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Managed Care Manager Jobs (NOW HIRING)

Ensign Services

Managed Care Resource

Charlotte, NC · On-site

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

Summit

Managed Care Specialist

Lakeland, FL · Hybrid

Bachelor's degree in Healthcare Management, Nursing, or a related field. R.N. (Registered Nurse) or L.P.N. (Licensed Practical Nurse) preferred. Experience: Generally, a minimum of 10 years of case ...

UF Health

Director of Managed Care

Gainesville, FL

Responsible for managed care contracting, including but not limited to value based and pay for performance contracting, and population health initiatives to position SUFHCN (hospitals, ancillary ...

Adventist Health

Manager, Managed Care

Roseville, CA · On-site

Negotiates health plan (managed care) contracts with payers as assigned across the system. Supervises and directs the activities of various levels of assigned personnel using both professional and ...

Adventist Health

Manager, Managed Care

Roseville, CA · On-site

Negotiates health plan (managed care) contracts with payers as assigned across the system. Supervises and directs the activities of various levels of assigned personnel using both professional and ...

MJHS

Managed Care Coordinator III

Manhattan, NY

$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 ...

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Managed Care Manager information

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How much do managed care manager jobs pay per year?

As of Jun 15, 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 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 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 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.
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Managed Care Manager jobs near you
Infographic showing various Managed Care Manager job openings in the United States as of June 2026, with employment types broken down into 3% As Needed, 65% Full Time, 31% Part Time, and 1% Contract. Highlights an 92% Physical, 2% Hybrid, and 6% Remote job distribution, with an average salary of $88,749 per year, or $42.7 per hour.
Manager, Managed Care - Systems

Manager, Managed Care - Systems

BJC HealthCare

Saint Louis, MO

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 6 days ago

BJC Healthcare rating

7.6

Company rating: 7.6 out of 10

Based on 219 frontline employees who took The Breakroom Quiz

189th of 872 rated healthcare providers

Job description

Additional Information About the Role
BJC has an opening for a Manager, Managed Care Systems. This role is responsible for ensuring Epic is accurately configured and maintained with managed care contract data. Ideally, candidates will have experience with Epic Resolute Hospital Billing, specifically RHB390 Expected Reimbursement Contract Administration.

Overview

BJC HealthCare is one of the largest nonprofit health care organizations in the United States, delivering services to residents primarily in the greater St. Louis, southern Illinois and southeast Missouri regions. With net revenues of $6.3 billion and more than 30,000 employees, BJC serves patients and their families in urban, suburban and rural communities through its 14 hospitals and multiple community health locations. Services include inpatient and outpatient care, primary care, community health and wellness, workplace health, home health, community mental health, rehabilitation, long-term care and hospice.

BJC is the largest provider of charity care, unreimbursed care and community benefits in the state of Missouri. BJC and its hospitals and health service organizations provide $785.9 million annually in community benefit. That includes $410.6 million in charity care and other financial assistance to patients to ensure medical care regardless of their ability to pay. In addition, BJC provides additional community benefits through commitments to research, emergency preparedness, regional health care safety net services, health literacy, community outreach and community health programs and regional economic development.

BJC’s patients have access to the latest advances in medical science and technology through a formal affiliation between Barnes-Jewish Hospital and St. Louis Children’s Hospital with the renowned Washington University School of Medicine, which consistently ranks among the top medical schools in the country.

The BJC Managed Care department includes multiple functions such as managed care contracting, financial analysis, systems and operations, value-based care and payment programs, payor and provider relations, and direct to employer solutions.


Preferred Qualifications

Role Purpose

Responsible for managing and supporting complex Contract Management Applications (CMA) to ensure that BJC Net Revenue is accurately reflected. Responsible for developing date access strategies to support contract negotiations, detailed financial analytics and special projects, including new payment methodologies. Partners with IT and vendors as it relates to the CMA and provides key support to the Revenue Cycle Management team. Participates in RCM team meetings providing expertise to help make decisions around processes, claims issues, mapping and edits that impact the CMA application.

Responsibilities

  • Manages individual(s) including but not limited to: hires, trains, assigns work, manages & evaluates performance, conducts professional development plans. Ensures that the productivity and actions of that group meet/support the overall operational goals of the department as established by department leadership.
  • May participate in the development of departmental staffing, revenue and/or expense budgets and having direct responsibility for adhering to those goals. This includes responding to changes in the business which may affect the ability to achieve the budget goals.
  • Manages and leads the maintenance of day-to-day operations of the CMA including contract loads for all payers (including, but not limited to managed care, government, direct. etc.,) interfaces, data integrity, system enhancements and vendor relations, Facilitates the resolution of contractual, interface and calculation issues in a timely manner.
  • Responsible for expert level application and knowledge transfer of the CMA. Reviews complex contract payment methodologies, offer suggestions for ease of administration and participates in the decision making process.
  • Manages all data mining as it relates to the CMA to support contract negotiations, ongoing operations and special projects. This includes designing, developing and implementing complex databases and comprehensive reports to provide the data in the most accurate and efficient manner in support of organizational strategies.
  • Maintains collaborative working relationships with Revenue Cycle Management leaders, Corporate Finance, Government Reimbursement teams and the vendor, effectively communicating issues, concerns and changes in a timely and appropriate manner.
  • Provides leadership to the team of operational professionals responsible for loading complicated contract rate terms and for overseeing system application, performance and future viability.

