The candidate will be responsible for working directly with managed care payers and PFS to resolve claim payment and administrative escalations occurring with managed care contracts. Responsible for ...
The candidate will be responsible for working directly with managed care payers and PFS to resolve claim payment and administrative escalations occurring with managed care contracts. Responsible for ...
Managed Care Resource
Jacksonville, FL · On-site
Managed Care Resource - Southeast Region Position Type: Full-time, exempt employee. Compensation Range: Depending on Experience. Location: Candidate must reside in the Jacksonville, Florida area.
Managed Care Resource
Jacksonville, FL · On-site
Managed Care Resource - Southeast Region Position Type: Full-time, exempt employee. Compensation Range: Depending on Experience. Location: Candidate must reside in the Jacksonville, Florida area.
Managed Care Resource
Jacksonville, FL · On-site +1
Managed Care Resource - Southeast Region Position Type: Full-time, exempt employee. Compensation Range: Depending on Experience. Location: Candidate must reside in the Jacksonville, Florida area.
Managed Care Resource
Jacksonville, FL · On-site +1
Managed Care Resource - Southeast Region Position Type: Full-time, exempt employee. Compensation Range: Depending on Experience. Location: Candidate must reside in the Jacksonville, Florida area.
Managed Care Resource
$110K - $130K/yr
Managed Care Resource - Los Angeles, CA Position Type: Full Time, exempt employee. Salary: $110,000 - $130,000 annually, DOE; may be eligible for bonus. Location: Candidate must reside in the Los ...
New
Managed Care Resource
$110K - $130K/yr
Managed Care Resource - Los Angeles, CA Position Type: Full Time, exempt employee. Salary: $110,000 - $130,000 annually, DOE; may be eligible for bonus. Location: Candidate must reside in the Los ...
New
Managed Care Director
Trevose, PA · On-site +1
Overview The Managed Care Director is responsible for developing and executing payer contracting, reimbursement, and value-based care strategies for assigned practices within The US Oncology Network.
Managed Care Director
Trevose, PA · On-site +1
Overview The Managed Care Director is responsible for developing and executing payer contracting, reimbursement, and value-based care strategies for assigned practices within The US Oncology Network.
Oversees managed care related policies, procedures and processes in support of strategic objectives. Develops and executes in conjunction with members of the US Oncology Network support staff on ...
Oversees managed care related policies, procedures and processes in support of strategic objectives. Develops and executes in conjunction with members of the US Oncology Network support staff on ...
Managed Care Specialist
Nashville, TN · On-site
$18.50/hr
Managed Care Specialist Location : Nashville, TN Rate : $18.50/hr on W2 Only W2 Key Responsibilities • Determine individual and family eligibility for our Client's care programs. • Assist in ...
Managed Care Specialist
Nashville, TN · On-site
$18.50/hr
Managed Care Specialist Location : Nashville, TN Rate : $18.50/hr on W2 Only W2 Key Responsibilities • Determine individual and family eligibility for our Client's care programs. • Assist in ...
Managed Care Director
Dyer, IN · On-site
Oversees managed care related policies, procedures and processes in support of strategic objectives. Develops and executes in conjunction with members of the US Oncology Network support staff on ...
Managed Care Director
Dyer, IN · On-site
Oversees managed care related policies, procedures and processes in support of strategic objectives. Develops and executes in conjunction with members of the US Oncology Network support staff on ...
Managed Care Specialist
Nashville, TN · On-site
Managed Care Specialist (Hybrid) Requisition ID: 65355 Customer: TN TennCare - Member Services Location: Nashville, TN (Hybrid - Downtown) Submission Deadline: February 12, 2026 Contract Duration:
Managed Care Specialist
Nashville, TN · On-site
Managed Care Specialist (Hybrid) Requisition ID: 65355 Customer: TN TennCare - Member Services Location: Nashville, TN (Hybrid - Downtown) Submission Deadline: February 12, 2026 Contract Duration:
Overview The Director, Managed Care Contracting is responsible for utilizing business and industry expertise, accepts responsibility for all activities in the Managed Care department applying to and ...
Overview The Director, Managed Care Contracting is responsible for utilizing business and industry expertise, accepts responsibility for all activities in the Managed Care department applying to and ...
Director of Managed Care
Franklin, TN · On-site +1
Oversees Division's contractual relationships with managed care organizations and other third party payors regarding rate structures for services, clinical and financial reporting obligations ...
Director of Managed Care
Franklin, TN · On-site +1
Oversees Division's contractual relationships with managed care organizations and other third party payors regarding rate structures for services, clinical and financial reporting obligations ...
The BJC Managed Care department includes multiple functions such as managed care contracting, financial analysis, systems and operations, value-based care and payment programs, payor and provider ...
The BJC Managed Care department includes multiple functions such as managed care contracting, financial analysis, systems and operations, value-based care and payment programs, payor and provider ...
Managed Care Biller
Charleston, IL · On-site
$16.75 - $21.50/hr
Managed Care Biller Location: Charleston, Illinois (on-site) Reports To: Billing Director About the Opportunity The Managed Care Biller is responsible for the accurate and timely billing of all ...
Quick apply
Managed Care Biller
Charleston, IL · On-site
$16.75 - $21.50/hr
Managed Care Biller Location: Charleston, Illinois (on-site) Reports To: Billing Director About the Opportunity The Managed Care Biller is responsible for the accurate and timely billing of all ...
This role partners with clinical, pharmacy, and managed care leadership to optimize reimbursement, ensure contract performance, and align financial and operational objectives. The Manager, Managed ...
This role partners with clinical, pharmacy, and managed care leadership to optimize reimbursement, ensure contract performance, and align financial and operational objectives. The Manager, Managed ...
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 ...
