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Managed Care Director Jobs (NOW HIRING)

Otsego County

Managed Care Specialist

Cooperstown, NY · On-site

$42K - $50K/yr

... managed care programs. The incumbent ensures compliance with organizational policies and payer ... The work is performed under the direct supervision of the Behavioral Health Billing & Claims ...

Ensign Services

Managed Care Resource

Long Beach, CA

$110K - $130K/yr

Managed Care Resource - Los Angeles, CA Position Type: Full Time, exempt employee. Salary: $110,000 ... direct service agreements with physicians, physician organizations and hospitals and ancillary ...

Ensign Services, Inc.

Managed Care Resource

Orlando, FL · On-site +1

Managed Care Resource - Southeast Region Position Type: Full-time, exempt employee. Compensation ... direct service agreements with physicians, physician organizations and hospitals and ancillary ...

Ensign Services, Inc.

Managed Care Resource

Whittier, CA · On-site +1

$110K - $130K/yr

Managed Care Resource - Los Angeles, CA Position Type: Full Time, exempt employee. Salary: $110,000 ... direct service agreements with physicians, physician organizations and hospitals and ancillary ...

Aegis Living

Associate Care Director (WA)

Seattle, WA · On-site

$26 - $27/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

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 ...

Ensign Services

Managed Care Resource

Whittier, CA · On-site

$110K - $130K/yr

Managed Care Resource - Los Angeles, CA Position Type: Full Time, exempt employee. Salary: $110,000 ... direct service agreements with physicians, physician organizations and hospitals and ancillary ...

Ensign Services, Inc.

Managed Care Resource

Long Beach, CA · On-site +1

$110K - $130K/yr

Managed Care Resource - Los Angeles, CA Position Type: Full Time, exempt employee. Salary: $110,000 ... direct service agreements with physicians, physician organizations and hospitals and ancillary ...

Ensign Services

Managed Care Resource

Jacksonville, FL · On-site

Managed Care Resource - Southeast Region Position Type: Full-time, exempt employee. Compensation ... direct service agreements with physicians, physician organizations and hospitals and ancillary ...

Aegis Living

Associate Care Director (WA)

Seattle, WA · On-site

$26 - $27/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

Accendra

Director of Managed Care South

$135K - $180K/yr

The Director of Managed care is responsible for selling products and services to regional managed care originations and key regional components of national managed care organizations. They must be ...

Pegasus Senior Living

Memory Care Director

Leander, TX · On-site

Three (3) years of Memory Care experience, including management, handling complex behavior issues ... Activities Director Experience, Certified Dementia Practitioner, Certified Montessori for Dementia ...

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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 Aug 17, 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

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The most popular types of Managed Care jobs are:

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Managed Care Director jobs near you
Infographic showing various Managed Care Director job openings in the United States as of August 2026, with employment types broken down into 80% Full Time, and 20% Part Time. Highlights an 100% In-person job distribution, with an average salary of $134,799 per year, or $64.8 per hour.

Managed Care Resource

Ensign Services, Inc.

Nashville, TN • On-site, Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 8 days ago

