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Managed Care Group

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Sr. Director, Managed Care Strategy

Duluth, GA · On-site

$110K - $114K/yr

We are seeking a senior‐level Director, Managed Care Strategy to serve as the bridge between product strategy and real‐world managed‐care operations. This role will guide the development and ...

Traditions Management

Memory Care Director

Columbus, IN · On-site

As the Memory Care Director, you'll lead and manage the memory care team, develop individualized care plans, and create programming that supports cognitive function, safety, and quality of life. You ...

Aegis Living

Associate Care Director

Fremont, CA · On-site

$28/hr

Manage care related forms and report staff overtime * Work direct personal care shifts as directed by the Care Director * Assist in training of care staff * Participate in management of staff

McKesson

Regional Director Managed Care

McKesson is seeking a Regional Director, Managed Care Contracting, to serve as a strategic advisor to specialty provider practices across a dynamic payer and reimbursement landscape. In this role ...

Calyx Living

Resident Care Director

Fuquay Varina, NC · On-site

$56K - $75K/yr

Resident Care Director - RN or LPN Calyx Living is actively seeking an energetic Resident Care ... Managing and training resident care staff to ensure quality service delivery * Ensuring regulatory ...

ICAN

$60 - $80/hr

Director of Managed Care Services Full Time Management Utica, NY, US 7 days ago Requisition ID: 1565 Salary Range: $75,000.00 To $82,000.00 Annually The Director of Managed Care Services provides ...

McKesson

Regional Director Managed Care

McKesson is seeking a Regional Director, Managed Care Contracting, to serve as a strategic advisor to specialty provider practices across a dynamic payer and reimbursement landscape. In this role ...

Aegis Living

Associate Care Director

Fremont, CA · On-site

$23 - $28/hr

Manage care related forms and report staff overtime * Work direct personal care shifts as directed by the Care Director * Assist in training of care staff * Participate in management of staff

Calyx Living

Resident Care Director

Fuquay Varina, NC · On-site

$56K - $75K/yr

Resident Care Director - RN or LPN Calyx Living is actively seeking an energetic Resident Care ... Managing and training resident care staff to ensure quality service delivery * Ensuring regulatory ...

Phoebe Ministries

Memory Care Director

Richlandtown, PA · On-site

The Memory Care Director is responsible for the overall leadership, management, and daily operations of the Personal Care Memory Care neighborhood/program within the CCRC. This position ensures the ...

Lurie Children's

$125 - $150/hr

Reports to the Director of Managed Care Contracting. Core responsibilities are the negotiation of Single Case Agreements (SCA) for Transplants, General/Surgical Medicine, as well as hospital ...

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Managed Care Director information

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$94.5K

$134.8K

$208K

How much do managed care director jobs pay per year?

As of Sep 9, 2026, the average yearly pay for managed care director in the United States is $134,799.00, according to ZipRecruiter salary data. Most workers in this role earn between $111,500.00 and $146,500.00 per year, depending on experience, location, and employer.

What is a managed care director?

A Managed Care Director is a healthcare executive responsible for overseeing contracts and relationships between healthcare providers, insurance companies, and patients to ensure cost-effective, quality care. They develop and manage strategies for negotiating payment rates, implementing care management programs, and ensuring compliance with healthcare regulations. Their role is critical in balancing financial objectives with patient care standards, and they often lead teams of analysts, negotiators, and care coordinators. Managed Care Directors typically work for hospitals, health systems, insurance companies, or large medical practices.

How does a managed care director typically collaborate with other departments to improve patient care and cost efficiency?

A Managed Care Director works closely with clinical, financial, and administrative teams to develop and implement strategies that balance patient care quality with cost management. This often involves coordinating with case managers, physicians, and billing departments to ensure compliance with managed care contracts and regulatory requirements. Regular interdepartmental meetings and data-sharing are common, allowing for the identification of trends and opportunities for process improvement. Effective collaboration helps streamline care delivery, reduce unnecessary expenditures, and enhance patient outcomes.