Managed Care Coordinator
Lincolnwood, IL · On-site
$60K/yr
In support of Managed Care Case Management perform the duties of triaging daily referral requests for all Commercial, MMAI, and Medicare Advantage plans for skilled care stays for all facilities.
Managed Care Coordinator
Lincolnwood, IL · On-site
$60K/yr
In support of Managed Care Case Management perform the duties of triaging daily referral requests for all Commercial, MMAI, and Medicare Advantage plans for skilled care stays for all facilities.
Managed Care Assistant
Worcester, MA · On-site
$21 - $24/hr
The Managed Care Assistant ensures complete and accurate registration for referrals, including patient demographics, insurance, and patient scheduling needs. The Managed Care Assistant follows ...
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Managed Care Assistant
Worcester, MA · On-site
$21 - $24/hr
The Managed Care Assistant ensures complete and accurate registration for referrals, including patient demographics, insurance, and patient scheduling needs. The Managed Care Assistant follows ...
Managed Care Analyst
Fountain Valley, CA · Remote
$41.09/hr
Managed Care Analyst Location: Fountain Valley, CA / Predominately Remote (Must be located in CA) Department: Managed Care Status: Full-Time Shift: Days (8hr) Pay Range*: $41.09/hr - $51.56/hr ...
Managed Care Analyst
Fountain Valley, CA · Remote
$41.09/hr
Managed Care Analyst Location: Fountain Valley, CA / Predominately Remote (Must be located in CA) Department: Managed Care Status: Full-Time Shift: Days (8hr) Pay Range*: $41.09/hr - $51.56/hr ...
The Supervisor - Managed Care Analysis supports the financial analysis, modeling, and implementation of managed care contracts within Epic. This role translates contract terms into accurate ...
The Supervisor - Managed Care Analysis supports the financial analysis, modeling, and implementation of managed care contracts within Epic. This role translates contract terms into accurate ...
Managed Care Coordinator
$38K - $48K/yr
Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in response to our patients' and members' needs. These high ...
Managed Care Coordinator
$38K - $48K/yr
Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in response to our patients' and members' needs. These high ...
Managed Care information
See salary details
$60K - $65.8K
10% of jobs
$65.8K - $71.6K
13% of jobs
$72.4K is the 25th percentile. Wages below this are outliers.
$71.6K - $77.5K
21% of jobs
The median wage is $80.9K / yr.
$77.5K - $83.3K
11% of jobs
$83.3K - $89.1K
5% of jobs
$89.1K - $94.9K
6% of jobs
$99.4K is the 75th percentile. Wages above this are outliers.
$94.9K - $100.7K
12% of jobs
$100.7K - $106.5K
6% of jobs
$106.5K - $112.4K
5% of jobs
$112.4K - $118.2K
5% of jobs
$118.2K - $124K
5% of jobs
$60K
$88.7K
$124K
How much do managed care jobs pay per year?
As of Aug 6, 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 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.
What is the difference between Managed Care vs Health Insurance Coordinator?
| Aspect | Managed Care | Health Insurance Coordinator |
|---|---|---|
| Credentials | Typically requires a degree in healthcare administration, nursing, or related fields | Often requires knowledge of insurance policies, customer service, and sometimes certifications like CPC or HIPAA training |
| Work Environment | Hospitals, insurance companies, healthcare networks | Insurance companies, healthcare offices, clinics |
| Employer & Industry Usage | Healthcare providers, insurance plans, government programs | Insurance providers, healthcare organizations |
| Common Search & Comparison Intent | Understanding managed care plans, healthcare management | Managing 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.
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:
CHRISTUS Health rating
6.7
Based on 528 frontline employees who took The Breakroom Quiz
532nd of 887 rated healthcare providers
Job description
Description
Summary:
This position is responsible for managing daily activities as assigned by System Director or Director related to providing operational support on managed care contracts. The candidate will be responsible for working directly with managed care payers and PFS to resolve claim payment and administrative escalations occurring with managed care contracts. Responsible for the mentoring and training of team members as needed, providing subject matter expertise to improve efficiencies and results. The candidate will work collaboratively with Vice President Managed Care, Managed Care Team, Revenue Integrity, and PFS management.
Responsibilities:
- Assists the point person to the hospital leadership teams and business offices for the assigned CHRISTUS region(s) for all managed care related aspects, including contract performance and operational issues Carries out appropriate managed care related education and training including roll out of new payor contracts
- Assists in payor/plan dispute resolution projects or any other special projects
- Responsible for coordinating payer credentialing & re-credentialing activities
- Works with the hospital business offices with regard to tracking and reducing managed care denials and underpayments, including restitution or other prompt pay penalties
- Knowledge of Federal and Texas general regulatory environment related to managed care and participates in legislative advocacy activities as appropriate
- Monitor implementation managed care contracts for all CHRISTUS Health Providers
- Develop payer performance and monitoring tools
- Conduct data analyses/reports to the assigned System Director or Director on payments and operational issues associated with Managed Care contract language
Requirements:
- Bachelor's Degree preferred
Work Schedule:
8AM - 5PM Monday-Friday
Work Type:
Full Time
What CHRISTUS Health employees say
Pay
Benefits
Hours and flexibility
Workplace
Get the full story on Breakroom
About CHRISTUS Health
Sourced by ZipRecruiter
CHRISTUS Health is a prominent name in the healthcare industry, with its headquarters situated in Irving, TX, USA. Established in 1999, the company has since been devoted to providing comprehensive care and extending the healing ministry of Jesus Christ. This not-for-profit health system primarily operates more than 600 healthcare services and programs, including long-term care facilities, health insurance products, community clinics, and outreach services, serving both urban and rural populations.
Industry
Outpatient health care
Company size
1,001 - 5,000 Employees
Headquarters location
Irving, TX, US
Year founded
1999