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Managed Care Contract Manager Jobs (NOW HIRING)

Washington Hospital

Director, Managed Care

Fremont, CA

$196K - $294K/yr

Director, Managed Care Contracting Position Summary and profitability by providing contracting ... Contract Manager or Payor Relations representatives. Specify if qualifications are Required or ...

Washington Hospital

Director, Managed Care

Fremont, CA · On-site

$196K - $294K/yr

Director, Managed Care Contracting Position Summary and profitability by providing contracting ... Contract Manager or Payor Relations representatives. Specify if qualifications are Required or ...

Ensign Services

Managed Care Resource

Los Angeles, CA

$110K - $130K/yr

Managed Care Resource - Los Angeles, CA Position Type: Full Time, exempt employee. Salary: $110,000 ... Actively draft and negotiate contracts in the health care operations and health care plan ...

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 ...

Harris Health System

Provider Contracts Manager

Houston, TX · On-site

$80K - $100K/yr

Must have managed care contract negotiation experience, preferably in the Houston market. Experience with Star Plus, LTSS, HCBPs, and Medicare products is a plus. Benefits & EEOC Community employees ...

Adventist Health

Manager, Managed Care

Roseville, CA

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 ...

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 ...

Helms & Company Inc

Payer Contracts Manager

Concord, NH · On-site

$89K - $119K/yr

Serve as an externally facing point of contact for consulting clients on managed care contract related matters. * Interface regularly with commercial payer representatives to resolve issues, obtain ...

Gentiva

Director Managed Care

Atlanta, GA

The Director, Managed Care is a key operational leader within Gentiva's Managed Care team ... Essential Functions of Position Contract Execution & Pipeline Management * Manage day-to-day ...

Q-Free

Contract Manager

Chesapeake, VA

$86K - $115K/yr

The Contract Manager is responsible for managing, administering, and overseeing contracts that support Q-Free's projects, operations, and services. This role ensures that contracts are executed in ...

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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 Jun 16, 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:
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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 June 2026, with employment types broken down into 90% Full Time, and 10% Contract. Highlights an 80% Physical, 2% Hybrid, and 18% 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

Fremont, CA

$196K - $294K/yr

Full-time

Posted 5 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 financial reporting 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's degree 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 in working with a large variety of  

people of various organizations and levels.  

-

-

-

Knowledge of legal terminology, understanding of  

governmental and legislative regulations.  

Previous experience in the 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. Skills and 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 at administrative  

functions. Must be able to work independently and  

creatively.  

JobDescriptionTemplate Revised10/13/24  

Essential Job Responsibilities  

Achieving Results  

Key Components: assess,  

plan, evaluate, demonstrate  

initiative, quality of work,  

productivity  

1. Responsible for negotiating Managed Care Contracts. This  

includes routine contracting activities, maintaining strategic  

relationships, evaluating contracts, and acting as an internal  

resource in interpreting contracts.  

2. Responsible for the initial reading and financial analysis of  

managed care contracts for content, administrative issues, and  

appropriate financial return.  

3. Evaluate financial performance of existing contractual  

relationships and monitor performance of new contractual  

relationships. This includes production of financial impact reports  

on an ongoing basis by both Payor and medical group.  

4. Working closely with Managed Care and Finance leadership to  

develop contract proposals based on WHHS’ defined strategies,  

goals and objectives.  

5. Working closely 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. Prepare historical and financial data to provide support for  

contract negotiations and contract renewals.  

5. Ensuring appropriate dissemination of contract details to all  

applicable stakeholders.  

6. Always ensures the accuracy and completeness of all projects,  

information, and analysis.  

7. Support WHHS RCM and Compliance with price transparency  

efforts and initiatives.  

JobDescriptionTemplate -Revised10/13/24  

2

Demonstrates Skill  

KeyComponents:  

competency, job knowledge,  

organizational skills,  

1. Direct and 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 reimbursement and adherence to contract terms.  

4. Work with 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. Always complies with established department policies and  

guidelines in developing 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. Takes resourceful/creative approach in 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,  

communication skills,  

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. Consistently responds to inquiries from management regarding  

information established from all projects and analysis.  

5. Demonstrates good judgment 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, including registration, patient accounting, billing,  

utilization management, medical records, and quality  

improvement.  

4. Participates in 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. Attends at 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. Demonstrates awareness 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: Executive Assistant III  

Title: VP & CRO  

Date: 10/13/2024  

Date: 5/4/2026  

Date:  

JobDescriptionTemplate-Revised10/12/04  

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