Managed Care Coordinator
$38K - $48K/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 ...
$38K - $48K/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 ...
$38K - $48K/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 ...
Manhattan, NY · On-site
$38K - $48K/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 ...
Manhattan, NY · On-site
$38K - $48K/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 ...
This position will contribute to successful managed care relationships with focus on achieving increased utilization, supporting quality initiatives, ensuring compliance to contractual agreements ...
This position will contribute to successful managed care relationships with focus on achieving increased utilization, supporting quality initiatives, ensuring compliance to contractual agreements ...
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 ...
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 ...
Visalia, CA · On-site
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 ...
Visalia, CA · On-site
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 ...
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 ...
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 ...
Be Seen First
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 ...
Quick apply
Be Seen First
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 ...
Newark, NJ · On-site
Managed Care Coordinator Duration: 5+ Months Location: Newark NJ Additional Skills : - Strong knowledge of claims processing required. Job Summary: This position supports the Health Services and ...
Newark, NJ · On-site
Managed Care Coordinator Duration: 5+ Months Location: Newark NJ Additional Skills : - Strong knowledge of claims processing required. Job Summary: This position supports the Health Services and ...
In addition to co supervision of Managed Care staff, they provide training, technical assistance and support to Managed Care Department staff. To maintain quality they conduct periodic staff ...
In addition to co supervision of Managed Care staff, they provide training, technical assistance and support to Managed Care Department staff. To maintain quality they conduct periodic staff ...
Seattle, WA · On-site
In addition to co supervision of Managed Care staff, they provide training, technical assistance and support to Managed Care Department staff. To maintain quality they conduct periodic staff ...
Seattle, WA · On-site
In addition to co supervision of Managed Care staff, they provide training, technical assistance and support to Managed Care Department staff. To maintain quality they conduct periodic staff ...
$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 ...
$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 ...
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 ...
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 ...
This person negotiates for NorthBay with healthcare insurance companies and oversees the implementation, monitoring, and evaluation of hospital, physician, and ancillary managed care payor ...
This person negotiates for NorthBay with healthcare insurance companies and oversees the implementation, monitoring, and evaluation of hospital, physician, and ancillary managed care payor ...
Houston, TX · On-site
$16.25 - $19.25/hr
As a Managed Care Services Representative, you'll also collaborate closely with internal teams, clients, payers, and providers, building strong relationships and preparing presentations - with the ...
Houston, TX · On-site
$16.25 - $19.25/hr
As a Managed Care Services Representative, you'll also collaborate closely with internal teams, clients, payers, and providers, building strong relationships and preparing presentations - with the ...
Overview Enjoy a flexible hybrid schedule while supporting impactful managed care and healthcare contracting operations. Work Style: Hybrid (Onsite training for first 2 months, then hybrid schedule ...
Overview Enjoy a flexible hybrid schedule while supporting impactful managed care and healthcare contracting operations. Work Style: Hybrid (Onsite training for first 2 months, then hybrid schedule ...
Tampa, FL · On-site
$83K - $110K/yr
Under general supervision of the Vice President of Managed Care, the Senior Managed Care Analyst develops, directs and/or performs analytical and planning functions in support of managed care ...
Tampa, FL · On-site
$83K - $110K/yr
Under general supervision of the Vice President of Managed Care, the Senior Managed Care Analyst develops, directs and/or performs analytical and planning functions in support of managed care ...
Los Angeles, CA · On-site
$104K - $130K/yr
Schedules and participates in regular meetings with managed care providers. * Seeks opportunities to build relationships with health care providers, local and community organizations, government ...
Los Angeles, CA · On-site
$104K - $130K/yr
Schedules and participates in regular meetings with managed care providers. * Seeks opportunities to build relationships with health care providers, local and community organizations, government ...
Tampa, FL · On-site
$83K - $110K/yr
Under general supervision of the Vice President of Managed Care, the Senior Managed Care Analyst develops, directs and/or performs analytical and planning functions in support of managed care ...
Tampa, FL · On-site
$83K - $110K/yr
Under general supervision of the Vice President of Managed Care, the Senior Managed Care Analyst develops, directs and/or performs analytical and planning functions in support of managed care ...
$20.50 - $27.50/hr
The Managed Care Specialist is responsible for resolving managed care denied and underpaid claims timely. Responsibilities * Must be able to understand managed care contracts, create project ...
$20.50 - $27.50/hr
The Managed Care Specialist is responsible for resolving managed care denied and underpaid claims timely. Responsibilities * Must be able to understand managed care contracts, create project ...
Interface with managed care plans on claim reconciliations, trended issues and operational projects. Determine root cause and seek resolution. Evaluate payor assessments of overpayments and ...
Interface with managed care plans on claim reconciliations, trended issues and operational projects. Determine root cause and seek resolution. Evaluate payor assessments of overpayments and ...
$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
| Aspect | Managed Care | Health Insurance Coordinator |
|---|---|---|
| Credentials | Typically requires a degree in healthcare administration, nursing, or related fields | Often requires knowledge of insurance policies, customer service, and sometimes certifications like CPC or HIPAA training |
| Work Environment | Hospitals, insurance companies, healthcare networks | Insurance companies, healthcare offices, clinics |
| Employer & Industry Usage | Healthcare providers, insurance plans, government programs | Insurance providers, healthcare organizations |
| Common Search & Comparison Intent | Understanding managed care plans, healthcare management | Managing 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.

$38K - $48K/yr
Full-time
Medical, Dental, Vision, Retirement, PTO
Posted 21 days ago
The challenges of affordable healthcare continue to create new opportunities. 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-quality healthcare plans are designed to help keep people independent and living life on their own terms.
The MJHS DifferenceAt MJHS, we are more than a workplace; we are a supportive community committed to excellence, respect, and providing high-quality, personalized health care services. We foster collaboration, celebrate achievements, and promote fairness for all. Our contributions are recognized with comprehensive compensation and benefits, career development, and the opportunity for a healthy work-life balance, advancement within our organization and the fulfillment of having a lasting impact on the communities we serve.
Benefits include:
MJHS companies are qualified employers under the Federal Government's Paid Student Loan Forgiveness Program (PSLF)
ResponsibilitiesThe Managed Care Coordinator (MCC) is expected to insure high quality, cost-effective care and services for Elderplan/HomeFirst members through support of professional Care Management activities. The position supports all aspects of care coordination for our Medicaid, and/or dual product members in compliance with all departmental and CMS/DOH regulatory requirements. 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.
QualificationsSourced by ZipRecruiter
1,001 - 5,000 Employees
New York, NY, US
1907