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Managed Care Manager Jobs (NOW HIRING)

Ensign Services

Managed Care Resource

Whittier, CA

$110K - $130K/yr

Managed Care Resource - Los Angeles, CA Position Type: Full Time, exempt employee. Salary: $110,000 - $130,000 annually, DOE; may be eligible for bonus. Location: Candidate must reside in the Los ...

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WakeMed

Director, Managed Care Contracting

Raleigh, NC · On-site

Overview The Director, Managed Care Contracting is responsible for utilizing business and industry expertise, accepts responsibility for all activities in the Managed Care department applying to and ...

MJHS

Managed Care Coordinator

Manhattan, NY

$38K - $48K/yr

C. is a group of Nurse Practitioners, Physician Assistants, RN Case Managers and LPN's who provide care to Elderplan members who are residents of assisted living and long term care facilities, as ...

The US Oncology Network

Managed Care Director

Dyer, IN · On-site

Oversees managed care related policies, procedures and processes in support of strategic objectives. Develops and executes in conjunction with members of the US Oncology Network support staff on ...

Community Care, Inc.

Care Manager

Sheboygan, WI · On-site

Community Care is hiring a Case Manager/Care Manager to join our Family Care Program team. This rewarding opportunity is perfect for someone who enjoys team collaboration, community case management ...

HealthRIGHT 360

Care Manager - ECM, SF

San Francisco, CA · On-site

$27.30 - $31.66/hr

... Managed Care Plan (MCP), publicly funded health insurance plans for low-income citizens, can address the clinical and non-clinical needs of Populations of Focus with the most complex medical and ...

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How much do managed care manager jobs pay per year?

As of Aug 7, 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?

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 August 2026, with employment types broken down into 2% As Needed, 69% Full Time, 22% Part Time, and 7% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution, with an average salary of $88,749 per year, or $42.7 per hour.

Manager Managed Care - Managed Care

CHRISTUS Health

Irving, TX

Full-time

Re-posted 21 days ago

CHRISTUS Health rating

6.7

Company rating: 6.7 out of 10

Based on 530 frontline employees who took The Breakroom Quiz

532nd of 887 rated healthcare providers

Job description

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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