    • Minimum Requirements

    Education

  • Bachelor's Degree

    • Experience

  • 5-10 years

    • Supervisor Experience

  • < 2 years

    • Benefits and Legal Statement

    BJC Total Rewards

    At BJC we're committed to providing you and your family with benefits and resources to help you manage your physical, emotional, social and financial well-being.

    • Comprehensive medical, dental, vison, life insurance, and legal services available first day of the month after hire date
    • Disability insurance* paid for by BJC
    • Annual 4% BJC Automatic Retirement Contribution
    • 401(k) plan with BJC match
    • Tuition Assistance available on first day
    • BJC Institute for Learning and Development
    • Health Care and Dependent Care Flexible Spending Accounts
    • Paid Time Off benefit combines vacation, sick days, holidays and personal time
    • Adoption assistance

    To learn more, go to our Benefits Summary.

    *Not all benefits apply to all jobs

    The above information on this description has been designed to indicate the general nature and level of work performed by employees in this position. It is not designed to contain or be interpreted as an exhaustive list of all responsibilities, duties and qualifications required of employees assigned to this job. Equal Opportunity Employer

    Qualifications:

    Role Purpose

    Responsible for managing and supporting complex Contract Management Applications (CMA) to ensure that BJC Net Revenue is accurately reflected. Responsible for developing date access strategies to support contract negotiations, detailed financial analytics and special projects, including new payment methodologies. Partners with IT and vendors as it relates to the CMA and provides key support to the Revenue Cycle Management team. Participates in RCM team meetings providing expertise to help make decisions around processes, claims issues, mapping and edits that impact the CMA application.

    Responsibilities

  • Manages individual(s) including but not limited to: hires, trains, assigns work, manages & evaluates performance, conducts professional development plans. Ensures that the productivity and actions of that group meet/support the overall operational goals of the department as established by department leadership.
  • May participate in the development of departmental staffing, revenue and/or expense budgets and having direct responsibility for adhering to those goals. This includes responding to changes in the business which may affect the ability to achieve the budget goals.
  • Manages and leads the maintenance of day-to-day operations of the CMA including contract loads for all payers (including, but not limited to managed care, government, direct. etc.,) interfaces, data integrity, system enhancements and vendor relations, Facilitates the resolution of contractual, interface and calculation issues in a timely manner.
  • Responsible for expert level application and knowledge transfer of the CMA. Reviews complex contract payment methodologies, offer suggestions for ease of administration and participates in the decision making process.
  • Manages all data mining as it relates to the CMA to support contract negotiations, ongoing operations and special projects. This includes designing, developing and implementing complex databases and comprehensive reports to provide the data in the most accurate and efficient manner in support of organizational strategies.
  • Maintains collaborative working relationships with Revenue Cycle Management leaders, Corporate Finance, Government Reimbursement teams and the vendor, effectively communicating issues, concerns and changes in a timely and appropriate manner.
  • Provides leadership to the team of operational professionals responsible for loading complicated contract rate terms and for overseeing system application, performance and future viability.

    • Minimum Requirements

    Education

  • Bachelor's Degree

    • Experience

  • 5-10 years

    • Supervisor Experience

  • < 2 years
    • Education:UNAVAILABLEEmployment Type: FULL_TIME

    What BJC Healthcare employees say

    Pay

    Benefits

    Hours and flexibility

    Workplace

    Get the full story on Breakroom

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    About BJC Healthcare

    Sourced by ZipRecruiter

    BJC Healthcare, situated in Saint Louis, MO, US, is one of the largest healthcare organizations in the United States. Launched in 1993, BJC encompasses 15 hospitals and multiple health service organizations covering the metropolitan St. Louis area, mid-Missouri and Southern Illinois. This healthcare titan's services cover a vast field, from community health and wellness, to pediatric care, to advanced specialty care. BJC is well-known for its two nationally recognized hospitals, Barnes-Jewish Hospital and St. Louis Children's Hospital, both affiliated with Washington University School of Medicine. Its mission revolves around improving the health and well-being of the communities it serves through leadership, education, innovation, and excellence in medicine.

    Industry

    Health care and social assistance

    Company size

    10,000+ Employees

    Headquarters location

    Saint Louis, MO, US

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