs (NOW HIRING)

Ensign Services

Managed Care Resource

Charlotte, NC · On-site

Managed Care Resource - Southeast Region Position Type: Full-time, exempt employee. Compensation Range: Depending on Experience. Location: Candidate must reside in the Charlotte, NC area. About the ...

Summit

Managed Care Specialist

Lakeland, FL · Hybrid

Bachelor's degree in Healthcare Management, Nursing, or a related field. R.N. (Registered Nurse) or L.P.N. (Licensed Practical Nurse) preferred. Experience: Generally, a minimum of 10 years of case ...

InstantServe LLC

Managed Care Specialist

Nashville, TN · On-site

$20/hr

Managed Care Specialist. Pay rate: $20 on 1099 Estimated Duration 03/23/2026 - 06/30/2026 Our Client is looking to hire a Managed Care Specialist for a hybrid role. Our Client provides their ...

Innosoul inc

Managed Care Specialist

Nashville, TN

Job ID: TN-65884 Hybrid/Local (Middle TN ONLY) Managed Care Specialist with MS Office/SharePoint, Paralegal, Legal environment experience Location: Nashville, TN (TennCare) Duration: 5 Months ...

UF Health

Director of Managed Care

Gainesville, FL

Responsible for managed care contracting, including but not limited to value based and pay for performance contracting, and population health initiatives to position SUFHCN (hospitals, ancillary ...

Adventist Health

Manager, Managed Care

Roseville, CA · On-site

Negotiates health plan (managed care) contracts with payers as assigned across the system. Supervises and directs the activities of various levels of assigned personnel using both professional and ...

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All JobsManaged Care Jobs

Managed Care information

See salary details

$60K

$88.7K

$124K

How much do managed care jobs pay per year?

As of Jun 16, 2026, the average yearly pay for managed care in the United States is $88,749.00, according to ZipRecruiter salary data. Most workers in this role earn between $72,500.00 and $103,500.00 per year, depending on experience, location, and employer.

What jobs pay 2000 a day?

In the managed care field, high-paying roles such as senior healthcare consultants, medical directors, or specialized healthcare executives can earn around $2,000 per day, especially with extensive experience, certifications, and leadership responsibilities. These positions often require advanced degrees, industry expertise, and strong negotiation skills, and they may involve consulting, administrative oversight, or strategic planning in healthcare organizations.

What are the key skills and qualifications needed to thrive in Managed Care, and why are they important?

To excel in Managed Care, you need strong analytical abilities, knowledge of healthcare regulations, and typically a degree in healthcare administration, public health, or a related field. Familiarity with claims processing systems, data analytics tools, and industry-specific software such as Epic or Meditech is often required. Excellent communication, negotiation, and problem-solving skills help professionals build relationships with providers and navigate complex patient needs. These competencies are crucial for optimizing patient outcomes, controlling costs, and ensuring compliance within the evolving healthcare landscape.

What is managed care?

Managed care refers to a healthcare delivery system designed to manage cost, utilization, and quality. It involves a network of providers and organizations that coordinate patient care to improve health outcomes while controlling expenses. Managed care plans often require members to choose healthcare providers from a specific network and may require pre-authorization for certain services. Common types of managed care include Health Maintenance Organizations (HMOs), Preferred Provider Organizations (PPOs), and Point of Service (POS) plans.

What are the most common challenges faced by professionals working in Managed Care roles?

Professionals in Managed Care often navigate complex regulatory requirements while balancing cost efficiency and quality patient care. One common challenge is coordinating between healthcare providers, insurance companies, and patients to ensure effective coverage and access to services. Additionally, staying updated on frequently changing policies and negotiating contracts can require strong analytical and communication skills. Collaboration with interdisciplinary teams is essential, and adaptability is key to managing evolving healthcare trends and payer guidelines.

Is being a MOA a good entry level job?

Medical Office Assistants (MOAs) often start in entry-level positions that require basic administrative and clinical skills, such as scheduling, patient intake, and data entry. It can be a good entry point into healthcare, providing experience with medical environments and patient interaction, but advancement may require additional certifications or training. The role typically offers a straightforward path for those interested in healthcare careers.

