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Managed Care Jobs (NOW HIRING)

Summit

Managed Care Nurse

Lakeland, FL · On-site

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 ...

MJHS

Managed Care Coordinator III

Manhattan, NY · On-site

$46K - $58K/yr

Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in response to our patients' and members' needs. These high ...

Acrisure

Managed Care Program Analyst

Bradenton, FL · On-site

The Managed Care Program Analyst will assist with reporting, data analysis, project coordination, process improvement initiatives, and cross-functional collaboration. This position is ideal for ...

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Managed Care information

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$60K

$88.7K

$124K

How much do managed care jobs pay per year?

As of Jul 16, 2026, the average yearly pay for managed care 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 in Managed Care, and why are they important?

To excel in Managed Care, you need strong analytical abilities, knowledge of healthcare regulations, and typically a degree in healthcare administration, public health, or a related field. Familiarity with claims processing systems, data analytics tools, and industry-specific software such as Epic or Meditech is often required. Excellent communication, negotiation, and problem-solving skills help professionals build relationships with providers and navigate complex patient needs. These competencies are crucial for optimizing patient outcomes, controlling costs, and ensuring compliance within the evolving healthcare landscape.

What is managed care?

Managed care refers to a healthcare delivery system designed to manage cost, utilization, and quality. It involves a network of providers and organizations that coordinate patient care to improve health outcomes while controlling expenses. Managed care plans often require members to choose healthcare providers from a specific network and may require pre-authorization for certain services. Common types of managed care include Health Maintenance Organizations (HMOs), Preferred Provider Organizations (PPOs), and Point of Service (POS) plans.

What are the most common challenges faced by professionals working in Managed Care roles?

Professionals in Managed Care often navigate complex regulatory requirements while balancing cost efficiency and quality patient care. One common challenge is coordinating between healthcare providers, insurance companies, and patients to ensure effective coverage and access to services. Additionally, staying updated on frequently changing policies and negotiating contracts can require strong analytical and communication skills. Collaboration with interdisciplinary teams is essential, and adaptability is key to managing evolving healthcare trends and payer guidelines.

Is being a MOA a good entry level job?

Medical Office Assistants (MOAs) often start in entry-level positions, providing administrative and clinical support in healthcare settings. The role typically requires basic medical office skills, such as scheduling, patient communication, and familiarity with electronic health records, making it accessible for those seeking an initial healthcare job. It can serve as a stepping stone to more advanced healthcare roles with experience and additional training.

What is a managed care job?

A managed care job involves coordinating healthcare services to ensure cost-effective and quality patient care, often within insurance companies, health plans, or healthcare organizations. Roles may include case managers, utilization reviewers, or health plan administrators, requiring knowledge of healthcare policies, insurance processes, and sometimes certifications like CCM or CHC.

What is the difference between Managed Care vs Health Insurance Coordinator?

AspectManaged CareHealth Insurance Coordinator
CredentialsTypically requires a degree in healthcare administration, nursing, or related fieldsOften requires knowledge of insurance policies, customer service, and sometimes certifications like CPC or HIPAA training
Work EnvironmentHospitals, insurance companies, healthcare networksInsurance companies, healthcare offices, clinics
Employer & Industry UsageHealthcare providers, insurance plans, government programsInsurance providers, healthcare organizations
Common Search & Comparison IntentUnderstanding managed care plans, healthcare managementManaging insurance claims, policy details

Managed Care professionals focus on coordinating healthcare services within managed care plans, emphasizing cost control and quality. Health Insurance Coordinators handle insurance policies, claims, and customer support. While both roles involve insurance, managed care is broader, often involving healthcare management, whereas insurance coordinators focus on policy administration.

What is the highest paying job in healthcare management?

The highest paying roles in healthcare management are often executive positions such as Chief Executive Officer (CEO), Chief Operating Officer (COO), or Chief Financial Officer (CFO) of healthcare organizations. These roles typically require extensive experience, advanced degrees, and strong leadership skills, with salaries often exceeding six figures annually.

What does a managed care department do?

