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Managed Care Analyst Jobs (NOW HIRING)

Washington Hospital

Director, Managed Care

Fremont, CA

$196K - $294K/yr

The Director will be responsible for overseeing administration, review, and financial analyses of managed care contracts for the healthcare system, performing financial reporting and financial ...

Washington Hospital

Director, Managed Care

Fremont, CA · On-site

$196K - $294K/yr

The Director will be responsible for overseeing administration, review, and financial analyses of managed care contracts for the healthcare system, performing financial reporting and financial ...

Blue-and-Compan

Managed Care Specialist

Richardson, TX · On-site

$75 - $110/hr

Managed Care Specialist Full-time Regular Louisville HC, Louisville, KY, US Blue & Co., LLC is a ... Review, test, and analyze utilization and reimbursement data sets from healthcare providers.

New

Ensign Services

Managed Care Resource

Pomona, CA · On-site

$110K - $130K/yr

Managed Care Resource - Los Angeles, CA Position Type: Full Time, exempt employee. Salary: $110,000 ... Strong analytical mind, with problem solving skills, an aptitude for accuracy, and attention to ...

Ensign Services, Inc.

Managed Care Resource

Atlanta, GA · On-site +1

Managed Care Resource - Southeast Region Position Type: Full-time, exempt employee. Compensation ... Strong analytical mind, with problem solving skills, an aptitude for accuracy, and attention to ...

Ensign Services

Managed Care Resource

Orlando, FL

Managed Care Resource - Southeast Region Position Type: Full-time, exempt employee. Compensation ... Strong analytical mind, with problem solving skills, an aptitude for accuracy, and attention to ...

Ensign Services

Managed Care Resource

Long Beach, CA · On-site

$110K - $130K/yr

Managed Care Resource - Los Angeles, CA Position Type: Full Time, exempt employee. Salary: $110,000 ... Strong analytical mind, with problem solving skills, an aptitude for accuracy, and attention to ...

Jobless

$90 - $120/hr

Analyze fee schedules, reimbursement methodologies, and payer policies to identify opportunities for improved financial performance. * Partner with Revenue Cycle and Operations teams to investigate ...

New

Ensign Services, Inc.

Managed Care Resource

Pomona, CA · On-site +1

$110K - $130K/yr

Managed Care Resource - Los Angeles, CA Position Type: Full Time, exempt employee. Salary: $110,000 ... Strong analytical mind, with problem solving skills, an aptitude for accuracy, and attention to ...

Ensign Services, Inc.

Managed Care Resource

Los Angeles, CA · On-site +1

$110K - $130K/yr

Managed Care Resource - Los Angeles, CA Position Type: Full Time, exempt employee. Salary: $110,000 ... Strong analytical mind, with problem solving skills, an aptitude for accuracy, and attention to ...

Ensign Services, Inc.

Managed Care Resource

Long Beach, CA · On-site +1

$110K - $130K/yr

Managed Care Resource - Los Angeles, CA Position Type: Full Time, exempt employee. Salary: $110,000 ... Strong analytical mind, with problem solving skills, an aptitude for accuracy, and attention to ...

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Managed Care Analyst information

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$31K

$73.3K

$130K

How much do managed care analyst jobs pay per year?

As of Sep 4, 2026, the average yearly pay for managed care analyst in the United States is $73,261.00, according to ZipRecruiter salary data. Most workers in this role earn between $52,500.00 and $87,000.00 per year, depending on experience, location, and employer.

What does a managed care analyst do?

A Managed Care Analyst evaluates healthcare data, insurance claims, and provider contracts to improve cost efficiency and operational performance. They analyze trends, create reports, and ensure compliance with regulations to optimize managed care programs. Their role involves working with healthcare providers, insurers, and internal teams to support data-driven decision-making.

What skills and qualifications are needed to be a managed care analyst?

To thrive as a Managed Care Analyst, you need strong analytical skills, expertise in healthcare data, and a background in health economics or a related field, often supported by a relevant bachelor’s degree. Familiarity with data analysis tools like Excel, SQL, and claims processing systems, as well as knowledge of healthcare regulations, is highly beneficial. Excellent communication, problem-solving abilities, and attention to detail help analysts interpret complex data and work effectively across multidisciplinary teams. These skills and qualifications are vital for ensuring accurate analysis, supporting sound decision-making, and optimizing managed care strategies for healthcare organizations.

What are typical challenges faced by managed care analysts?

Managed Care Analysts often encounter challenges such as interpreting large volumes of complex healthcare data, keeping up with rapidly changing regulations, and ensuring data accuracy across multiple systems. Analysts must also bridge gaps between clinical and financial teams to translate analytics into actionable recommendations. Navigating these challenges requires strong technical skills and close collaboration with various stakeholders, making the work dynamic and highly impactful in improving healthcare efficiency and outcomes.

