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 ...
Bachelor's degree (Required) Experience * 3 years of experience in managed care contracting (Required) * 3 years of experience in healthcare (Required) We are seeking demonstrated experience in ...
Bachelor's degree (Required) Experience * 3 years of experience in managed care contracting (Required) * 3 years of experience in healthcare (Required) We are seeking demonstrated experience in ...
Manager Managed Care Contracting
Saint Louis, MO · On-site
$83K - $136K/yr
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 ...
Manager Managed Care Contracting
Saint Louis, MO · On-site
$83K - $136K/yr
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 ...
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 ...
JOB SUMMARY The Managed Care Resource will support our Home Health, Hospice, Private Duty and Senior Living Facility leaders in managed care contracting and revenue enhancement strategies for all ...
JOB SUMMARY The Managed Care Resource will support our Home Health, Hospice, Private Duty and Senior Living Facility leaders in managed care contracting and revenue enhancement strategies for all ...
Affordable and comprehensive benefits package The Managed Care Contracting Manager manages the execution, and administration of managed care agreements. Supports contract negotiations with our major ...
Affordable and comprehensive benefits package The Managed Care Contracting Manager manages the execution, and administration of managed care agreements. Supports contract negotiations with our major ...
Affordable and comprehensive benefits package The Managed Care Contracting Manager manages the execution, and administration of managed care agreements. Supports contract negotiations with our major ...
Affordable and comprehensive benefits package The Managed Care Contracting Manager manages the execution, and administration of managed care agreements. Supports contract negotiations with our major ...
JOB SUMMARY The Managed Care Contracting Analyst is responsible for managing the contracting for all governmental and third party payer contracts to include provider enrollment, credentialing, data ...
JOB SUMMARY The Managed Care Contracting Analyst is responsible for managing the contracting for all governmental and third party payer contracts to include provider enrollment, credentialing, data ...
Director, Managed Care
Fremont, CA · On-site
$196K - $294K/yr
Director, Managed Care Contracting Position Summary and profitability by providing contracting expertise to existing and new contractual relationships; and providing subject matter expertise ...
Director, Managed Care
Fremont, CA · On-site
$196K - $294K/yr
Director, Managed Care Contracting Position Summary and profitability by providing contracting expertise to existing and new contractual relationships; and providing subject matter expertise ...
Managed Care Contracting Analyst- Corporate Services
Midland, MI · On-site
$59K - $71K/yr
Summary The Managed Care Contracting Analyst is responsible for financial modeling and economic analysis to support fee-for-service and risk-based contracting strategy, evaluating contract ...
Managed Care Contracting Analyst- Corporate Services
Midland, MI · On-site
$59K - $71K/yr
Summary The Managed Care Contracting Analyst is responsible for financial modeling and economic analysis to support fee-for-service and risk-based contracting strategy, evaluating contract ...
Director, Managed Care
Fremont, CA · On-site
Director, Managed Care Contracting Position Summary and profitability by providing contracting expertise to existing and new contractual relationships; and providing subject matter expertise ...
Quick apply
Director, Managed Care
Fremont, CA · On-site
Director, Managed Care Contracting Position Summary and profitability by providing contracting expertise to existing and new contractual relationships; and providing subject matter expertise ...
Director, Managed Care
$196K - $294K/yr
Director, Managed Care Contracting Position Summary The Director, Managed Care Contracting, contributes to WHHS' growth and profitability by providing contracting expertise to existing and new ...
Director, Managed Care
$196K - $294K/yr
Director, Managed Care Contracting Position Summary The Director, Managed Care Contracting, contributes to WHHS' growth and profitability by providing contracting expertise to existing and new ...
Director, Managed Care
Fremont, CA · On-site
$196K - $294K/yr
Director, Managed Care Contracting Position Summary and profitability by providing contracting expertise to existing and new contractual relationships; and providing subject matter expertise ...
Director, Managed Care
Fremont, CA · On-site
$196K - $294K/yr
Director, Managed Care Contracting Position Summary and profitability by providing contracting expertise to existing and new contractual relationships; and providing subject matter expertise ...
