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Managed Care Contracts Jobs (NOW HIRING)

UNC Health

Managed Care Coordinator

Morrisville, NC · On-site

Managed Care Coordinator Become part of an inclusive organization with over 40,000 teammates, whose ... Epic Hospital Billing or Professional Billing Expected Reimbursement Contracts Administration ...

Nimble Solutions

Contract Specialist, Managed Care

$98K - $119K/yr

Evaluate, negotiate, and renegotiate managed care contracts with health plans, hospitals/health systems, IPAs, government programs, and other payers * Load and validate payer contract terms, rates ...

UNC Health

Managed Care Coordinator

$28.87 - $41.50/hr

Epic Hospital Billing or Professional Billing Expected Reimbursement Contracts Administration ... Using Managed Care-developed tools, proposed commercial payer rates are modeled across all UNC ...

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How much do managed care contracts jobs pay per year?

As of Aug 22, 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?

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 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.

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.

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 August 2026, with employment types broken down into 2% As Needed, 68% Full Time, 22% Part Time, and 8% Contract. Highlights an 93% Physical, 1% Hybrid, and 6% Remote job distribution, with an average salary of $106,034 per year, or $51 per hour.

Managed Care Coordinator

UNC Health

Morrisville, NC • On-site

Other

Posted 4 days ago

Job description

Managed Care Coordinator

Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve.

UNC Health is hiring a full-time Managed Care Coordinator to join our team! Our ideal candidate will have:

  • Epic Hospital Billing or Professional Billing Expected Reimbursement Contracts Administration certification or similar proficiency in other vendor software.
  • Overall general understanding of Healthcare Revenue Cycle processes
  • Epic Hospital Billing Experience or similar in other vendor software. Specifics as follows:
    • Resolving insurance payment variances
    • Understanding of insurance payer reimbursement terms and billing to support
    • Strong understanding of insurance payment process/posting of payer remittance information

Summary

The Managed Care Coordinator is a key member of the Contract Administration team. This role is responsible for maintaining accurate reimbursement calculations, performing payment variance analysis, supporting ad hoc reporting needs, and assisting with contract modeling and negotiation activities. The position plays an important role in ensuring payer contracts are accurately reflected in billing systems and that financial outcomes align with contractual expectations.

Responsibilities

As part of the Contract Administration team, the Managed Care Coordinator will be responsible for the following:

  1. Billing Reimbursement Configuration and Maintenance Build, maintain, and troubleshoot expected Hospital, ASC, and Ancillary reimbursement calculations within Epic for both governmental and commercial payers. This includes ensuring that reimbursement logic is accurately loaded and aligned between Epic and payer systems. Responsibilities include implementing routine updates such as quarterly drug fee schedules, annual payer rate increases, and annual fee schedule updates. Technical capabilities include building contracts in the Epic POC environment and utilizing Content Manager for data couriering to PRD. The role requires obtaining the Epic RHB390 Hospital Billing Expected Reimbursement Contracts certification within the first 90 days.
  2. Contract Modeling and Negotiation Support Support major payer negotiations by developing and analyzing contract modeling scenarios. Using Managed Care–developed tools, proposed commercial payer rates are modeled across all UNC Health entities to assess expected financial impact. Results are summarized and presented to financial and operational leadership to support data-driven decision-making.
  3. Contract Validation and Variance Analysis Validate contract builds by performing payment variance analysis to ensure contracted reimbursement terms are correctly implemented and functioning as expected. Identify discrepancies and collaborate with internal teams to resolve issues.

Education Requirements: Bachelor's degree in relevant field Licensure/Certification Requirements: No licensure or certification required. Professional Experience Requirements: If Bachelor's degree, requires two (2) years of experience with managed care contracts and provider relations. If Associate's degree, requires six (6) years of experience with managed care contracts and provider relations. If High School diploma or GED, requires ten (10) years of experience with managed care contracts and provider relations. If Master's degree, requires zero (0) year of experience Knowledge/Skills/and Abilities Requirements:

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