What is a managed care analyst?

A managed care analyst is a healthcare professional who evaluates and improves managed care plans, focusing on cost efficiency, quality of care, and patient outcomes. They analyze data, review provider networks, and may use tools like claims processing software to optimize healthcare delivery and manage risks.
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Managed Care Analyst jobs near you
Infographic showing various Managed Care Analyst job openings in the United States as of August 2026, with employment types broken down into 2% As Needed, 70% Full Time, 21% Part Time, and 7% Contract. Highlights an 93% Physical, 1% Hybrid, and 6% Remote job distribution, with an average salary of $73,261 per year, or $35.2 per hour.

Director - Managed Care

Mosaic Life Care

Saint Joseph, MO • On-site

Per diem

Medical, Vision, Life

Posted 7 days ago

Key responsibilities

  • Develop, negotiate, implement, and manage payer contracts including commercial, governmental, and value-based arrangements.

  • Oversee the Managed Care department and partner with internal teams to monitor payer performance, contract compliance, and revenue impact.

  • Provide strategic direction and build relationships with payers to support organizational goals and ensure timely contract implementation.

Mosaic Life Care rating

6.6

Company rating: 6.6 out of 10

Based on 63 frontline employees who took The Breakroom Quiz

572nd of 898 rated healthcare providers

Job description


The Director of Managed Care is responsible for developing, negotiating, implementing, and managing commercial, governmental, and value-based payer contracts to optimize reimbursement, support organizational strategy, and improve financial performance. Reporting to the ACFO, this leader oversees the Managed Care department, partners with finance, revenue cycle, legal, and executive leadership, and develops payer strategies that enhance access, profitability, and long-term sustainability.
The Director supports organizational revenue goals through effective payer relationships, contractual agreements, and operational partnership. This role requires initiative, self-direction, leadership, and a team-oriented approach, with the ability to translate information into targeted action plans that meet evolving organizational needs. The Director must build collaborative relationships with internal stakeholders and external partners, influence decision-making outside direct reporting lines, and perform other duties as assigned.
Responsibilities
  • Provide executive leadership and strategic direction for managed care contractual relationships, including commercial, Medicare, Medicaid, and other payer arrangements.
  • Develop and execute managed care strategies aligned with organizational goals.
  • Negotiate payer contractual agreements, including commercial, Medicare Advantage, Medicaid Managed Care, employer, hospital, professional, ancillary, and value-based contracts, to meet organizational goals.
  • Review reimbursement methodologies including DRG, APC, fee schedule, per diem, percent of charges, case rates, and capitation.
  • Partner with FP&A, Decision Support, and Reimbursement teams to model reimbursement, margins, and financial impact.
  • Partner with Revenue Cycle to monitor payer performance, denials, underpayments, contract compliance, and other contractual opportunities that improve revenue and reduce leakage.
  • Monitor market trends and CMS regulations that may affect payer strategy, reimbursement, contract compliance, and provider enrollment operations.
  • Responsible for building positive relationships with key health plans through regular communications/meetings to support the organizational goals.
  • Communicate managed care changes, policy updates, and strategic direction across the organization to support alignment and timely implementation.

Education
  • Bachelor's Degree - in Healthcare Administration, Finance, Business, Accounting, Economics, or related field - Required Upon Hire
  • MBA/MHA - Preferred

Work Experience
  • 7-10 Years - progressive healthcare finance or managed care experience - Required
  • 3-5 Years - payer contract negotiation experience - Required
  • Experience with commercial, Medicare Advantage, and Medicaid Managed Care contracting
  • Experience in 340b, DSH, Sole Community Hospital, Critical Access Hospital, rural health clinics, provider-based ad physician reimbursement

Qualifications
Knowledge & Skills
• Revenue cycle
• Healthcare finance
• CMS regulations
• Value-based reimbursement
• Financial modeling
• Negotiation
• Contract interpretation
• Analytics
• Project management
Preferred Software
• Epic
• Oracle ERP/EPM
• Strata
• Advanced Excel
• Power BI/Tableau
Key Performance Indicators
• Net revenue improvement
• Annual reimbursement increases
• Managed care margin
• Contract renewal success
• Underpayment recovery
• Denial reduction
• Value-based contract performance
• Timely contract implementation
About Us
Mosaic Life Care is a health care system in northwest Missouri. With a vision of transforming community health by being a life-care innovator, Mosaic places the holistic needs of patients first by providing the right care at the right time and place, offering high value and quality health care.
Mosaic has a wide array of benefits to meet each employee's individual needs. Our benefits were designed by listening to people just like you. Mosaic also offers several perks with a focus on ensuring our employees feel valued, including concierge services, employee lounge, wellness programs, free covered parking, free on-site and virtual health clinics and many more. When paired with compensation and recognition, it is what continues to make us the employer of choice for employees at any stage of their journey.

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