What are the key skills and qualifications needed to thrive as a managed care director, and why are they important?

To thrive as a Managed Care Director, you need expertise in healthcare administration, contract negotiation, and knowledge of insurance regulations, typically supported by a relevant bachelor's or master's degree. Familiarity with data analytics platforms, claims management systems, and regulatory compliance tools is crucial. Exceptional leadership, strategic thinking, and communication skills help foster strong relationships with providers, payers, and internal teams. These skills ensure effective management of payer contracts, cost containment, and the delivery of quality care within complex healthcare environments.

What is the difference between Managed Care Director vs Managed Care Coordinator?

AspectManaged Care DirectorManaged Care Coordinator
CredentialsBachelor's degree, often with healthcare or business certificationsAssociate's or Bachelor's degree, relevant certifications optional
Work EnvironmentLeadership roles in healthcare organizations, overseeing programsSupport roles, assisting with plan implementation and provider communication
Employer & Industry UsageHospitals, insurance companies, healthcare systemsInsurance companies, healthcare providers, managed care organizations

The Managed Care Director typically holds a leadership position, focusing on strategic planning and program oversight, while the Managed Care Coordinator handles day-to-day operations and communication tasks. Both roles are essential in managed care settings but differ in scope and responsibilities.

More about Managed Care Director jobs

What cities are hiring for Managed Care Director jobs?

Cities with the most Managed Care Director job openings:

What are the most commonly searched types of Managed Care jobs?

The most popular types of Managed Care jobs are:

Who are the top companies hiring for Managed Care Director jobs?

The top employers for Managed Care Director jobs are:

What states have the most Managed Care Director jobs?

States with the most job openings for Managed Care Director jobs include:

What are popular job titles related to Managed Care Director jobs?

For Managed Care Director jobs, the most frequently searched job titles are:

Managed Care Director jobs near you
Infographic showing various Managed Care Director job openings in the United States as of September 2026, with employment types broken down into 2% As Needed, 71% Full Time, 20% Part Time, and 7% Contract. Highlights an 90% Physical, 1% Hybrid, and 9% Remote job distribution, with an average salary of $134,799 per year, or $64.8 per hour.

Director, Managed Care Contracting (Up to $220k plus bonus)

Valencia, CA • On-site

FOCUSPOINT
Business Management Consulting • 1 - 10 employees
Learn more about FOCUSPOINTexternal

$130K - $220K/yr

Full-time

Posted 29 days ago

Job description

Position: Director, Managed Care Contracting
Location: Greater Los Angeles, CA
Worksite: In office
Employment Type: Full Time
Compensation: $130k to $220k plus bonus

FocusPoint – Confidential Healthcare Client Compensation: $130k–$220k + bonus opportunity + full benefits Location: Greater Los Angeles, California (onsite)

Our client, a respected healthcare organization in the Greater Los Angeles region, is seeking an experienced Director of Managed Care Contracting to lead payor strategy, contract performance, and Revenue Integrity functions. This is a high‑impact leadership role responsible for advancing reimbursement outcomes, strengthening payor relationships, and driving financial sustainability across a complex acute‑care environment.

About the Role

The Director of Managed Care Contracting provides strategic leadership for payor contracting, reimbursement performance, and Revenue Integrity operations. This leader oversees contract strategy, negotiations, renewals, implementation, analytics, and performance management across commercial, government, and value‑based arrangements. The role partners closely with executive leadership to evaluate payor proposals, reimbursement methodologies, operational requirements, and financial impact.

Key ResponsibilitiesManaged Care Contracting & Payor Strategy

  • Lead the full lifecycle of managed care contracting, including negotiation, renewal, execution, implementation, and administration of fee‑for‑service, capitation, value‑based, bundled service, and LOA arrangements.

  • Evaluate payor proposals, reimbursement methodologies, contract terms, operational requirements, and financial impact.

  • Direct contract language review and amendment to mitigate reimbursement exposure, authorization delays, policy changes, denial trends, underpayments, and compliance risks.

