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Managed Care Manager Jobs (NOW HIRING)

LSMA Management Inc

RN Care Manager

San Bernardino, CA · On-site

$110K - $120K/yr

Experience in managed care or health plan environment. At least 1 year of clinical experience in acute care, SNF, home health, or outpatient setting Any combination of educational and work experience ...

Willis Knighton Health

Care Manager

Shreveport, LA

The role of the Care Manager is to coordinate and manage care throughout the patient's acute inpatient illness; ensure continuity of services and appropriate utilization and management of resources.

Aperion Care

Managed Care Coordinator

Lincolnwood, IL · On-site

$60K/yr

In support of Managed Care Case Management perform the duties of triaging daily referral requests ... manager for preauthorization. * Perform benefit verifications on all referrals adhering to ...

Healthcare Nursing Center

Managed Care Biller

Charleston, IL · On-site

$16.75 - $21.50/hr

Managed Care Biller Location: Charleston, Illinois (on-site) Reports To: Billing Director About the Opportunity The Managed Care Biller is responsible for the accurate and timely billing of all ...

Prime Care Coordination

Care Manager

Rochester, NY · On-site

$23.50 - $24.50/hr

Summary: The Care Manager's role is to work in partnership with individuals with I/DD, their family/guardian, and providers to coordinate care and services needed to assist individuals achieve ...

New

Cardinal Health

What Managed Care contributes to Cardinal Health Practice Operations Management oversees the ... Responsible for identifying performance gaps and escalating unresolved issues to manager.

hr360

Care Manager - ECM, SF

San Francisco, CA · On-site

... a Managed CarePlan (MCP), publicly funded health insurance plans for low-income citizens, can ... The Lead Care Manager (LCM) at the ECM program will maintain a caseload of members served under the ...

Willis Knighton Health

Care Manager

Shreveport, LA · On-site

Coordinate and manage care throughout the patient's acute inpatient illness; ensure continuity of services and appropriate utilization and management of resources. Demonstrate leadership abilities by ...

Amerihealth Caritas

Care Manager

Dover, DE · Remote

We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. Discover more about us at ...

Amerihealth Caritas

Care Manager

Dover, DE · Remote

We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. Discover more about us at ...

Willis Knighton Health

Care Manager

Shreveport, LA · On-site

Coordinate and manage care throughout the patient's acute inpatient illness; ensure continuity of services and appropriate utilization and management of resources. Demonstrate leadership abilities by ...

memorial care

Managed Care Analyst

Fountain Valley, CA · Remote

$41.09/hr

This role reports to the Manager of Managed Care Analytics and sits at the system level supporting all MHS entities: Hospitals, Foundation, IPA and Health Plan. The position supports the Managed Care ...

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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.

Director of Managed Care

Fresenius Medical Care

Franklin, TN • On-site, Remote

Full-time

Re-posted 7 days ago

Fresenius Medical Care rating

6.8

Company rating: 6.8 out of 10

Based on 1,325 frontline employees who took The Breakroom Quiz

492nd of 887 rated healthcare providers

Job description

  • Residing in Nashville or Franklin area, highly preferred.