Contract Manager, Managed Care Contracting
Worcester, MA · On-site
$88K - $118K/yr
... managed care-contracting experience, with emphasis on analyzing and negotiating risk contracts and thorough understanding of managed care financial arrangements and boilerplate negotiations. 3. ...
Contract Manager, Managed Care Contracting
Worcester, MA · On-site
$88K - $118K/yr
... managed care-contracting experience, with emphasis on analyzing and negotiating risk contracts and thorough understanding of managed care financial arrangements and boilerplate negotiations. 3. ...
Contract Manager, Managed Care Contracting
Worcester, MA · On-site
$88K - $118K/yr
... managed care-contracting experience, with emphasis on analyzing and negotiating risk contracts and thorough understanding of managed care financial arrangements and boilerplate negotiations. 3. ...
Contract Manager, Managed Care Contracting
Worcester, MA · On-site
$88K - $118K/yr
... managed care-contracting experience, with emphasis on analyzing and negotiating risk contracts and thorough understanding of managed care financial arrangements and boilerplate negotiations. 3. ...
Manager, Managed Care Contracting & Operations
$130K - $150K/yr
... Managed Care Services possesses both operational management and negotiating skills. The leader is responsible for payor strategy, contracting, reimbursement and communicating potential threats to ...
Quick apply
Manager, Managed Care Contracting & Operations
$130K - $150K/yr
... Managed Care Services possesses both operational management and negotiating skills. The leader is responsible for payor strategy, contracting, reimbursement and communicating potential threats to ...
Managed Care Contractor
Chicago, IL · On-site
Location 680 Lake Shore Drive Reports to the Director of Managed Care Contracting. Core responsibilities are the negotiation of Single Case Agreements (SCA) for Transplants, General/Surgical Medicine ...
Managed Care Contractor
Chicago, IL · On-site
Location 680 Lake Shore Drive Reports to the Director of Managed Care Contracting. Core responsibilities are the negotiation of Single Case Agreements (SCA) for Transplants, General/Surgical Medicine ...
Manager, Managed Care Contracting & Operations
Fairfield, CA · On-site +1
$130K - $150K/yr
... Managed Care Services possesses both operational management and negotiating skills. The leader is responsible for payor strategy, contracting, reimbursement and communicating potential threats to ...
Manager, Managed Care Contracting & Operations
Fairfield, CA · On-site +1
$130K - $150K/yr
... Managed Care Services possesses both operational management and negotiating skills. The leader is responsible for payor strategy, contracting, reimbursement and communicating potential threats to ...
Manager, Managed Care Contracting & Operations
Fairfield, CA · On-site
$130K - $150K/yr
... Managed Care Services possesses both operational management and negotiating skills. The leader is responsible for payor strategy, contracting, reimbursement and communicating potential threats to ...
Manager, Managed Care Contracting & Operations
Fairfield, CA · On-site
$130K - $150K/yr
... Managed Care Services possesses both operational management and negotiating skills. The leader is responsible for payor strategy, contracting, reimbursement and communicating potential threats to ...
Managed Care Resource
Los Angeles, CA · On-site
$110K - $130K/yr
The Managed Care Consultant supports the Skilled Nursing Facility leaders in managed care contracting and revenue enhancement strategies for all healthcare payers and preparation for changes in the ...
Managed Care Resource
Los Angeles, CA · On-site
$110K - $130K/yr
The Managed Care Consultant supports the Skilled Nursing Facility leaders in managed care contracting and revenue enhancement strategies for all healthcare payers and preparation for changes in the ...
Managed Care Contracting 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 contracting jobs pay per year?
What are the main responsibilities of a Managed Care Contracting professional on a day-to-day basis?
Managed Care Contracting professionals are primarily responsible for negotiating and managing agreements between healthcare providers and insurance companies or other payers. On a daily basis, you may analyze contract terms, review utilization data, prepare proposals, and collaborate with internal teams such as legal, finance, and operations. You'll also frequently communicate with external representatives to resolve contract disputes or clarify terms. This role requires a blend of strategic thinking and attention to detail to ensure contracts meet organizational goals and comply with regulatory requirements.
