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Manager Care Management Jobs in Raleigh, NC (NOW HIRING)

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Director, Managed Care Contracting

Raleigh, NC · On-site

$95 - $130/hr

... Management or Accounting Required - With College Courses in Finance Required - And Master's Degree in Related Field Preferred Experience 10 Years Managed Care Contracting Required - And 5 Years ...

WakeMed

Director, Managed Care Contracting

Raleigh, NC · On-site

... Management Or Accounting Required - With College Courses Finance Required - And Master's Degree Related Field Preferred Experience 10 Years Managed Care Contracting Required - And 5 Years Health ...

Arosa Durham

RN Care Manager

Durham, NC · On-site

$90K/yr

Additionally, you'll also handle various clinical duties such as initial assessments, weekly care management, coordinating with the Interdisciplinary Team (IDT), and overseeing our caregiving team.

Arosa Durham

RN Care Manager

Durham, NC · On-site

$90K/yr

Care Management Services Knowledge and Skill Requirements: * Educational Minimum Requirement: an Associate Degree in Nursing; Preferred candidate: Bachelor's or Master's Degree in Nursing. * Must be ...

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Manager Care Management information

See Raleigh, NC salary details

$25.3K

$54.8K

$97.7K

How much do manager care management jobs pay per year?

As of Aug 8, 2026, the average yearly pay for manager care management in Raleigh, NC is $54,784.00, according to ZipRecruiter salary data. Most workers in this role earn between $40,800.00 and $62,200.00 per year, depending on experience, location, and employer.

What are some common challenges faced by a manager care management, and how can they be addressed?

Managers in Care Management often face challenges such as coordinating care across multiple departments, managing patient caseloads efficiently, and ensuring compliance with complex healthcare regulations. Effective communication, strong organizational skills, and a proactive approach to problem-solving are essential to overcome these hurdles. Collaborating closely with interdisciplinary teams and staying updated on best practices can also help maintain high standards of patient care and streamline processes.

What does a manager care management do?

A Manager of Care Management oversees teams that coordinate and manage patient care, often within hospitals, clinics, or insurance organizations. Their primary role is to ensure that patients receive effective, efficient, and high-quality care throughout their healthcare journey. They supervise care managers, develop care plans, monitor patient outcomes, and work to improve processes and compliance with regulations. Additionally, they collaborate with healthcare providers, social services, and families to ensure the best possible patient outcomes.

What is the difference between Manager Care Management vs Care Coordinator?

AspectManager Care ManagementCare Coordinator
CredentialsRN, LPN, or relevant healthcare certificationsRN, LPN, or relevant healthcare certifications
Work EnvironmentSupervisory role overseeing care teams and programsDirect patient interaction and coordination of services
Employer & Industry UsageHospitals, insurance companies, healthcare organizationsHospitals, clinics, community health programs

While both roles focus on patient care, the Manager Care Management oversees care teams and program operations, whereas the Care Coordinator directly manages patient care plans and services. The Manager typically has more leadership responsibilities, while the Care Coordinator focuses on day-to-day patient interactions.

What are the key skills and qualifications needed to thrive as a manager care management, and why are they important?

To thrive as a Manager Care Management, you need a solid background in nursing or social work, strong leadership abilities, and a relevant degree or certification such as RN, LCSW, or CCM. Familiarity with care management software, electronic health records, and utilization review systems is typically required. Outstanding communication, problem-solving, and team management skills help motivate staff and coordinate complex care plans. These competencies ensure effective care coordination, regulatory compliance, and improved patient outcomes in healthcare organizations.
What are the most commonly searched types of Care Management jobs in Raleigh, NC? The most popular types of Care Management jobs in Raleigh, NC are:
What are popular job titles related to Manager Care Management jobs in Raleigh, NC? For Manager Care Management jobs in Raleigh, NC, the most frequently searched job titles are:
What job categories do people searching Manager Care Management jobs in Raleigh, NC look for? The top searched job categories for Manager Care Management jobs in Raleigh, NC are:
What cities near Raleigh, NC are hiring for Manager Care Management jobs? Cities near Raleigh, NC with the most Manager Care Management job openings:
Manager Care Management jobs near you
Infographic showing various Manager Care Management job openings in Raleigh, NC as of July 2026, with employment types broken down into 1% As Needed, 83% Full Time, 13% Part Time, 1% Temporary, and 2% Contract. Highlights an 88% Physical, 2% Hybrid, and 10% Remote job distribution, with an average salary of $54,784 per year, or $26.3 per hour.

Director, Managed Care Contracting

Direct Jobs

Raleigh, NC • On-site

$95 - $130/hr

Other

Re-posted yesterday

Job description

Overview

The Director, Managed Care Contracting is responsible for utilizing business and industry expertise, accepts responsibility for all activities in the Managed Care department applying to and impacting WakeMed facilities' managed care contracts including budgeting, analysis, contract modeling, negotiation meetings and monitoring and reporting of payor contracts' compliance. Directs organizational efforts at building relationships with area managed care plans. Directly manages and develops a portfolio of managed care contracts. Directs contracting strategy for hospitals, Healthplexes, hospital outpatient departments, Home Health and Rehab divisions. Develops payment models for facility managed care contracts. Oversees facility what-if modeling analysis performed in STRATA modeling tool. Oversees the following noncontracting Managed Care responsibilities: hospital contract loading in EPIC, hospital payment variances, facility credentialing. Works with CFO, Vice President of Finance, Finance Directors and financial analysts to analyze feasibility of different payment methodologies/utilization patterns and the impact on WakeMed. Monitors market trends and competitive managed care products to develop strategy recommendations. Works with WakeMed's accountable care organization to coordinate contracting efforts and outcomes beneficial to WakeMed providers. When requested, interfaces with external and third‑party auditors; prepares and defends contract questions and challenges; maintains quality of work and creates value through knowledge and experience with governmental regulations and processes. Adheres to service and workforce excellence by maintaining knowledge of third‑party regulations (CMS, NCDHHS, DOI, etc.) for all payors, including governmental and commercial payors. Oversees problem solving related to contract terms, payment promptness, payor‑member issues, and physician‑payor relations. Works closely with other Finance teams to ensure reported data is reliable. Plans and organizes activities for personnel to ensure deadlines and goals are met. Supervises and trains staff to improve and maintain the accuracy and timeliness of contacts.

Department Description

Serving the community since 1961, WakeMed Health & Hospitals is the leading provider of health services in Wake County. With a mission to improve the health and well‑being of our community, we are committed to providing outstanding and compassionate care. For more information, www.wakemed.org.

EOE

Licensure

Certified Healthcare Financial Professional or Certified Public Accountant or Certified Revenue Cycle Representative Preferred

Education

Bachelor's Degree in Business Administration or Healthcare Management or Accounting Required – With College Courses in Finance Required – And Master's Degree in Related Field Preferred

Experience

10 Years Managed Care Contracting Required – And 5 Years Healthcare Multi‑Hospital System Preferred

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