  • Drive strategic direction for commercial, HMO/PPO, Medicare Advantage, Medi‑Cal/Medicaid, and other payor arrangements.

Revenue Integrity, Reimbursement & Contract Performance

  • Provide strategic leadership for Revenue Integrity functions, ensuring accurate reimbursement, compliance with contract terms, and effective underpayment resolution.

  • Direct financial, operational, payor, and denial analytics to evaluate trends, revenue impact, claims activity, and opportunities for improvement.

  • Lead disciplined contract performance reviews with recommendations for renewal, expansion, modification, termination, or escalation.

  • Oversee executive dashboards that convert claims, denials, reimbursement trends, and payor behavior into actionable insights.

Denials Analytics, Escalation & Prevention

  • Lead Denials Analytics across hospital and ambulatory settings, including appeals strategy, payor escalations, and Provider Relations coordination.

  • Serve as senior escalation point for complex payor, contract, reimbursement, authorization, underpayment, and denial matters.

  • Drive cross‑functional root‑cause analysis with Patient Access, UM, Case Management, CDI, HIM, ambulatory leadership, physicians, Finance, and Revenue Cycle.

  • Advance organization‑wide denial prevention strategies aligned with contract terms, payor requirements, documentation standards, and billing workflows.

Contract Operationalization & Cross‑Functional Leadership

  • Oversee operational implementation of managed care contracts, ensuring accurate rate setup, authorization alignment, payor policy communication, workflow readiness, and post‑implementation monitoring.

  • Lead payor relations and cross‑functional engagement through governance meetings, joint operating sessions, issue‑resolution forums, and ongoing communication.

Process Improvement, Systems & Operational Excellence

  • Lead workflow modernization, automation, and technology‑enabled process improvement initiatives.

  • Establish intake, triage, tracking, escalation, and accountability structures for payor issues, reimbursement disputes, authorization barriers, LOA requests, denial trends, and underpayments.

  • Use continuous improvement methods, benchmarking, and analytics to drive measurable gains in managed care operations, Revenue Integrity, and contract performance.

Subject Matter Expertise

  • Serve as an expert on payor contract terms, reimbursement methodologies, payor policies, CMS coverage requirements, authorization processes, denial trends, managed care operations, and contract administration.

Required Qualifications

  • Bachelor’s degree required (economics, business, finance, or healthcare preferred).

  • Minimum 7 years of recent experience in hospital, medical, or healthcare insurance environments with direct payer contracting responsibilities in an acute‑care setting.

  • Demonstrated expertise in negotiating and managing payer contracts, reimbursement methodologies, and payor analytics.

  • Advanced Excel skills, including modeling and complex formulas.

  • Experience with hospital billing systems and financial reporting tools.

  • Strong communication, analytical, and problem‑solving skills.

Preferred Qualifications

  • Master’s degree in healthcare economics, healthcare policy, or finance.

  • 10+ years progressive hospital payer contracting experience.

  • Prior experience supervising payer contracting or Revenue Integrity staff.

What Makes This Opportunity Attractive

  • High‑visibility leadership role influencing payor strategy and financial performance.

  • Opportunity to shape contract outcomes, reimbursement strategy, and Revenue Integrity operations.

  • Mission‑driven healthcare environment with strong executive support.

  • Competitive compensation, bonus opportunity, and comprehensive benefits.

Why Work with FocusPoint
As a trusted staffing partner to industry-leading companies, FocusPoint provides access to roles that align with your professional goals, and we advocate for your success throughout the recruitment process. Our team understands appropriate skillsets and takes a consultative approach ensuring that each match is grounded in both experience and fit.

How to Apply
To ensure confidentiality and alignment with our client’s hiring process, all applications must be submitted through FocusPoint. Please do not attempt to contact the client directly. Interested candidates should reach out to FocusPoint’s recruitment team with any questions.

About FocusPoint:
FocusPoint specializes in connecting top-tier professionals with exceptional opportunities in accounting, technology, healthcare, and leadership. We prioritize building meaningful connections, ensuring candidates find roles that align with their skills, goals, and passions.
 
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