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Managed Care Program Manager Jobs (NOW HIRING)

Aperion Care

Managed Care Coordinator

Lincolnwood, IL · On-site

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 ...

ICAN

$75K - $82K/yr

Director of Managed Care Services Full Time Management Utica, NY, US 7 days ago Requisition ID ... This position provides direct supervision to Program Managers as well as serves as an agency leader ...

ICONMA

Managed Care Coordinator

Hopewell, NJ · On-site

Managed Care Coordinator Our client, a Health Insurance company, is looking for a Managed Care ... Referral Program * Excellent growth and advancement opportunities

VMG HOLDINGS LLC

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 ...

MJHS

Managed Care Coordinator

Manhattan, NY · On-site

$38K - $48K/yr

... Program (PSLF) Responsibilities: Our MJHS Medical Associates, P.C. is a group of Nurse ... One-year prior managed care experience preferred * Prior experience in a health care setting ...

International Executive Service Corps

Cardiac rehabilitation and wellness programs As a key part of Los Angeles County's STEMI receiving network , we provide lifesaving cardiac intervention through our state-of-the-art Roberta G. Veloz ...

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Managed Care Program Manager information

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$35.5K

$68.8K

$114.5K

How much do managed care program manager jobs pay per year?

As of Sep 10, 2026, the average yearly pay for managed care program manager in the United States is $68,758.00, according to ZipRecruiter salary data. Most workers in this role earn between $62,500.00 and $69,000.00 per year, depending on experience, location, and employer.

What is a managed care program manager?

A Managed Care Program Manager is a healthcare professional responsible for overseeing and coordinating managed care programs within a healthcare organization or insurance company. They work to ensure that patients receive cost-effective and quality care by developing, implementing, and monitoring managed care contracts and policies. Their duties often include collaborating with healthcare providers, analyzing health plan performance, ensuring regulatory compliance, and managing relationships with payers. This role requires strong organizational, analytical, and communication skills, as well as a deep understanding of healthcare regulations and insurance practices.

What are the key skills and qualifications needed to thrive as a managed care program manager?

To thrive as a Managed Care Program Manager, you need strong knowledge of healthcare systems, contract negotiation, utilization management, and a relevant bachelor's or master's degree, often in healthcare administration or a related field. Familiarity with managed care software, claims management systems, and regulatory compliance tools is typically required. Exceptional leadership, analytical thinking, and communication skills set top performers apart in this role. These abilities are crucial to optimize care delivery, ensure regulatory compliance, and achieve cost-effective outcomes for healthcare organizations.

How does a managed care program manager typically collaborate with healthcare providers and insurers to ensure program success?

A Managed Care Program Manager regularly coordinates with healthcare providers and insurance companies to align program goals, streamline care delivery, and address any coverage or compliance issues. This involves holding meetings to review performance metrics, resolving disputes, and developing strategies to improve patient outcomes while managing costs. Effective communication and relationship-building skills are essential, as the role often serves as a bridge between clinical teams and payers to foster collaboration and program efficiency.

What is the difference between Managed Care Program Manager vs Managed Care Coordinator?

AspectManaged Care Program ManagerManaged Care Coordinator
CredentialsBachelor's degree, certifications like CCM or CPCHigh school diploma or associate's, relevant certifications
Work EnvironmentOffice settings, healthcare organizations, insurance companiesClinics, hospitals, insurance offices
Employer & Industry UsageHealth plans, managed care organizations, healthcare providersInsurance companies, healthcare facilities

The Managed Care Program Manager oversees the development and implementation of managed care strategies, focusing on program performance and compliance. In contrast, the Managed Care Coordinator handles day-to-day coordination of patient care and insurance processes. Both roles require healthcare knowledge, but the Program Manager has a broader strategic focus, while the Coordinator is more operational.

What cities are hiring for Managed Care Program Manager jobs?

Cities with the most Managed Care Program Manager job openings:

What states have the most Managed Care Program Manager jobs?

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

What are popular job titles related to Managed Care Program Manager jobs?

For Managed Care Program Manager jobs, the most frequently searched job titles are:

Infographic showing various Managed Care Program Manager job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 79% Full Time, 17% Part Time, and 3% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $68,758 per year, or $33.1 per hour.

Director of Managed Care

Garfield Heights, OH • Remote

Nightingale
Recruiting and Staffing Services • 501 - 1,000 employees
Learn more about Nightingaleexternal

Full-time

Posted 15 days ago

Job description

Director of Managed Care

Remote Position

RN/LPN Preferred

Job Summary:

We are seeking an experienced, detail-driven Director of Managed Care to oversee prior authorizations, payer coordination, and utilization management across six skilled nursing facilities in Arkansas and Ohio. As a key member of our team, you will ensure timely authorizations, accurate documentation, and strong communication with payers to optimize reimbursement and resident care.

Responsibilities:

  • Manage and process all prior authorizations for admissions, continued stays, therapy services, and specialty care

  • Serve as the primary contact for managed care organizations, insurance plans, and payer representatives

  • Monitor authorization timelines, length of stay, and payer requirements to ensure compliance

  • Collaborate daily with MDS, nursing leadership, therapy, admissions, and regional leadership

  • Track, resolve, and appeal denials, ensuring complete and accurate documentation

  • Provide clear, consistent communication to facility teams regarding authorization status and next steps

  • Identify trends, barriers, and opportunities to strengthen managed care outcomes

  • Maintain organized workflows and reporting across all six facilities

Requirements:

  • Strong background in Managed Care, Utilization Review, Prior Authorization, or MDS within SNF/LTC

  • Deep understanding of Medicare Advantage, commercial plans, and authorization processes

  • Excellent communication, follow-through, and problem-solving skills

  • Ability to manage multiple facilities, deadlines, and payer relationships

  • Highly organized, tech-savvy, and comfortable working fully remote

  • Proactive, positive, team-focused professional who thrives in a collaborative environment

Your expertise ensures residents receive timely approvals, facilities maintain accurate reimbursement, and teams across Arkansas and Ohio stay aligned and supported. You'll be the central hub that keeps managed care operations running smoothly.

Why Join Us:

  • Fully remote role

  • Supportive, mission-driven leadership

  • Opportunity to impact outcomes across multiple communities

  • Competitive compensation

  • A role where your work directly strengthens resident care and operational success

If you're passionate about managed care excellence and excited to support six dedicated healthcare teams across Arkansas and Ohio, we want to meet you. Apply today and help us continue building strong, high-performing communities.