What is a Managed Care Contracting job?
A Managed Care Contracting job involves negotiating, developing, and managing agreements between healthcare providers and insurance companies or payers. Professionals in this role ensure that contracts align with regulatory requirements, financial goals, and patient care standards. They analyze reimbursement structures, fee schedules, and payment terms to optimize provider revenue while maintaining cost-effective care delivery. Strong negotiation skills, industry knowledge, and an understanding of healthcare regulations are essential for success in this field.
What are the key skills and qualifications needed to thrive in the Managed Care Contracting position, and why are they important?
To thrive in Managed Care Contracting, you need strong analytical abilities, a solid understanding of healthcare reimbursement models, and experience with contract negotiation—often supported by a degree in healthcare administration, business, or a related field. Familiarity with contract management systems, claims processing software, and knowledge of government and commercial payer regulations is typically required. Excellent communication, relationship building, and problem-solving skills distinguish top performers in this field. These competencies are crucial for securing favorable terms, ensuring regulatory compliance, and maintaining productive partnerships between healthcare providers and payers.

WakeMed rating
8.0
Based on 133 frontline employees who took The Breakroom Quiz
88th of 886 rated healthcare providers
Job description
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 impacting WakeMed facilities' managed care contracts including budgeting, analysis, contract modeling, negotiation meetings and monitoring and reporting of payor contracts' compliance. Directs organizations efforts at building relationships with area managed care plans. Directly manages and develops a portfolio of managed care contracts. Directs contracting strategy for hospitals, Healthplexes, hospital outpatient departments, Home Health and Rehab divisions. Develops payment models for facility managed care contracts. Oversees facility what-if modeling analysis performed in STRATA modeling tool. Oversees the following noncontracting Managed Care responsibilities: hospital contract loading in EPIC, hospital payment variances, facility credentialing. Works with CFO, Vice President of Finance, Finance Directors and financial analysts to analyze feasibility of different payment methodologies/utilization patterns and the impact on WakeMed. Monitors market trends and competitive managed care products to develop strategy recommendations. Works with WakeMed's accountable care organization to coordinate contracting efforts and outcomes beneficial to WakeMed providers. When requested, interfaces with external and third party auditors; prepares and defends contract questions and challenges; maintains quality of work and creates value through knowledge and experience with governmental regulations and processes. Adheres to service and workforce excellence by maintaining knowledge of third-party regulations (CMS, NCDHHS, DOI, etc.) for all payors, including governmental and commercial payors. Oversees problem solving related to contract terms, payment promptness, payor-member issues, and physician-payor relations. Works closely with other Finance teams to ensure reported data is reliable. Plans and organizes activities for personnel to ensure deadlines and goals are met. Supervises and trains staff to improve and maintain the accuracy and timeliness of contacts.
Department Description
Serving the community since 1961, WakeMed Health & Hospitals is the leading provider of health services in Wake County. With a mission to improve the health and well-being of our community, we are committed to providing outstanding and compassionate care. For more information, visit www.wakemed.org .
EOE
Licensure
Certified Healthcare Financial Professional Or Certified Public Accountant Or Certified Revenue Cycle Representative Preferred
Education
Bachelor's Degree Business Administration Or Healthcare Management Or Accounting Required - With College Courses Finance Required - And Master's Degree Related Field Preferred
Experience
10 Years Managed Care Contracting Required - And 5 Years Healthcare - Multi-Hospital System Preferred
About WakeMed
Sourced by ZipRecruiter
Serving the community since 1961, WakeMed Health & Hospitals is the leading provider of health services in Wake County. With a mission to improve the health and well-being of our community, we are committed to providing outstanding and compassionate care.
Industry
Health care and social assistance
Company size
5,001 - 10,000 Employees
Headquarters location
Raleigh, NC, US
Year founded
1961