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Managed Care Contract Manager Jobs (NOW HIRING)

MedStar Health

Senior Contract Manager

Columbia, MD · On-site

$71K - $135K/yr

About the Job Managed Care Contract Specialist Are you passionate about healthcare strategy, contract management, and building strong business partnerships? MedStar Health is seeking a Managed Care ...

Ensign Services

Managed Care Resource

Orlando, FL · On-site

Managed Care Resource - Southeast Region Position Type: Full-time, exempt employee. Compensation ... Actively draft and negotiate contracts in the health care operations and health care plan ...

KabaFusion

Director of Managed Care

Cerritos, CA · On-site

$175K - $200K/yr

Responsible for oversight of the managed care contracts through implementation of systems assuring contract compliance, contract data management, and business development as it relates to health ...

Ensign Services

Managed Care Resource

Atlanta, GA · On-site

Managed Care Resource - Southeast Region Position Type: Full-time, exempt employee. Compensation ... Actively draft and negotiate contracts in the health care operations and health care plan ...

KabaFusion

Director of Managed Care

Los Angeles, CA · On-site

$175K - $200K/yr

Responsible for oversight of the managed care contracts through implementation of systems assuring contract compliance, contract data management, and business development as it relates to health ...

Genentech, Inc.

Contract Manager

South San Francisco, CA · On-site

$110K - $205K/yr

This work requires managed care, pricing, contracting, and distribution expertise, or a ... Ensuring contract decisions are documented clearly, consistently, and compliantly in the system of ...

Ardent Health

Contract Modeling Analyst

Brentwood, TN · On-site

$65K - $79K/yr

In coordination with Managed Care, the Contract Modeling Data Analyst will provide modeling scenarios needed during contract negotiations by using both complex data models and a contract modeling ...

Ardent Health

Contract Modeling Analyst

Brentwood, TN

$65K - $79K/yr

In coordination with Managed Care, the Contract Modeling Data Analyst will provide modeling scenarios needed during contract negotiations by using both complex data models and a contract modeling ...

R3 Management Services

$78K - $105K/yr

Contract Manager Position Overview The Contract Manager serves as the Contractors primary ... are managed through the Contractors internal chain of command. Qualifications / Experience ...

Westwood Professional Services Inc

Contract Manager

Plano, TX · On-site

$83K - $111K/yr

Contract Manager - Dallas, TX Westwood Professional Services, Inc. Westwood Professional Services, Inc. is hiring a Contract Manager to join our team in our Plano office. Westwood has a highly ...

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All JobsManaged Care Contract JobsManaged Care Contract Manager Jobs

Managed Care Contract Manager information

See salary details

$60K

$88.7K

$124K

How much do managed care contract manager jobs pay per year?

As of Jul 14, 2026, the average yearly pay for managed care contract manager 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 some typical challenges a Managed Care Contract Manager faces when negotiating agreements with payers?

Managed Care Contract Managers often encounter challenges such as balancing competitive reimbursement rates with organizational financial goals, navigating complex regulatory requirements, and keeping up-to-date with evolving payer policies. Effective negotiation requires strong analytical skills to assess contract terms, as well as the ability to build collaborative relationships with both payers and internal stakeholders. Additionally, handling multiple contracts simultaneously and adapting to changing healthcare landscapes can be demanding but also provide valuable experience and growth opportunities.

What is a Managed Care Contract Manager?

A Managed Care Contract Manager is a professional responsible for negotiating, implementing, and managing contracts between healthcare providers and insurance companies or managed care organizations. They ensure that contracts meet regulatory requirements, contain favorable terms for their organization, and are financially viable. Their role involves analyzing reimbursement rates, monitoring contract performance, and serving as a liaison between healthcare providers and payers. They play a critical part in maximizing revenue, minimizing risk, and ensuring compliance in healthcare organizations.

What is the difference between Managed Care Contract Manager vs Managed Care Analyst?

AspectManaged Care Contract ManagerManaged Care Analyst
CredentialsBachelor's degree, industry certifications often preferredBachelor's degree, health administration or related field
Work EnvironmentHealthcare organizations, insurance companiesHealthcare providers, insurance firms, consulting
Primary FocusNegotiating and managing contracts with providers and payersAnalyzing data to improve care and cost efficiency
Common TasksContract negotiations, compliance monitoringData analysis, reporting, trend identification

While both roles operate within the managed care industry, the Managed Care Contract Manager primarily focuses on negotiating and managing provider contracts, ensuring compliance, and maintaining relationships. In contrast, the Managed Care Analyst concentrates on analyzing healthcare data to optimize costs and quality. Both roles require similar educational backgrounds and industry knowledge but serve different functions within healthcare organizations.

What are the key skills and qualifications needed to thrive as a Managed Care Contract Manager, and why are they important?

To thrive as a Managed Care Contract Manager, you need expertise in contract negotiation, healthcare reimbursement methodologies, and a strong understanding of regulatory compliance, typically supported by a bachelor's degree in healthcare administration, business, or a related field. Familiarity with contract management software, claims processing systems, and proficiency in Microsoft Excel are commonly required. Exceptional analytical thinking, attention to detail, and effective communication skills help professionals excel in negotiations and relationship management. These skills ensure successful contract execution, optimized reimbursement, and compliance with industry standards, which are critical for organizational success.
More about Managed Care Contract Manager jobs
What cities are hiring for Managed Care Contract Manager jobs? Cities with the most Managed Care Contract Manager job openings:
What states have the most Managed Care Contract Manager jobs? States with the most job openings for Managed Care Contract Manager jobs include:
What job categories do people searching Managed Care Contract Manager jobs look for? The top searched job categories for Managed Care Contract Manager jobs are:
Managed Care Contract Manager jobs near you
Infographic showing various Managed Care Contract Manager job openings in the United States as of July 2026, with employment types broken down into 2% As Needed, 70% Full Time, 22% Part Time, and 6% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% 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

Re-posted 11 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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