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Manager Managed Care Contracting Jobs (NOW HIRING)

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 ...

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 ...

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 ...

Managed Care Resource

Los Angeles, CA · On-site +1

$110K - $130K/yr

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 ...

You'll play a key role in negotiating and managing financial agreements within the healthcare space. You'll help shape financial strategies that impact patient care and operational efficiency. If you ...

Collaborate with managed care contracting teams to identify contract language gaps and renegotiation opportunities. * Monitor underpayment recovery KPIs including identified underpayment dollars ...

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 ...

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 ...

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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 21, 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.
More about Manager Managed Care Contracting jobs
What cities are hiring for Manager Managed Care Contracting jobs? Cities with the most Manager Managed Care Contracting job openings:
What are the most commonly searched types of Managed Care Contracting jobs? The most popular types of Managed Care Contracting jobs are:
What states have the most Manager Managed Care Contracting jobs? States with the most job openings for Manager Managed Care Contracting jobs include:
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

BJC HealthCare

Saint Louis, MO

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 4 days ago


BJC Healthcare rating

7.6

Company rating: 7.6 out of 10

Based on 227 frontline employees who took The Breakroom Quiz

191st of 886 rated healthcare providers


Job description

Additional Information About the Role
BJC is seeking a Manager of Managed Care Contracting. This role oversees value-based contracting across the organization, including negotiating with insurance providers and implementing contract agreements. The ideal candidate will have prior experience with value-based contracts and a strong understanding of coding and documentation practices.
Must be located in the greater St. Louis area. 

Overview

BJC HealthCare is one of the largest nonprofit health care organizations in the United States, delivering services to residents primarily in the greater St. Louis, southern Illinois and southeast Missouri regions. With net revenues of $6.3 billion and more than 30,000 employees, BJC serves patients and their families in urban, suburban and rural communities through its 14 hospitals and multiple community health locations. Services include inpatient and outpatient care, primary care, community health and wellness, workplace health, home health, community mental health, rehabilitation, long-term care and hospice.

BJC is the largest provider of charity care, unreimbursed care and community benefits in the state of Missouri. BJC and its hospitals and health service organizations provide $785.9 million annually in community benefit. That includes $410.6 million in charity care and other financial assistance to patients to ensure medical care regardless of their ability to pay. In addition, BJC provides additional community benefits through commitments to research, emergency preparedness, regional health care safety net services, health literacy, community outreach and community health programs and regional economic development.

BJC’s patients have access to the latest advances in medical science and technology through a formal affiliation between Barnes-Jewish Hospital and St. Louis Children’s Hospital with the renowned Washington University School of Medicine, which consistently ranks among the top medical schools in the country.

The BJC Managed Care department includes multiple functions such as managed care contracting, financial analysis, systems and operations, value-based care and payment programs, payor and provider relations, and direct to employer solutions.


Preferred Qualifications

Role Purpose

In collaboration with leadership, the Managed Care Contracting Manager manages and leads the contract negotiations with the Managed Care Organizations (MCOs), including rate and language discussions in accordance with established guidelines and aligned with BJC strategic goals. This position develops and maintains strong relationships with the Managed Care Organizations (MCOs). This position also collaborates with the HSOs in order to identify challenges and opportunities for improvement around contract performance.

Responsibilities

  • Manages individual(s) including but not limited to: onboarding and hiring, training, workload management & performance evaluations, conducting professional development plans as needed. Ensures that the productivity and actions of that group meet/support the overall operational goals of the department as established by department leadership.
  • Negotiates complex managed care contracts on behalf of the BJC HSOs including hospitals, physicians, home care, behavioral health and other ancillary providers; leads contract discussions with managed care organizations, including reviewing and drafting contract language provisions that protect BJC's revenue and improve administrative functions and negotiating rates within established guidelines.
  • Facilitates problem solving of identified contractual and operational issues in collaboration with managed care organizations and internal stakeholders; identifies and communicates opportunities for process improvement with managed care organizations and internal stakeholders.
  • Stays abreast of changing healthcare landscape to maintain an awareness of competitor services and reimbursement models, as well as opportunities for improvement in the financial and operational components of managed care contracts; leads discussions pertinent to contract performance, market changes, market intelligence, and strategic decision making.
  • Coordinates with analytical team to ensure contractual terms, including payer-specific requirements, reimbursement logic, and limitations are understood and appropriately included in any modeling systems.
  • Minimum Requirements

    Education

  • Bachelor's Degree
  • Experience

  • 5-10 years
  • Supervisor Experience

  • 2-5 years
  • Preferred Requirements

    Education

  • Master's Degree
  • Experience

  • 10+ years
  • Supervisor Experience

  • 5-10 years

  • Benefits and Legal Statement

    BJC Total Rewards

    At BJC we're committed to providing you and your family with benefits and resources to help you manage your physical, emotional, social and financial well-being.

