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Managed Care Manager Jobs (NOW HIRING)

Beacon Health System

Managed Care Analyst

Granger, IN · On-site

The Managed Care Analyst plays a key role in advancing Beacon's data-driven decision-making by delivering high-impact financial, operational, and value-based analytics. This role primarily supports ...

Winston Staffing Services

Be Seen First

Managed Care Coordinator

Newark, NJ · Remote

$19 - $20/hr

... Managed Care principles - Prefer the ability to analyze and resolve problems with minimal supervision - Prefer the ability to use a personal computer and applicable software and systems - Team Player ...

Amerihealth Caritas

Care Manager

Washington, DC

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 ...

Emory Healthcare

Care Manager

Atlanta, GA

Description The Care Manager is responsible for patient care coordination from admission through discharge; ensuring smooth transitions of care as the patient is discharged from the hospital setting ...

Emory Healthcare

Care Manager

Atlanta, GA

Description The Care Manager is responsible for patient care coordination from admission through discharge; ensuring smooth transitions of care as the patient is discharged from the hospital setting ...

Emory Healthcare

Care Manager

Atlanta, GA

Description The Care Manager is responsible for patient care coordination from admission through discharge; ensuring smooth transitions of care as the patient is discharged from the hospital setting ...

Emory Healthcare

Care Manager

Atlanta, GA · On-site

Description The Care Manager is responsible for patient care coordination from admission through discharge; ensuring smooth transitions of care as the patient is discharged from the hospital setting ...

Emory Healthcare

Care Manager

Atlanta, GA

Description The Care Manager is responsible for patient care coordination from admission through discharge; ensuring smooth transitions of care as the patient is discharged from the hospital setting ...

Emory Healthcare

Care Manager

Atlanta, GA

Description The Care Manager is responsible for patient care coordination from admission through discharge; ensuring smooth transitions of care as the patient is discharged from the hospital setting ...

Emory Healthcare

Care Manager

Atlanta, GA

Description The Care Manager is responsible for patient care coordination from admission through discharge; ensuring smooth transitions of care as the patient is discharged from the hospital setting ...

Emory Healthcare

Care Manager

Atlanta, GA · On-site

Description The Care Manager is responsible for patient care coordination from admission through discharge; ensuring smooth transitions of care as the patient is discharged from the hospital setting ...

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$88.7K

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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.
More about Managed Care Manager jobs
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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.
Managed Care Analyst

Managed Care Analyst

Family HealthCare Network

Visalia, CA • On-site

Full-time

Posted 17 days ago

Family HealthCare Network rating

8.2

Company rating: 8.2 out of 10

Based on 26 frontline employees who took The Breakroom Quiz

Job description

Job Description
Primary Accountability
The Managed Care Analyst is responsible for using health plan data to validate, contrast, and track opportunities for revenue growth and compiling external and internal data reports to ensure compliance and efficiency.
Description of Primary Responsibilities
  1. Responsible for producing, validating, and interpreting data for health plan membership and capitation reports and developing internal status reports to meet organizational revenue goals.
    1. Defines data requirements and develops data collection and analysis tools for payer-specific identities.
    2. Performs data validation to ensure integrity of reporting.
    3. Identifies, investigates, and reports discrepancies in the data or workflows.
    4. Maintains a work plan for post-production reports and presentations.
    5. Produces monthly reports on payer revenue.
    6. Maintains Compliance Data Base for all Health Plans and special projects.
  2. Uses collected data to evaluate the profitability of payer relationships for all lines of business:
    1. Medicare and Medicare Advantage Five Star Performance.
    2. Medi-Cal Managed Care Health Plan Audit/Compliance and Incentives.
    3. Commercial Health Plans P4P and HEDIS Performance.
    4. Health plan contract modeling
  3. Analyze utilization data such as PCP visits, ER visits, hospital admissions, and bed days and identify opportunities to control utilization.
  4. Assists data analysis efforts of other FHCN staff and departments as needed.
  5. Responsible for assessing the effectiveness of internal workflow impact on health plan revenue streams and ensuring current organizational policies follow existing contract terms.
  6. Responsible for adhering to the Attendance and Absenteeism Policy, recognizing that regular attendance is considered an essential function of all FHCN positions. Absenteeism is not being at work or failing to attend a paid workshop, training, or event unless the absence is protected by law.
  7. Ability to present to and work at any FHCN location, both at the beginning of a shift or during a shift, based on business need.
  8. Other duties as assigned.

Description of Primary Attributes
General Development:
  1. Possesses basic organizational skills, typically to organize own work.
  2. Works independently and as part of a team.
  3. Job responsibilities require individual development of priorities for effective performance of duties, including re-prioritization in response to changes in circumstances.
  4. Can effectively select from both established alternatives and modify approaches in response to situations encountered.
  5. Duties require drawing conclusions using inference and logic, which may differ from the conclusions others could draw.
  6. Consider how work affects other employees outside the department or functional area.

Professional & Technical Knowledge:
Effective June 1, 2026, all individuals hired into the role must:
  1. Possesses proficiency in written and verbal communication, basic mathematics, computer applications, and technical systems frequently acquired through one of the following:
    1. Required completion of an Associate's Degree program with a recognized major and a minimum cumulative GPA of 2.5; or
    2. A combination of relevant experience and completion of a high school diploma with a minimum cumulative GPA of 2.5, or General Educational Development (GED) with a minimum overall score of 162.5, and healthcare-related knowledge frequently acquired through completion of a trade school, para-professional, or certificate type program.
    3. If an individual has completed a degree at a higher level than required by the role and had a stronger GPA in that program, they may provide proof of GPA from that degree in lieu of the high school diploma or associate's degree.
  2. Have a minimum of two years of relevant experience, including experience in healthcare, preferably in a managed care environment.
  3. Have a minimum of two years of experience in data analysis and/or financial modeling.
  4. Demonstrate strong analytical and problem-solving skills.

Technical Skills:
  1. Ability to prepare more complex documents in Microsoft Word, including creating tables, charts, graphs, and other elements.
  2. Ability to use Advanced Microsoft Excel to analyze data, including formulas, functions, lookup tables, and other standard spreadsheet elements.
  3. Ability to develop sophisticated presentations in Microsoft PowerPoint, including embedded objects, transitions, and other elements.

Licenses & Certifications: None required.
Communications Skills:
  1. Job duties require employees to effectively communicate their opinions and extrapolations of information they collect, synthesize/analyze.
  2. Exercises tact and diplomacy to resolve mild conflicts or disagreements.
  3. Compiles, analyzes and prepares information in an effective written form, including correspondence, reports, articles, or other documentation.
  4. Effectively conveys technical information to non-technical audiences.

Physical Demands: The physical demands here in this job description are representative of those that must be met by an employee to successfully perform the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Pay Scale:
Min: $69,807.05
Max: $111,691.28

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