What is a managed care job?

A managed care job involves coordinating healthcare services to ensure cost-effective and quality patient care, often within insurance companies, health plans, or healthcare organizations. Roles may include case managers, utilization reviewers, or health plan administrators, requiring knowledge of healthcare policies, insurance processes, and sometimes certifications like CCM or CHC.

What is the difference between Managed Care vs Health Insurance Coordinator?

AspectManaged CareHealth Insurance Coordinator
CredentialsTypically requires a degree in healthcare administration, nursing, or related fieldsOften requires knowledge of insurance policies, customer service, and sometimes certifications like CPC or HIPAA training
Work EnvironmentHospitals, insurance companies, healthcare networksInsurance companies, healthcare offices, clinics
Employer & Industry UsageHealthcare providers, insurance plans, government programsInsurance providers, healthcare organizations
Common Search & Comparison IntentUnderstanding managed care plans, healthcare managementManaging insurance claims, policy details

Managed Care professionals focus on coordinating healthcare services within managed care plans, emphasizing cost control and quality. Health Insurance Coordinators handle insurance policies, claims, and customer support. While both roles involve insurance, managed care is broader, often involving healthcare management, whereas insurance coordinators focus on policy administration.

What jobs pay $10,000 a month without a degree?

In managed care or healthcare-related fields, high-paying roles such as medical billing managers, healthcare sales representatives, or insurance brokers can reach $10,000 per month with relevant experience and certifications. These jobs often require strong communication skills, industry knowledge, and sometimes specialized training but not necessarily a college degree.
More about Managed Care jobs
What cities are hiring for Managed Care jobs? Cities with the most Managed Care job openings:
What are the most commonly searched types of Managed Care jobs? The most popular types of Managed Care jobs are:
What states have the most Managed Care jobs? States with the most job openings for Managed Care jobs include:
What job categories do people searching Managed Care jobs look for? The top searched job categories for Managed Care jobs are:
Managed Care jobs near you
Infographic showing various Managed Care job openings in the United States as of June 2026, with employment types broken down into 1% Locum Tenens, 73% Full Time, 25% Part Time, and 1% Contract. Highlights an 87% Physical, 4% Hybrid, and 9% Remote job distribution, with an average salary of $88,749 per year, or $42.7 per hour.
Director, Managed Care

Director, Managed Care

Washington Hospital Healthcare System

Fremont, CA

$196K - $294K/yr

Full-time

Posted 13 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

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 financialreporting 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

Reports to:Vice President & Chief Revenue Officer

Accountability

JobDescriptionTemplate Revised10/13/24
Qualifications

1. Education:

Required: Bachelor's degree (minimum ten 10 years' experience





Education

Licensure

Work Experience

Skills/computer/ specific

technical

can be substituted for formal education).

Desirable: Master'sdegree in health related field

2. Experience:

1. Other qualifications,

-

Minimum seven (7) years in a Managed Care Contracting

miscellaneous

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.

Specify if qualifications are

Required or Preferred

-

Experience in an administratively responsible position with

significant intra-department work.

-

-

Demonstrated interpersonal skills.

Demonstrated skill inworking with a large variety of

people of various organizations and levels.

-

-

-

Knowledge of legal terminology, understanding of

governmental and legislative regulations.

Previous experience inthe 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.

3. Skillsand 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 atadministrative

functions. Mustbe able to work independentlyand

creatively.

JobDescriptionTemplate Revised10/13/24

Essential Job Responsibilities

Achieving Results

Key Components: assess,

plan, evaluate, demonstrate

initiative, quality of work,

productivity

1. Responsiblefor negotiating Managed Care Contracts.This

includes routine contracting activities, maintaining strategic

relationships, evaluating contracts, and acting as an internal

resource in interpreting contracts.

2. Responsiblefor the initial reading and financial analysis of

managed care contracts for content, administrative issues, and

appropriate financial return.

3. Evaluatefinancial performance of existing contractual

relationships and monitor performance of new contractual

relationships. Thisincludes production of financial impact reports

on an ongoing basis by both Payor and medical group.

