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Managed Care Manager Jobs (NOW HIRING)

Ensign Services

Managed Care Resource

Orlando, FL

Managed Care Resource - Southeast Region Position Type: Full-time, exempt employee. Compensation Range: Depending on Experience. Location: Candidate must reside in the Orlando, Florida area. About ...

Managed Care Staffers

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Medicaid ACO Care Manager

Chicago, IL · On-site

$32 - $47/hr

Company Description We are employment specialists who have worked in heath care and managed care industry for over a total of 25 years. We staff temp, temp to hire, and direct hire placements

Ensign Services, Inc.

Managed Care Resource

Atlanta, GA · On-site +1

Managed Care Resource - Southeast Region Position Type: Full-time, exempt employee. Compensation Range: Depending on Experience. Location: Candidate must reside in the Atlanta, Georgia area. About ...

MJHS

Managed Care Coordinator

Manhattan, NY · On-site

$38K - $48K/yr

Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in response to our patients' and members' needs. These high ...

Ensign Services, Inc.

Managed Care Resource

Orlando, FL · On-site +1

Managed Care Resource - Southeast Region Position Type: Full-time, exempt employee. Compensation Range: Depending on Experience. Location: Candidate must reside in the Orlando, Florida area. About ...

MJHS

Managed Care Coordinator III

Manhattan, NY · On-site

$46K - $58K/yr

Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in response to our patients' and members' needs. These high ...

InstantServe LLC

Managed Care Specialist

Nashville, TN · On-site

Position Overview Our client is seeking to hire a Managed Care Specialist for a hybrid role. Candidates will work both remotely and onsite based on business and team needs. Extensive training will be ...

InstantServe LLC

Managed Care Specialist

Nashville, TN · On-site

The Managed Care Specialist is responsible for determining client eligibility for care programs, scheduling coordination, conducting interviews, gathering case data, and supporting legal processes.

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How much do managed care manager jobs pay per year?

As of Jul 16, 2026, the average yearly pay for managed care manager in the United States is $88,749.00, according to ZipRecruiter salary data. Most workers in this role earn between $72,500.00 and $103,500.00 per year, depending on experience, location, and employer.

What is a managed care job?

A managed care job involves coordinating and overseeing healthcare services to ensure cost-effective, quality care for patients, often within insurance companies or healthcare organizations. Managed care managers analyze provider networks, develop care plans, and ensure compliance with regulations, typically requiring knowledge of healthcare policies and data management tools.

What are the key skills and qualifications needed to thrive as a Managed Care Manager, and why are they important?

To thrive as a Managed Care Manager, you need expertise in healthcare administration, contract negotiation, and a solid understanding of insurance regulations, often backed by a bachelor's degree in healthcare or business and relevant experience. Familiarity with managed care software, claims processing systems, and regulatory compliance tools is typically required. Strong leadership, analytical thinking, and communication skills help in building relationships with providers and ensuring effective care coordination. These competencies are crucial for optimizing healthcare delivery, controlling costs, and maintaining regulatory compliance within managed care organizations.

What does a care management manager do?

A care management manager oversees patient care coordination within healthcare organizations, ensuring that patients receive appropriate services and resources. They develop care plans, collaborate with healthcare providers, and monitor patient progress, often using electronic health records and care management tools. Strong communication, organizational skills, and knowledge of healthcare policies are essential for this role.

What is a Managed Care Manager?

A Managed Care Manager is a healthcare professional responsible for overseeing and coordinating managed care programs within healthcare organizations or insurance companies. They work to ensure that patients receive cost-effective and quality care while managing relationships with providers, payers, and regulatory agencies. Their duties often include negotiating contracts, monitoring compliance, analyzing healthcare data, and implementing strategies to improve efficiency and patient outcomes. Managed Care Managers play a crucial role in balancing financial objectives with patient care standards.

What are the three types of managed care?

Managed care includes three main types: Health Maintenance Organization (HMO), Preferred Provider Organization (PPO), and Exclusive Provider Organization (EPO). Each type varies in provider networks, cost structures, and flexibility, which managed care managers evaluate when designing and overseeing healthcare plans.

What are some common challenges Managed Care Managers face when balancing cost control with quality patient care?

Managed Care Managers often encounter the challenge of negotiating provider contracts that maintain high standards of patient care while also controlling costs for the organization. Striking this balance requires strong analytical skills, effective communication with healthcare providers, and a deep understanding of regulatory requirements. Additionally, Managed Care Managers must stay updated on evolving healthcare policies and adapt strategies to ensure compliance and optimal patient outcomes, all while working collaboratively with clinical teams, finance departments, and network providers.

What is the highest paying job in healthcare management?

The highest paying roles in healthcare management include Chief Executive Officers (CEOs) of healthcare organizations and Chief Medical Officers (CMOs), with salaries often exceeding $200,000 annually. These positions require extensive experience, advanced degrees, and strong leadership skills, and they oversee strategic operations and clinical standards within healthcare institutions.
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Managed Care Manager jobs near you
Manager Managed Care - Managed Care

Manager Managed Care - Managed Care

CHRISTUS Health

Irving, TX • On-site

Full-time

This job post has expired today. Applications are no longer accepted.

CHRISTUS Health rating

6.7

Company rating: 6.7 out of 10

Based on 524 frontline employees who took The Breakroom Quiz

529th of 886 rated healthcare providers

Job 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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