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Managed Care Organization Jobs (NOW HIRING)

VMG HOLDINGS LLC

Director, Managed Care

Nashville, TN · On-site

Serve as the lead consultant on managed care and payer strategy engagements for hospitals, health systems, physician organizations, ambulatory surgery centers, infusion providers, and other health ...

VMG Health

Director, Managed Care

Nashville, TN · On-site

Serve as the lead consultant on managed care and payer strategy engagements for hospitals, health systems, physician organizations, ambulatory surgery centers, infusion providers, and other health ...

VMG Health

Director, Managed Care

Nashville, TN · On-site

Serve as the lead consultant on managed care and payer strategy engagements for hospitals, health systems, physician organizations, ambulatory surgery centers, infusion providers, and other health ...

Ensign Services

Managed Care Resource

Pomona, CA · On-site

$110K - $130K/yr

Managed Care Resource - Los Angeles, CA Position Type: Full Time, exempt employee. Salary: $110,000 ... Communicate effectively at all organizational levels and in situations requiring instructing ...

Blue and Company

Managed Care Specialist

Richardson, TX · On-site

We are seeking a Managed Care Specialist to provide subject matter expertise and technical support ... Excellent organizational and documentation skills. * Advanced proficiency in Microsoft Excel and ...

HSS

Managed Care Manager

New York, NY · On-site

$112K - $170K/yr

What you will be doing Managed Care Manager Reporting to the Director of Payer Relations, the ... organizational and multi-tasking skills. EDUCATION : • Bachelor's degree in health or business ...

Ensign Services

Managed Care Resource

Charlotte, NC · On-site

Managed Care Resource - Southeast Region Position Type: Full-time, exempt employee. Compensation ... Communicate effectively at all organizational levels and in situations requiring instructing ...

Ensign Services

Managed Care Resource

Jacksonville, FL · On-site

Managed Care Resource - Southeast Region Position Type: Full-time, exempt employee. Compensation ... Communicate effectively at all organizational levels and in situations requiring instructing ...

Ensign Services

Managed Care Resource

Whittier, CA · On-site

$110K - $130K/yr

Managed Care Resource - Los Angeles, CA Position Type: Full Time, exempt employee. Salary: $110,000 ... Communicate effectively at all organizational levels and in situations requiring instructing ...

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Managed Care Organization information

See salary details

$60K

$88.7K

$124K

How much do managed care organization jobs pay per year?

As of Aug 30, 2026, the average yearly pay for managed care organization 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 organization?

A Managed Care Organization (MCO) job involves overseeing and coordinating healthcare services to ensure cost-effective, high-quality care for members. Roles within an MCO vary but often include case management, provider network development, claims processing, and regulatory compliance. Employees work to improve healthcare access, manage costs, and ensure that providers meet quality standards. These jobs can be found in insurance companies, government programs, and healthcare service providers.

What are the typical daily responsibilities for someone working within a managed care organization?

In a Managed Care Organization, daily responsibilities often include reviewing and processing insurance claims, coordinating care among healthcare providers, ensuring regulatory compliance, and managing member enrollment or benefits. Employees frequently interact with healthcare providers, members, and internal teams to resolve issues and support optimal care delivery. Data analysis for quality improvement initiatives and process refinement is also common. The role tends to be collaborative, involving cross-functional teamwork to meet organizational goals and improve patient outcomes.

What are the key skills and qualifications needed to thrive in the managed care organization position, and why are they important?

To excel in a Managed Care Organization (MCO) role, professionals typically need expertise in healthcare administration, insurance regulations, and population health management, often supported by degrees in healthcare or business and relevant certifications such as Certified Managed Care Professional (CMCP). Familiarity with claims processing systems, electronic health records (EHR), and utilization management software is essential. Strong analytical thinking, negotiation, and communication skills are crucial for collaboration and problem-solving. These competencies enable effective coordination between providers, payers, and patients to optimize care quality and cost efficiency.

More about Managed Care Organization jobs

What cities are hiring for Managed Care Organization jobs?

Cities with the most Managed Care Organization job openings:

What states have the most Managed Care Organization jobs?

States with the most job openings for Managed Care Organization jobs include:

What job categories do people searching Managed Care Organization jobs look for?

The top searched job categories for Managed Care Organization jobs are:

Managed Care Organization jobs near you
Infographic showing various Managed Care Organization job openings in the United States as of August 2026, with employment types broken down into 2% As Needed, 68% Full Time, 22% Part Time, and 8% Contract. Highlights an 93% Physical, 1% Hybrid, and 6% Remote job distribution, with an average salary of $88,749 per year, or $42.7 per hour.

Managed Care Executive

Strategic Health Care

Columbus, OH

$80K - $120K/yr

Full-time

Posted 19 days ago

Job description

Manager, Managed Care Contracting

Salary: 80k to 120k

Organization: Strategic Health Care Managed Care Solutions
Position Title: Managed Care Executive
Reports To: Partner, Managed Care Division

Position Summary

Strategic Health Care (SHC) is a highly respected healthcare consulting firm specializing in managed care contracting, payer relations, and network development. Recognized as an industry leader, SHC helps healthcare organizations navigate complex managed care environments and achieve favorable contracting outcomes. The Managed Care Executive plays a key role in supporting client engagement, contract negotiations, payer relationship management, and strategic consulting initiatives. This position requires a highly motivated professional with strong analytical, organizational, and communication skills who thrives in a collaborative, client-focused environment.

Key Responsibilities

  • Client Engagement & Project Management
  • Managed Care Contracting & Financial Analysis
  • Payer Relations & Market Intelligence
  • Strategic Consulting & Negotiations
  • Documentation & Communication
  • Business Development
  • Additional Responsibilities

Qualifications

Education & Experience

  • Bachelor's degree preferred; equivalent combination of education and relevant experience will be considered.
  • Minimum of five (5) years of progressive experience in healthcare managed care, payer contracting, data analytics, healthcare consulting, or related healthcare administration roles.

Knowledge & Technical Expertise

  • Strong understanding of commercial and government-sponsored health insurance programs.
  • Knowledge of healthcare reimbursement methodologies, including:
    • Resource-Based Relative Value Scale (RBRVS)
    • Case Rates
    • Grouper Methodologies
    • Diagnosis-Related Groups (DRGs)
    • Carve-Out Arrangements
    • Outlier Payments
  • Experience reviewing, analyzing, and negotiating managed care contracts.
  • Proficiency with Microsoft 365 applications, including Outlook, Excel, Word, PowerPoint, and Planner.

Salary/Compensation: $80,000 - $120,000 per year


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