PURPOSE AND SCOPE:
Directs organization's activities of strategic planning, evaluation, coordination, and implementation of various managed health care programs (HMOs, PPOs, POS, etc). Oversees Division's contractual relationships with managed care organizations and other third party payors regarding rate structures for services, clinical and financial reporting obligations, establishment of other business terms per the FMCNA Guidelines, contract maintenance such as facility list updates and amendments. Develops and directs regional marketing efforts to third party payors in order to support growth and profitability in the region.
PRINCIPAL DUTIES AND RESPONSIBILITIES:
  • Manages the tactical execution of short- and long-term objectives through the coordination of activities with a direct responsibility for results, including costs, methods, and staffing.
  • Reviews and analyzes potential contracts for financial effect, cost benefit and utilization.
  • Negotiates contractual relationships with managed care organizations and other third party payors as needed.
  • Presents contract proposals and market and industry analyses to internal parties and responds to Requests for Proposals from third party payors.
  • Manages activities concerned with contracts for delivery systems.
  • Works on issues where analysis of situations or data requires an in-depth knowledge of organizational objectives. Has significant project/process responsibility within the function.
  • Interprets company-wide policies and procedures. Involved in the development, modification and execution of company policies that affect immediate operations with potential company-wide effect. Implements strategic policies when selecting methods, techniques, and evaluation criteria for obtaining results.
  • Ensures compliance of facilities with all managed care organization requirements ensures credentialing processes are implemented.
  • Ensures all facilities meet and maintain appropriate credentialing requirements and licenses.
  • Develops and implements methods and procedures for monitoring work activities and informs management of current work activity status.
  • Responsible for continuous communication and coordination of all required ongoing documentation with appropriate staff.
  • Works with internal and external counsel as needed to resolve issues and support FMS.
  • Negotiates and implements contracts with payors that require clinical and quality outcomes measurements.
  • Contributes to the design and implementation of third party payor compensation structures.
  • Assists in the development of report cards that can be shared with third party payors illustrating outstanding quality of patient care through associated outcomes. Ensures quality outcomes are reported accurately and in a timely manner.
  • Assists with designing Quality Improvement Projects that will improve outcomes in facilities that are not meeting goals.
  • Develops and implements regional marketing plans to support regional growth and profitability and marketing of FMS services to third party payors and potential referral sources.
  • Maintains knowledge of FMCNA products, services and strategies in order to market appropriately.
  • Maintains current knowledge regarding community healthcare market and industry issues that may impact the business.
  • Generally manages department budget and day-to-day functions. Develops budgets, schedules and performance standards. Exercises supervision in terms of costs, methods, and staffing.
  • Responsible for implementation and achievement of business plan, budget, key performance indicators and communication to appropriate executives.
  • Interacts frequently with internal departments and external customers/vendors; particularly in problem resolution. Responsible for hiring, coaching and counseling employees, including performance reviews, disciplinary action and terminations.
  • Provide technical guidance.
  • Assist with various projects as assigned.
  • Other duties as assigned.

Additional responsibilities may include focus on one or more departments or locations. See applicable addendum for department or location specific functions.
PHYSICAL DEMANDS AND WORKING CONDITIONS:
The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
SUPERVISION:
May be responsible for the direct supervision of various levels of managed care and marketing staff.
EDUCATION:
Bachelor's Degree in Business or Health management required; Advanced Degree desirable.
EXPERIENCE AND REQUIRED SKILLS:
  • 6 - 8 years' direct experience in contract negotiation and operational experience in a multiple site outpatient facility setting including profit and loss responsibility.
  • 3+ years' experience as a Manager preferred.
  • Demonstrated ability to manage one or more departments.
  • Ability to manage databases and provide analysis.
  • Proficient with PCs, Microsoft Office applications and business computer systems.
  • Strong oral and written communication skills.

Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.
Fresenius Medical Care is an equal opportunity employer and does not discriminate on the basis of race, color, religion, sexual orientation, gender identity, parental status, national origin, age, disability, military service, or other non-merit-based factors

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About Fresenius Medical Care

Sourced by ZipRecruiter

We are a Team of more than 70,000 with one guiding Principle Patients First. This promise starts with providing the most comprehensive care for people living with Chronic Kidney Disease and extends to Innovative Solutions that are redefining Healthcare and setting the industry standard. From evolving home Dialysis and Patient education programs to improving patient care to providing World Class Research and Data driven insights. Our vertically integrated network tirelessly seeks new ways to improve the quality of our Patients' lives. We believe each of us can make an impact and together we can change an industry. Our Mission is to Provide Superior care that improves the quality of life of every patient, every day, setting the standard by which others in the Healthcare Industry are judged. And none of us does it alone. We bring together the brightest minds in kidney care to Dream, Research, and Innovate.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Waltham, MA, US

Year founded

1996

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