    • Comprehensive medical, dental, vison, life insurance, and legal services available first day of the month after hire date
    • Disability insurance* paid for by BJC
    • Annual 4% BJC Automatic Retirement Contribution
    • 401(k) plan with BJC match
    • Tuition Assistance available on first day
    • BJC Institute for Learning and Development
    • Health Care and Dependent Care Flexible Spending Accounts
    • Paid Time Off benefit combines vacation, sick days, holidays and personal time
    • Adoption assistance

    To learn more, go to our Benefits Summary.

    *Not all benefits apply to all jobs

    The above information on this description has been designed to indicate the general nature and level of work performed by employees in this position. It is not designed to contain or be interpreted as an exhaustive list of all responsibilities, duties and qualifications required of employees assigned to this job. Equal Opportunity Employer

    Qualifications:

    Role Purpose

    In collaboration with leadership, the Managed Care Contracting Manager manages and leads the contract negotiations with the Managed Care Organizations (MCOs), including rate and language discussions in accordance with established guidelines and aligned with BJC strategic goals. This position develops and maintains strong relationships with the Managed Care Organizations (MCOs). This position also collaborates with the HSOs in order to identify challenges and opportunities for improvement around contract performance.

    Responsibilities

  • Manages individual(s) including but not limited to: onboarding and hiring, training, workload management & performance evaluations, conducting professional development plans as needed. Ensures that the productivity and actions of that group meet/support the overall operational goals of the department as established by department leadership.
  • Negotiates complex managed care contracts on behalf of the BJC HSOs including hospitals, physicians, home care, behavioral health and other ancillary providers; leads contract discussions with managed care organizations, including reviewing and drafting contract language provisions that protect BJC's revenue and improve administrative functions and negotiating rates within established guidelines.
  • Facilitates problem solving of identified contractual and operational issues in collaboration with managed care organizations and internal stakeholders; identifies and communicates opportunities for process improvement with managed care organizations and internal stakeholders.
  • Stays abreast of changing healthcare landscape to maintain an awareness of competitor services and reimbursement models, as well as opportunities for improvement in the financial and operational components of managed care contracts; leads discussions pertinent to contract performance, market changes, market intelligence, and strategic decision making.
  • Coordinates with analytical team to ensure contractual terms, including payer-specific requirements, reimbursement logic, and limitations are understood and appropriately included in any modeling systems.
  • Minimum Requirements

    Education

  • Bachelor's Degree
  • Experience

  • 5-10 years
  • Supervisor Experience

  • 2-5 years
  • Preferred Requirements

    Education

  • Master's Degree
  • Experience

  • 10+ years
  • Supervisor Experience

  • 5-10 years
  • Education:UNAVAILABLEEmployment Type: FULL_TIME

    What BJC Healthcare employees say

    Pay

    Benefits

    Hours and flexibility

    Workplace

    Get the full story on Breakroom


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    About BJC Healthcare

    Sourced by ZipRecruiter

    BJC Healthcare, situated in Saint Louis, MO, US, is one of the largest healthcare organizations in the United States. Launched in 1993, BJC encompasses 15 hospitals and multiple health service organizations covering the metropolitan St. Louis area, mid-Missouri and Southern Illinois. This healthcare titan's services cover a vast field, from community health and wellness, to pediatric care, to advanced specialty care. BJC is well-known for its two nationally recognized hospitals, Barnes-Jewish Hospital and St. Louis Children's Hospital, both affiliated with Washington University School of Medicine. Its mission revolves around improving the health and well-being of the communities it serves through leadership, education, innovation, and excellence in medicine.

    Industry

    Health care and social assistance

    Company size

    10,000+ Employees

    Headquarters location

    Saint Louis, MO, US