4. Workingclosely with Managed Care and Finance leadership to

develop contract proposals based on WHHS' defined strategies,

goals and objectives.

5. Workingclosely 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.

6. Preparehistorical and financial data to provide support for

contract negotiations and contract renewals.

5. Ensuringappropriate dissemination of contract details to all

applicable stakeholders.

6. Alwaysensures the accuracy and completeness of all projects,

information, and analysis.

7. SupportWHHS RCM and Compliance with price transparency

efforts and initiatives.

JobDescriptionTemplate -Revised10/13/24

2

Demonstrates Skill

KeyComponents:

competency, job knowledge,

organizational skills,

1. Directand oversee Contract Manager to perform modeling,

financial impacts, utilizing Financial Planning and Analysis data

based on a project-by-project basis.

analytical skill, management

of information, employee &

patient safety

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 reimbursementand adherence to contract terms.

4. Workwith 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. Alwayscomplies with established department policies and

guidelines indeveloping projects, information and analysis.

8. Consistently challenges the appropriateness of assumptions and

formulas used in the preparation of all projects, information and

analysis.

9. Consistently monitors the monthly managed care data from

information systems and takes appropriate follow-up actions.

10.Provides sound, effective advice to management to assist them in

making effective decisions regarding managed care and strategic

issues surrounding managed care.

JobDescriptionTemplate -Revised10/13/24

3


Demonstrates Skill

Cont'

11.Always exercises care and accuracy in conducting collection and

analysis studies.

12. Takesresourceful/creative approachin collecting data, conducting

research, developing methodology and deriving conclusions and

recommendations.

Planning &

Coordinating

1. Resolve claims issues with contracted Payors and medical

groups.

Key Components: delegates,

decision making, problem

solving, management of

resources

2. Develop, monitor and perform training for all patient intake

Washington Hospital Healthcare System employees to ensure

correct Payor/medical group identification and tracking, and other

issues in managed care.

3. Design, conduct and coordinate meetings with physician office

managers to provide training in areas of managed care.

Professionalism

1. Consistently provides clear and thorough information in the

preparation of all projects, information, and analysis

Key Components:

dependability, interpersonal

skills, teamwork, patient first

ethic, customer service,

communicationskills,

punctuality/attendance,

receptiveness to criticism,

judgment, confidentiality

2. Always displays study findings in a clear, organized format, and

prepares written communication/reports in a clear, concise and

organized fashion.

3. Consistently meets scheduled time frames in preparing all

projects, information, and analysis.

4. Consistentlyresponds to inquiries from management regarding

information established from all projects and analysis.

5. Demonstrates goodjudgment when communicating with

patients/customers of various age groups by modifying delivery

and complexity of information based on age.

Improving the

Organization

1. Regularly identifies system enhancement opportunities and

recommends appropriate changes.

Key Components:

performance improvement,

quality initiatives

2. Participates in multidisciplinary performance improvement

activities.

3. Identifies opportunities for improvement in managed care

contracting and relationships through direct input from affected

departments, includingregistration, patient accounting, billing,

utilization management, medical records, and quality

improvement.

4. Participatesin improving service by serving on committees or task

forces, collecting data when appropriate, and sharing ideas for

improvement.

5. Serves on Process Improvement Teams as requested.

JobDescriptionTemplate -Revised10/13/24

4

Self-Development

Key Components: maintain

license/certification,

1. Attendsat least one educational program each year (i.e. HFMA,

Becker's or applicable other as approved by Chief of Payor Contracting).

education and training

Regulatory

Compliance

Key Components: JCAHO,

Title 22, OIG, HIPAA,

State/Federal laws, hospital

policies

1. Demonstratesawareness of, and compliance with, patient safety

and regulatory and licensing standards; i.e., TJC, Title 22,

OSHA, HIPPA and Washington Hospital's numbered

memorandums.

Prepared by:Semone Clark

Approved by:Marcus Watkins

Personnel Office Review:

Revised Date:

Title: ExecutiveAssistant III

Title: VP& CRO

Date: 10/13/2024

Date: 5/4/2026

Date:

JobDescriptionTemplate-Revised10/12/04
Employment Type: Full Time (8-hr, 1.0 FTE)

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