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Manager Managed Care Contracting Jobs (NOW HIRING)

WakeMed

Director, Managed Care Contracting

Raleigh, NC · On-site

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 ...

Washington Hospital

Director, Managed Care

Fremont, CA · On-site

$196K - $294K/yr

Director, Managed Care Contracting Position Summary The Director, Managed Care Contracting, contributes to WHHS' growth and profitability by providing contracting expertise to existing and new ...

Ensign Services

Managed Care Resource

Orlando, FL · On-site

The Managed Care Consultant supports the Skilled Nursing Facility leaders in managed care contracting and revenue enhancement strategies for all healthcare payers and preparation for changes in the ...

VMG Health

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 ...

Washington University of St. Louis

Works jointly with the Senior Director of Managed Care Financial Contracting and Rate Analysis to secure optimal terms of participation with third-party managed care organizations. Primary Duties ...

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Manager Managed Care Contracting information

See salary details

$60K

$88.7K

$124K

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

As of Jul 28, 2026, the average yearly pay for manager managed care contracting 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 is the difference between Manager Managed Care Contracting vs Managed Care Contract Specialist?

AspectManager Managed Care ContractingManaged Care Contract Specialist
CredentialsBachelor's degree, certifications in healthcare or contracting often preferredSimilar credentials, often with certifications in healthcare or insurance
Work EnvironmentLeadership role, overseeing contracting teams and strategiesSupport role, focusing on contract analysis and negotiations
Employer & Industry UsageHospitals, health plans, insurance companiesManaged care organizations, insurance providers, healthcare systems
Search & Comparison IntentUnderstanding managerial responsibilities in managed care contractingDetailing specialist tasks in contract management

In summary, a Manager Managed Care Contracting oversees contract strategies and team management, while a Managed Care Contract Specialist focuses on contract analysis and negotiations. Both roles require similar credentials and work within healthcare organizations, but differ in scope and responsibilities.

What does a Manager of Managed Care Contracting do?

A Manager of Managed Care Contracting is responsible for overseeing the negotiation, implementation, and management of contracts between healthcare providers and insurance companies or managed care organizations. They analyze contract terms, ensure compliance with regulatory requirements, and work to secure favorable rates and terms for their organization. This role often involves collaborating with legal, finance, and clinical teams to optimize contract performance and support organizational goals.

What are the key skills and qualifications needed to thrive as a Manager Managed Care Contracting, and why are they important?

To thrive as a Manager Managed Care Contracting, you need expertise in healthcare contract negotiation, financial analysis, and a thorough understanding of managed care principles, typically supported by a bachelor's degree in business, healthcare administration, or a related field. Familiarity with contract management software, healthcare reimbursement systems, and regulatory compliance tools is essential for effective contract oversight. Strong interpersonal, problem-solving, and leadership skills help in building provider relationships and leading contract teams. These competencies ensure maximized reimbursement, regulatory compliance, and strategic partnerships crucial for organizational success in a competitive healthcare environment.

What are the primary challenges faced by a Manager of Managed Care Contracting when negotiating agreements with payers?

A Manager of Managed Care Contracting often encounters challenges such as balancing competitive reimbursement rates with the organization's financial goals, navigating complex regulatory requirements, and adapting to evolving payment models. Additionally, building and maintaining strong relationships with payers while ensuring contract terms align with clinical and operational objectives can be demanding. Effective managers leverage data analysis, negotiation skills, and cross-functional collaboration to address these challenges and achieve optimal contract outcomes.
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Manager Managed Care Contracting jobs near you
Infographic showing various Manager Managed Care Contracting job openings in the United States as of July 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution, with an average salary of $88,749 per year, or $42.7 per hour.
Manager, Managed Care Contracting

Manager, Managed Care Contracting

Sentara Healthcare

Virginia Beach, VA • On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 19 days ago

Sentara Health rating

6.8

Company rating: 6.8 out of 10

Based on 393 frontline employees who took The Breakroom Quiz

492nd of 890 rated healthcare providers

Job description

City/State
Virginia Beach, VA
Work Shift
First (Days)
Overview:
Manager, Managed Care Contracting
The Manager, Managed Care leads medical and pharmacy managed care contracting strategies and activities for assigned third-party payors, supporting Sentara Healthcare provider divisions. This role partners with clinical, pharmacy, and managed care leadership to optimize reimbursement, ensure contract performance, and align financial and operational objectives. The Manager, Managed Care serves as the primary liaison for a portfolio of payor relationships, overseeing contract implementation, issue resolution, and ongoing performance. This role supports data analysis and facilitates coordination of day-to-day managed care operations, including patient access, claims adjudication, and care management.
Hybrid position at 1300 Sentara Park, Virginia Beach, Virginia --two days remote and three days on site at Sentara Park.
There is an opportunity for Richmond (Virginia) residents to work same schedule at Sentara Health Plan in Richmond. Required to work each Wednesday at Sentara Park, Virginia Beach.
Education
  • Bachelor's degree (Required)

Experience
  • 3 years of experience in managed care contracting (Required)

  • 3 years of experience in healthcare (Required)

We are seeking demonstrated experience in pharmacy managed care, including:
  • Understanding of pharmacy benefit management (PBM) structures and reimbursement models (e.g., AWP, MAC, NADAC)

  • Experience negotiating pharmacy reimbursement terms and specialty pharmacy agreements

  • Knowledge of formulary management, utilization management, and drug pricing strategies

Strong financial acumen with experience in contract modeling and reimbursement analysis
Knowledge of healthcare regulations, payor requirements, and value-based care arrangements preferred
Benefits: Caring For Your Family and Your Career
• Medical, Dental, Vision plans
• Adoption, Fertility and Surrogacy Reimbursement up to 10,000
• Paid Time Off and Sick Leave
• Paid Parental & Family Caregiver Leave
• Emergency Backup Care
• Long-Term, Short-Term Disability, and Critical Illness plans
• Life Insurance
• 401k/403B with Employer Match
• Tuition Assistance - 5,250/year and discounted educational opportunities through Guild Education
• Student Debt Pay Down - 10,000
• Reimbursement for certifications and free access to complete CEUs and professional development
• Pet Insurance
• Legal Resources Plan
• Colleagues have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met.
Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.
In support of our mission "to improve health every day," this is a tobacco-free environment.
For positions that are available as remote work, Sentara Health employs associates in the following states:
Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.

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