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UNC HEALTH

Managed Care Coordinator

Morrisville, NC · On-site +1

$28.87 - $41.50/hr

UNC Health is hiring a full-time Managed Care Coordinator to join our team! Our ideal candidate ... Remote Work Schedule: Day Job Location of Job: US:NC:Morrisville Exempt From Overtime: Exempt: Yes ...

Mercy

In this position, you'll work closely with the Director of Managed Care Analysis to support managed care efforts across our East and South-Central Communities, along with select responsibilities that ...

Massgeneralbrigham

Managed Care Assistant

Somerville, MA · Remote

$19.81 - $28.30/hr

As a not-for-profit, we support patient care, research, teaching, and community service, striving ... Additional Job Details (if applicable) Remote Type Remote Work Location 399 Revolution Drive ...

Integrated Resources, Inc

Managed Care Coordinator

Wall, NJ · Remote

$17 - $18/hr

Appeals Specialist I Location: 100% Remote looking candidates from five states: NJ, NY, PA, CT, and ... Enters Appeals in the medical management system and also created an appeal packet with the clinical ...

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How much do remote managed care jobs pay per year?

As of Jun 7, 2026, the average yearly pay for remote 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 is a Remote Managed Care job?

A Remote Managed Care job involves overseeing healthcare services, cost management, and patient care coordination from a remote location. Professionals in this role work with insurance providers, healthcare facilities, and patients to ensure efficient and cost-effective care. Responsibilities may include reviewing treatment plans, managing claims, and ensuring compliance with healthcare regulations. Remote Managed Care positions are common in insurance companies, hospitals, and telehealth organizations, requiring strong communication and analytical skills.

What are the typical daily responsibilities for someone working in a Remote Managed Care position?

In a Remote Managed Care role, your primary daily tasks often include coordinating care plans, reviewing healthcare claims, ensuring members receive appropriate medical services, and communicating with providers, patients, and insurance companies. You may spend much of your day using online platforms to track cases, resolve billing issues, and document patient interactions. Collaboration with clinical teams, providers, and case managers is common to address patient needs and ensure the quality and cost-effectiveness of care. Working remotely requires a high level of self-motivation and strong organizational skills, as you’ll manage your caseload with minimal direct supervision.

What are the key skills and qualifications needed to thrive in the Remote Managed Care position, and why are they important?

To thrive in a Remote Managed Care role, you need a solid understanding of healthcare administration, insurance processes, patient advocacy, and compliance — usually demonstrated by relevant experience or a degree in healthcare or business. Familiarity with managed care software platforms, claims management systems, and relevant certifications such as Certified Case Manager (CCM) or Certified Professional in Healthcare Management (CPHM) are often required. Strong communication, time management, and problem-solving skills set top performers apart in this position. These skills are critical for effectively coordinating patient care, ensuring regulatory compliance, and delivering excellent service while working remotely.

More about Remote Managed Care jobs
What cities are hiring for Remote Managed Care jobs? Cities with the most Remote 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 Remote Managed Care jobs? States with the most job openings for Remote Managed Care jobs include:
What job categories do people searching Remote Managed Care jobs look for? The top searched job categories for Remote Managed Care jobs are:
Remote Managed Care jobs near you
Infographic showing various Remote Managed Care job openings in the United States as of May 2026, with employment types broken down into 88% Full Time, 2% Part Time, and 10% Contract. Highlights an 88% Physical, 3% Hybrid, and 9% Remote job distribution, with an average salary of $88,749 per year, or $42.7 per hour.
Managed Care Coordinator

Managed Care Coordinator

UNC HEALTH

Morrisville, NC • On-site, Remote

$28.87 - $41.50/hr

Full-time, Contractor

Posted 19 days ago

Job description

Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve.
UNC Health is hiring a full-time Managed Care Coordinator to join our team! Our ideal candidate will have:
✅ Epic Hospital Billing or Professional Billing Expected Reimbursement Contracts Administration certification or similar proficiency in other vendor software.
✅ Overall general understanding of Healthcare Revenue Cycle processes
✅ Epic Hospital Billing Experience or similar in other vendor software. Specifics as follows:
  • Resolving insurance payment variances
  • Understanding of insurance payer reimbursement terms and billing to support
  • Strong understanding of insurance payment process/posting of payer remittance information

Summary
The Managed Care Coordinator is a key member of the Contract Administration team. This role is responsible for maintaining accurate reimbursement calculations, performing payment variance analysis, supporting ad hoc reporting needs, and assisting with contract modeling and negotiation activities. The position plays an important role in ensuring payer contracts are accurately reflected in billing systems and that financial outcomes align with contractual expectations.
Responsibilities
As part of the Contract Administration team, the Managed Care Coordinator will be responsible for the following:
  1. Billing Reimbursement Configuration and Maintenance
    Build, maintain, and troubleshoot expected Hospital, ASC, and Ancillary reimbursement calculations within Epic for both governmental and commercial payers. This includes ensuring that reimbursement logic is accurately loaded and aligned between Epic and payer systems. Responsibilities include implementing routine updates such as quarterly drug fee schedules, annual payer rate increases, and annual fee schedule updates. Technical capabilities include building contracts in the Epic POC environment and utilizing Content Manager for data couriering to PRD. The role requires obtaining the Epic RHB390 Hospital Billing Expected Reimbursement Contracts certification within the first 90 days.
  2. Contract Modeling and Negotiation Support
    Support major payer negotiations by developing and analyzing contract modeling scenarios. Using Managed Care-developed tools, proposed commercial payer rates are modeled across all UNC Health entities to assess expected financial impact. Results are summarized and presented to financial and operational leadership to support data-driven decision-making.
  3. Contract Validation and Variance Analysis
    Validate contract builds by performing payment variance analysis to ensure contracted reimbursement terms are correctly implemented and functioning as expected. Identify discrepancies and collaborate with internal teams to resolve issues.

Other Information
Other information:
Education Requirements:
• Bachelor's degree in relevant field
Licensure/Certification Requirements:
• No licensure or certification required.
Professional Experience Requirements:
• If Bachelor's degree, requires two (2) years of experience with managed care contracts and provider relations. If Associate's degree, requires six (6) years of experience with managed care contracts and provider relations. If High School diploma or GED, requires ten (10) years of experience with managed care contracts and provider relations.
• If Master's degree, requires zero (0) year of experience
Knowledge/Skills/and Abilities Requirements:
Job Details
Legal Employer: NCHEALTH
Entity: Shared Services
Organization Unit: Managed Care
Work Type: Full Time
Standard Hours Per Week: 40.00
Salary Range: $28.87 - $41.50 per hour (Hiring Range)
Pay offers are determined by experience and internal equity
Work Assignment Type: Remote
Work Schedule: Day Job
Location of Job: US:NC:Morrisville
Exempt From Overtime: Exempt: Yes
This position is employed by NC Health (Rex Healthcare, Inc., d/b/a NC Health), a private, fully-owned subsidiary of UNC Health Care System, in a department that provides shared services to operations across UNC Health Care; except that, if you are currently a UNCHCS State employee already working in a designated shared services department, you may remain a UNCHCS State employee if selected for this job.
Qualified applicants will be considered without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, status as a protected veteran or political affiliation.
UNC Health makes reasonable accommodations for applicants' and employees' religious practices and beliefs, as well as applicants and employees with disabilities. All interested applicants are invited to apply for career opportunities. Please email applicant.accommodations@unchealth.unc.edu if you need a reasonable accommodation to search and/or to apply for a career opportunity.

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