ACO Care Coordinator Department: Administration Reports to: Amanda Strouse FLSA Status: Non-Exempt ... Excellent time management skills with a proven ability to meet deadlines. * Proficient with ...
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ACO Care Coordinator Department: Administration Reports to: Amanda Strouse FLSA Status: Non-Exempt ... Excellent time management skills with a proven ability to meet deadlines. * Proficient with ...
Quick apply
ACO Care Coordinator Department: Administration Reports to: Amanda Strouse FLSA Status: Non-Exempt ... Excellent time management skills with a proven ability to meet deadlines. * Proficient with ...
Specific Duties: • Provides consultation and advice to staff relating to the operations, policies, guidelines and regulations of Managed Care Organizations (MCOs). • Trains/Educates staff related ...
Specific Duties: • Provides consultation and advice to staff relating to the operations, policies, guidelines and regulations of Managed Care Organizations (MCOs). • Trains/Educates staff related ...
Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve ... The HCS Director of Managed Care Contracting serves as one of the Health Care System's top managed ...
Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve ... The HCS Director of Managed Care Contracting serves as one of the Health Care System's top managed ...
Stratford, CT · On-site
$80 - $100/hr
The ideal candidate will thrive in a fast-paced healthcare environment and demonstrate strong organizational, analytical, and follow-up skills. RESPONSIBILITIES * Submit and manage Managed Care ...
Stratford, CT · On-site
$80 - $100/hr
The ideal candidate will thrive in a fast-paced healthcare environment and demonstrate strong organizational, analytical, and follow-up skills. RESPONSIBILITIES * Submit and manage Managed Care ...
Richmond, KY · On-site
$125 - $150/hr
Demonstrated strategic planning, organizational leadership, and change management experience ... Managed Care Operations Managers * Health Data Analyst * Managed Care Contract Manager * Network ...
Richmond, KY · On-site
$125 - $150/hr
Demonstrated strategic planning, organizational leadership, and change management experience ... Managed Care Operations Managers * Health Data Analyst * Managed Care Contract Manager * Network ...
Nashville, TN · On-site
$18.50/hr
Managed Care Specialist Location : Nashville, TN Rate : $18.50/hr on W2 Only W2 Key ... organization, and distribution skills. • Critical thinking and problem-solving skills.
Nashville, TN · On-site
$18.50/hr
Managed Care Specialist Location : Nashville, TN Rate : $18.50/hr on W2 Only W2 Key ... organization, and distribution skills. • Critical thinking and problem-solving skills.
The position requires excellent communication and organizational skills to facilitate superior care management and to act as a liaison between the members, the care management team, and the vendors.
The position requires excellent communication and organizational skills to facilitate superior care management and to act as a liaison between the members, the care management team, and the vendors.
Lincolnwood, IL · On-site
$60 - $80/hr
SUMMARY In support of Managed Care Case Management perform the duties of triaging daily referral ... Strong organizational, planning and problem-solving skills. * Able to work multiple tasks before a ...
Lincolnwood, IL · On-site
$60 - $80/hr
SUMMARY In support of Managed Care Case Management perform the duties of triaging daily referral ... Strong organizational, planning and problem-solving skills. * Able to work multiple tasks before a ...
Rhinelander, WI · On-site
... organizational policies and patient care goals. ESSENTIAL JOB FUNCTIONS * Completes managed care ... insurance requirements for services ordered or provided by health system providers, ensuring ...
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Rhinelander, WI · On-site
... organizational policies and patient care goals. ESSENTIAL JOB FUNCTIONS * Completes managed care ... insurance requirements for services ordered or provided by health system providers, ensuring ...
$60 - $80/hr
SUMMARY In support of Managed Care Case Management perform the duties of triaging daily referral ... Strong organizational, planning and problem-solving skills. * Able to work multiple tasks before a ...
$60 - $80/hr
SUMMARY In support of Managed Care Case Management perform the duties of triaging daily referral ... Strong organizational, planning and problem-solving skills. * Able to work multiple tasks before a ...
Iselin, NJ · On-site
$183K/yr
Adheres to HMH Organizational competencies and standards of behavior. Qualifications Education ... Network Management, managed care contracting experience. * Excellent written and verbal ...
Iselin, NJ · On-site
$183K/yr
Adheres to HMH Organizational competencies and standards of behavior. Qualifications Education ... Network Management, managed care contracting experience. * Excellent written and verbal ...
Manhattan, NY · On-site
$38K - $48K/yr
The position requires excellent communication and organizational skills to facilitate superior care management and to act as a liaison between the members, the care management team, and the vendors.
Manhattan, NY · On-site
$38K - $48K/yr
The position requires excellent communication and organizational skills to facilitate superior care management and to act as a liaison between the members, the care management team, and the vendors.