A managed care department oversees healthcare plans that coordinate and control patient care to reduce costs and improve quality. Staff in this department develop provider networks, manage claims, and ensure compliance with regulations, often using data analysis and healthcare management tools.
More about Managed Care jobs
What cities are hiring for Managed Care jobs? Cities with the most Managed Care job openings:
What are the most commonly searched types of Managed Care jobs? The most popular types of Managed Care jobs are:
What states have the most Managed Care jobs? States with the most job openings for Managed Care jobs include:
What job categories do people searching Managed Care jobs look for? The top searched job categories for Managed Care jobs are:
Managed Care jobs near you
Infographic showing various Managed Care job openings in the United States as of July 2026, with employment types broken down into 2% As Needed, 70% Full Time, 22% Part Time, and 6% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution, with an average salary of $88,749 per year, or $42.7 per hour.
Managed Care Nurse

Managed Care Nurse

Summit

Lakeland, FL • On-site

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 7 days ago

Job description

Summit provides independent insurance agents and their clients with market-leading workers' comp insurance and elite customer service. We're growing and currently serve more than 7,000 independent agents and 31,000 policyholders across the South, Midwest, and Mid-Atlantic.
Our strength comes from a single-minded focus on workers' comp and a commitment to long-term customer relationships. Summit is who you turn to when you need a specialist who not only knows workers' comp but also gets to know your business and your priorities.
Our field team members are located in every state in which we operate.
Summit is a member of the Great American Insurance Group where our highest goal is for all employees to feel included, respected, and empowered to perform at their best.
This position is not eligible for employment visa sponsorship. Applicants must be authorized to work in the United States without the need for current or future sponsorship.
Essential Job Functions and Responsibilities
  • Monitors, coordinates, and evaluates complex treatment plans of assigned claimants to provide appropriate, effective, and cost-efficient care.
  • Coordinates with vendors and healthcare providers to facilitate the treatment process including assessing and reviewing complex treatment plans and care facilities to ensure they meet the necessary medical standards and guidelines.
  • Leads case management activities, including detailed documentation, follow-ups, and in-depth reporting on claimant progress.
  • Monitors and controls medical costs by ensuring treatments are necessary and cost-effective.
  • Maintains clear and effective communication with claimants, healthcare providers, and cross-functional teams to enhance collaboration and outcomes.
  • Identifies, addresses, and resolves any issues or disputes related to claimant treatment.
  • May have responsibility for performance and coaching of staff and may have a participatory role in decisions regarding talent selection, development, and performance management for direct reports.
  • Performs other duties as assigned.
  • The person hired for this position will work out of the Lakeland, FL office which offers a hybrid work environment of 4 days in the office and 1 day work from home.

#LI-Hybrid
Job Requirements
Education: Bachelor's degree or Associate's in Nursing or equivalent; R.N. (Registered Nurse) preferred.
Experience: Generally, a minimum of 3-5 years of case management or managed care experience preferred.
Scope of Job/Qualifications: 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 in organizing and prioritizing caseloads, ensuring timely completion. Excellent interpersonal and communication skills to collaborate with appropriate parties to ensure thorough and effective case management. Stays informed about emerging legislation and industry standards. Proven ability to handle confidential information with discretion. Advanced analytical skills with the ability to use data to analyze complex situations, identify problems, and develop effective solutions. Viewed as a senior resource on the Managed Care team.
Company:
SCI Summit Consulting, LLC
Benefits:
We offer competitive benefits packages for full-time and part-time employees*. Full-time employees have access to medical, dental, and vision coverage, wellness plans, parental leave, adoption assistance, and tuition reimbursement. Full-time and eligible part-time employees also enjoy Paid Time Off and paid holidays, a 401(k) plan with company match, an employee stock purchase plan, and commuter benefits.
Compensation varies by role, level, and location and is influenced by skills, experience, and business needs. Your recruiter will provide details about benefits and specific compensation ranges during the hiring process. Learn more at http://www.gaig.com/careers.
*Excludes seasonal employees and interns.

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