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Managed Care Contracts 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 ...

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Managed Care Contracts information

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$106K

$139K

How much do managed care contracts jobs pay per year?

As of Aug 1, 2026, the average yearly pay for managed care contracts in the United States is $106,034.00, according to ZipRecruiter salary data. Most workers in this role earn between $89,000.00 and $119,000.00 per year, depending on experience, location, and employer.

What are managed care contracts?

Managed care contracts are agreements between healthcare providers, such as hospitals or physicians, and managed care organizations (MCOs) like insurance companies or Health Maintenance Organizations (HMOs). These contracts outline the terms and conditions under which providers deliver healthcare services to members of the managed care plan, including reimbursement rates, covered services, and quality requirements. The goal of managed care contracts is to control healthcare costs while ensuring quality care for patients. They play a crucial role in the healthcare system by defining network participation and payment structures.

What are the key skills and qualifications needed to thrive in Managed Care Contracts, and why are they important?

To thrive in Managed Care Contracts, you need strong analytical abilities, negotiation skills, and a background in healthcare administration or business, often supported by a relevant bachelor's degree. Familiarity with contract management systems, healthcare reimbursement models, and regulatory compliance tools is typically required. Excellent communication, attention to detail, and relationship-building skills help professionals stand out in this role. These competencies are vital for securing favorable agreements, ensuring compliance, and maintaining productive partnerships between healthcare providers and payers.

What is the difference between Managed Care Contracts vs Insurance Claims Processors?

AspectManaged Care ContractsInsurance Claims Processors
CredentialsKnowledge of healthcare contracts, certifications like CPC or CCSKnowledge of claims processing, certifications like CPC or CCS
Work EnvironmentHealthcare organizations, insurance companiesInsurance companies, healthcare providers
Industry UsageNegotiating and managing healthcare provider agreementsProcessing and reviewing insurance claims for reimbursement

Managed Care Contracts focus on negotiating and managing healthcare provider agreements, ensuring compliance and cost control. Insurance Claims Processors handle the review and processing of insurance claims for reimbursement. While both roles require knowledge of healthcare billing and insurance, Managed Care Contracts professionals are more involved in contract negotiations, whereas Claims Processors focus on claims adjudication and payment processing.

What are some common challenges faced in a Managed Care Contracts role, and how can professionals effectively address them?

Professionals working in Managed Care Contracts often encounter challenges such as negotiating favorable terms with payers, staying compliant with evolving regulations, and balancing the needs of healthcare providers with payer requirements. Effective communication, strong analytical skills, and staying updated on industry trends are crucial for overcoming these challenges. Building strong relationships with both internal teams and external partners, as well as maintaining meticulous documentation, can help ensure successful contract outcomes and minimize disputes.
More about Managed Care Contracts jobs
What are the most commonly searched types of Managed Care Contracts jobs? The most popular types of Managed Care Contracts jobs are:
What job categories do people searching Managed Care Contracts jobs look for? The top searched job categories for Managed Care Contracts jobs are:
Managed Care Contracts jobs near you
Infographic showing various Managed Care Contracts job openings in the United States as of July 2026, with employment types broken down into 2% As Needed, 69% Full Time, 21% Part Time, and 8% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution, with an average salary of $106,034 per year, or $51 per hour.

Manager Managed Care - Managed Care

CHRISTUS Health

Irving, TX • On-site

Full-time

Re-posted 15 days ago

CHRISTUS Health rating

6.7

Company rating: 6.7 out of 10

Based on 526 frontline employees who took The Breakroom Quiz

530th 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

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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

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