Manhattan, NY · On-site
$60 - $80/hr
The position requires excellent communication and organizational skills to facilitate superior care management and to act as a liaison between the members, the care management team, and the vendors.
Manhattan, NY · On-site
$60 - $80/hr
The position requires excellent communication and organizational skills to facilitate superior care management and to act as a liaison between the members, the care management team, and the vendors.
$80 - $100/hr
The Managed Care Accountant is responsible for ensuring accurate accounting, reconciliation, and reporting of managed care revenues and expenses, which directly impacts the organization's financial ...
$80 - $100/hr
The Managed Care Accountant is responsible for ensuring accurate accounting, reconciliation, and reporting of managed care revenues and expenses, which directly impacts the organization's financial ...
$38K - $48K/yr
The position requires excellent communication and organizational skills to facilitate superior care ... One year prior managed care experience required * Prior experience in a health care setting ...
$38K - $48K/yr
The position requires excellent communication and organizational skills to facilitate superior care ... One year prior managed care experience required * Prior experience in a health care setting ...
Addison, TX · On-site
Remote with onsite as needed Work Hours: Full time, business hours The Director, Managed Care is a senior strategic and operational leader responsible for shaping and executing the organization ...
Addison, TX · On-site
Remote with onsite as needed Work Hours: Full time, business hours The Director, Managed Care is a senior strategic and operational leader responsible for shaping and executing the organization ...
The organization includesthree hospitals, four medical parks,Andrews Institute for Orthopaedic ... Monitors managed care contract performance and identify underpayments. * Supports audits ...
The organization includesthree hospitals, four medical parks,Andrews Institute for Orthopaedic ... Monitors managed care contract performance and identify underpayments. * Supports audits ...
$58.83 - $99.07/hr
... with organizational priorities. Reporting to the Senior Vice President & Chief Financial Officer ... Managed Care Strategy & Payer Relations * Develop, recommend, and execute Augusta Health ...
$58.83 - $99.07/hr
... with organizational priorities. Reporting to the Senior Vice President & Chief Financial Officer ... Managed Care Strategy & Payer Relations * Develop, recommend, and execute Augusta Health ...
... with organizational priorities. Reporting to the Senior Vice President & Chief Financial Officer ... Managed Care Strategy & Payer Relations * Develop, recommend, and execute Augusta Health ...
... with organizational priorities. Reporting to the Senior Vice President & Chief Financial Officer ... Managed Care Strategy & Payer Relations * Develop, recommend, and execute Augusta Health ...
Experience in an MSO, IPA, medical group, managed care organization, health plan, or delegated healthcare environment. * Experience managing or analyzing IBNR reports and healthcare claims financial ...
Experience in an MSO, IPA, medical group, managed care organization, health plan, or delegated healthcare environment. * Experience managing or analyzing IBNR reports and healthcare claims financial ...
$60K - $65.8K
10% of jobs
$65.8K - $71.6K
13% of jobs
$72.4K is the 25th percentile. Wages below this are outliers.
$71.6K - $77.5K
21% of jobs
The median wage is $80.9K / yr.
$77.5K - $83.3K
11% of jobs
$83.3K - $89.1K
5% of jobs
$89.1K - $94.9K
6% of jobs
$99.4K is the 75th percentile. Wages above this are outliers.
$94.9K - $100.7K
12% of jobs
$100.7K - $106.5K
6% of jobs
$106.5K - $112.4K
5% of jobs
$112.4K - $118.2K
5% of jobs
$118.2K - $124K
5% of jobs
$60K
$88.7K
$124K
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.
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.
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.
Cities with the most Managed Care Organization job openings:
States with the most job openings for Managed Care Organization jobs include:
The top searched job categories for Managed Care Organization jobs are:

Full-time
Posted 20 days ago
6.9
Based on 17 frontline employees who took The Breakroom Quiz
545th of 1,065 rated hospitals
Job Title: ACO Care Coordinator Department: Administration
Reports to: Amanda Strouse FLSA Status: Non-Exempt ( Hourly)
Job Summary:
Under administrative direction of Value Based Specialist (VBS) in collaboration with Bloomington practices helps patients understand treatment plans and navigate resources.
Duties/Responsibilities:
Help High need patients understand treatment plans and following provider instructions.
Care coordination with patients to navigate medical care and non-medical need resources for example food, transportation, housing.
Assists patients with navigation of transition of care from inpatient to ambulatory and/or follow up appointments from emergency department visits.
Assists VBS in closing care gaps, scheduling and tracking of annual wellness visits
Assists Practices in chronic care management
Communication between providers/patients/VBS/ACO team
Required Skills/Abilities:
Education and Experience:
Minimum qualifications : Registered Nurse (ADN)
At least one year related experience required.
Effective Date: 8/6/2026
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Health care and social assistance
51 - 200 Employees
Wooster, OH, US