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Managed Care Manager Jobs (NOW HIRING)

Orlando Health

Managed Care Coordinator

Orlando, FL · On-site

Position Summary A Brief Overview Provides support for Managed Care department team members. Coordinates internal and external communications processes and ensures all Managed Care resources are up ...

New

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.

Family Health Center

Clinical Care Manager

Worcester, MA · On-site

$31.25 - $38.46/hr

CMCN (Certified Managed Care Nurse) or RN-BC (Registered Nurse Case Manager) preferred. Reporting Relationship: Reports to the Director of Population Health EOE Monday-Friday; 8:30am -5:00pm

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 ...

hr360

Care Manager - ECM, SF

San Francisco, CA

... 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 ...

VMG Health

Director, Managed Care

Nashville, TN · On-site

VMG Health is seeking an experienced and highly motivated Director, Managed Care to lead complex payer contracting and reimbursement engagements for hospitals, health systems, physician groups ...

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 ...

Summit

Managed Care Nurse

Lakeland, FL · Hybrid

Advanced knowledge of managed care laws and regulations. Advanced ability to identify and address nuanced details that may impact the effective management of a case. Demonstrated advanced proficiency ...

Willis Knighton Health

Care Manager

Shreveport, LA

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 ...

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Managed Care Manager information

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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
Managed Care Coordinator

Managed Care Coordinator

Orlando Health

Orlando, FL • On-site

Other

Posted yesterday

New

Orlando Health rating

7.4

Company rating: 7.4 out of 10

Based on 605 frontline employees who took The Breakroom Quiz

265th of 886 rated healthcare providers

Job description


Position Summary

A Brief Overview
Provides support for Managed Care department team members. Coordinates internal and external communications processes and ensures all Managed Care resources are up to date and accurate.
Office located in Downtown Orlando.
What you will do

  • Maintains high level of accountability for and develops and implements processes and procedures to ensure accuracy of information produced.
  • Facilitates content and interfaces with Strategic Communications department on internal and external messaging.
  • Organizes and manages contract file database. Standardizes naming conventions and identifies missing documents. Leads implementation of conversion to new contract management platform.
  • Develops and maintains process for Contract Notifications to all relevant areas of the Orlando Health system. Works with team members to implement an online contract summary resource to maximize system knowledge of managed care plans.
  • Effectively communicates with payors, coordinating monthly/quarterly meetings, facilitating training sessions or webinars, and arranging for appropriate attendance and location.
  • Reviews and maintains accurate Orlando Health external website listing of contracted managed care plans. Works with IT to make sure list is constantly up-to-date.
  • Monitors health plan websites for changes in provider directories, policies and procedures, and other operational items. Appropriately notifies Managed Care team members of all changes.
  • Researches current health care trends and becomes familiar with industry changes.
  • Organizes and maintains correspondence files for all managed care contracts.
  • Supports credentialing team processes, including payor notifications, database maintenance, and documentation.
  • Maintains reasonably regular, punctual attendance consistent with Orlando Health policies, the ADA, FMLA and other federal, state and local standards.
  • Maintains compliance with all Orlando Health policies and procedures.
  • Works as a team player in facilitating efficient and effective assistance to colleagues throughout the Orlando Health system.
  • Keeps abreast of legislative changes affecting Orlando Health.
  • Maintains confidentiality.
  • Assumes responsibility for professional growth and development.
  • Represents Orlando Health through community interaction.


Qualifications

  • Associate’s degree
  • Two (2) years in managed care, healthcare finance, healthcare administration, or related experience. Proficient in Microsoft Windows including Excel, Word, and Access, and database management.


Our people are passionate about what they do, the product they sell, and the customers they serve. If you're looking for an opportunity to be a part of a work family that values collaboration, innovation and dedication, we're the right company for you.

Qualifications:UNAVAILABLEEducation:UNAVAILABLEEmployment Type: UNAVAILABLE

What Orlando Health employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Orlando Health logo

About Orlando Health

Sourced by ZipRecruiter

Orlando Health is a 3,200-bed system that includes 15 wholly-owned hospitals and emergency departments; rehabilitation services, cancer institutes, heart institutes, imaging and laboratory services, wound care centers, physician offices for adults and pediatrics, skilled nursing facilities, an in-patient behavioral health facility, home healthcare services in partnership with LHC Group, and urgent care centers in partnership with CareSpot Urgent Care. Nearly 4,200 physicians, representing more than 80 medical specialties and subspecialties have privileges across the Orlando Health system, which employs nearly 22,000 team members. Areas of clinical excellence are orthopedics, heart and vascular, cancer care, neurosciences, surgery, pediatric specialties, neonatology, women's health and trauma.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Orlando, FL, US

Year founded

1918

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