Ensign Group rating

6.5

Company rating: 6.5 out of 10

Based on 168 frontline employees who took The Breakroom Quiz

605th of 887 rated healthcare providers

Job description

Managed Care Resource - Southeast Region
Position Type: Full-time, exempt employee.
Compensation Range: Depending on Experience.
Location: Candidate must reside in the Nashville, Tennessee area.
About the Company:
Ensign Services, Inc. ("ESI") is a subsidiary of The Ensign Group, Inc. whose affiliated entities are considered national leaders in the fast-growing post-acute care industry. ESI provides service and support to over 378 facilities in the long-term care continuum that employ over 55,000 employees.
ESI is known as the "Service Center" and provides the facilities and leaders it serves with "back-office" support in areas such as accounting, construction, compliance, human resources, information technology, learning and development, legal and risk management and recruiting. This structure allows the onsite leaders and caregivers to focus on day-to-day care and operational issues in their individual operations. What sets ESI apart from other companies is the quality of our most valuable resource - our people.
We take our core values of Celebration, Accountability, Passion for Learning, Love One Another, Intelligent Risk Taking, Customer Second, and Ownership ("CAPLICO") seriously. We want an individual in this role who will demonstrate these values through actions and words.
About the Opportunity:
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 healthcare industry. The Consultant will provide guidance regarding development of managed care relationships and rate negotiation, ensuring timeliness and rate appropriateness. Additionally, the Consultant will negotiate contracts for new locations, assist with ensuring that contracts are updated for new services and help with contract cancellations, denials and appeals.
Job Duties and Responsibilities include, but are not limited to:
  • Establish, implement and evaluate the strategic plan(s) that will ensure each local operation the ability to optimize financial performance through rates and increased census.
  • Engage in complex levels of contract development and negotiation, including risk agreements using utilization, claims and market data with health plans and direct service agreements with physicians, physician organizations and hospitals and ancillary providers.
  • Identify, develop and maintain an effective relationship with contracted health plans and managed care regulatory agencies.
  • Manage complex and high-profile health plan negotiations. Actively draft and negotiate contracts in the health care operations and health care plan functional areas.
  • Assist in analysis and coordination of amendments, reimbursement, and language changes.
  • Assess resource utilization, cost management and negotiate effectively.
  • Monitor industry changes, trends and events to proactively identify opportunities to increase market penetration and performance improvement.
  • Understands the competitive pricing levels in the local market and improves the company's cost position through unit costs strategies.
  • Strategizes for facility census growth and retention.
  • Teach, Train and Instruct facility level personnel on how to operationalize the contract.
  • Interact with facility personnel on utilization, clinical results and managed care census.

Preferred Qualifications:
  • A bachelor's degree in business administration, management or health care administration, highly desired.
  • At least 2 years of experience with Managed Care contracting, highly desired.
  • Must reside in Tennessee, preferably in the Nashville area.
  • Willing to travel up to 80% of the time (as deemed appropriate).
  • Knowledge of managed care contracting language, requirements, and methods to support the development and maintenance of contract compliance, contract language review and contract analysis.
  • Must be knowledgeable about the managed care environment, including capitation, PPO, HMO, IPA, ACO and POS.
  • Knowledge of CPT-4, HCPCS, Revenue and ICD coding.
  • Expert in Skilled Nursing Managed care plans.
  • Experience in successful operationalizing managed care contracts in the skilled nursing environment.
  • Knowledge of contracts and contractual interpretations for payment and benefit issues.
  • Working knowledge of medical terminology, claims payment, contract negotiations, and problem resolution; ability to work collaboratively in a team setting.
  • Communicate effectively at all organizational levels and in situations requiring instructing, persuading, negotiating, consulting, and advising.
  • Ability to deal with responsibility with confidential matters. Maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA).
  • Strong analytical mind, with problem solving skills, an aptitude for accuracy, and attention to detail.
  • Must be able to prioritize, plan, and handle multiple tasks/demands simultaneously.
  • Excellent verbal and written communication skills, as well as excellent critical thinking skills.
  • Computer savvy (Contract Logix, MS Word, MS Outlook & Excel).
  • Ability to be flexible, be readily adaptable, and work in a rapidly and constantly changing environment.
  • Present in facilities on a weekly basis, (currently as deemed appropriate).

Additional Information:
  • Pre-employment criminal background screening required.

What We Offer:
We are committed to providing a competitive benefits and compensation package which includes medical/dental/vision coverage, company-provided life insurance, 401(k) with company match, and sick/vacation plans. We also believe in supporting our employee's professional growth and development through our Learning Management System as well as training sessions and seminars. Take a look at these benefits (and more!) at www.ensignbenefits.com.
Ensign Services, Inc. is an equal opportunity employer. If you need assistance or accommodation during the application process, please contact us at 888-659-3616.
Job ID 1231

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