Managed Care Director
Trevose, PA · On-site +1
Overview The Managed Care Director is responsible for developing and executing payer contracting ... Proficiency in public speaking, presentations, and remote facilitation. Knowledge of Microsoft ...
Trevose, PA · On-site +1
Overview The Managed Care Director is responsible for developing and executing payer contracting ... Proficiency in public speaking, presentations, and remote facilitation. Knowledge of Microsoft ...
Trevose, PA · On-site +1
Overview The Managed Care Director is responsible for developing and executing payer contracting ... Proficiency in public speaking, presentations, and remote facilitation. Knowledge of Microsoft ...
Atlanta, GA · Remote
Overview Fully Remote Role with 10 to 30% travel The Director, Managed Care is a key operational leader within Gentiva's Managed Care team, reporting to the AVP, Managed Care. This role is ...
Atlanta, GA · Remote
Overview Fully Remote Role with 10 to 30% travel The Director, Managed Care is a key operational leader within Gentiva's Managed Care team, reporting to the AVP, Managed Care. This role is ...
Columbia, SC · Remote
$30/hr
Managed Care Coordinator (RN / Licensed Clinician) Pay: Up to $30/hr Schedule: MondayFriday, 8:30 ... Remote (must live within 2 hours of Columbia, SC) Equipment Provided Position Summary Responsible ...
New
Quick apply
Columbia, SC · Remote
$30/hr
Managed Care Coordinator (RN / Licensed Clinician) Pay: Up to $30/hr Schedule: MondayFriday, 8:30 ... Remote (must live within 2 hours of Columbia, SC) Equipment Provided Position Summary Responsible ...
New
Columbia, SC · Remote
$30/hr
Managed Care Coordinator (RN / Licensed Clinician) Pay: Up to $30/hr Schedule: MondayFriday, 8:30 ... Remote (must live within 2 hours of Columbia, SC) Equipment Provided Position Summary Responsible ...
New
Quick apply
Columbia, SC · Remote
$30/hr
Managed Care Coordinator (RN / Licensed Clinician) Pay: Up to $30/hr Schedule: MondayFriday, 8:30 ... Remote (must live within 2 hours of Columbia, SC) Equipment Provided Position Summary Responsible ...
New
Fairfield, CA · On-site +1
$130K - $150K/yr
Remote Work Disclosure NorthBay Health is primarily an onsite organization due to the nature of ... Prior experience in a managed care organization or department required. * Understands the health ...
Fairfield, CA · On-site +1
$130K - $150K/yr
Remote Work Disclosure NorthBay Health is primarily an onsite organization due to the nature of ... Prior experience in a managed care organization or department required. * Understands the health ...
Remote option available for candidates outside of surrounding areas. DUTIES AND RESPONSIBILITIES ... or healthcare related field EXPERIENCE * Minimum of 3 years of experience in managed ...
Remote option available for candidates outside of surrounding areas. DUTIES AND RESPONSIBILITIES ... or healthcare related field EXPERIENCE * Minimum of 3 years of experience in managed ...
This position is suited for a healthcare professional with a robust background in skilled nursing care management and a keen ability to lead remote teams. Experience Requirements: * Required
Quick apply
This position is suited for a healthcare professional with a robust background in skilled nursing care management and a keen ability to lead remote teams. Experience Requirements: * Required
$22 - $28/hr
We are currently hiring a Managed Care Compliance Specialist! If you are highly detail-oriented ... REMOTE, must reside in list of approved states (OR, TX, DE) Salary: $22.00 - $28.00/HOURLY ...
$22 - $28/hr
We are currently hiring a Managed Care Compliance Specialist! If you are highly detail-oriented ... REMOTE, must reside in list of approved states (OR, TX, DE) Salary: $22.00 - $28.00/HOURLY ...
Remote must reside in Florida * Status: Full Time (non-exempt) * Shift: 8:00 AM - 5:00 PM (may vary ... The Managed Care Negotiator I is responsible for: * Negotiates agreements under supervision from ...
Remote must reside in Florida * Status: Full Time (non-exempt) * Shift: 8:00 AM - 5:00 PM (may vary ... The Managed Care Negotiator I is responsible for: * Negotiates agreements under supervision from ...
New York, NY · Remote
$85/hr
Remote Role Responsibilities * Identify, analyze, and recover underpayments and payment variances across commercial, Medicare Advantage , and Medicaid managed care payer contracts. * Evaluate AI ...
Quick apply
New York, NY · Remote
$85/hr
Remote Role Responsibilities * Identify, analyze, and recover underpayments and payment variances across commercial, Medicare Advantage , and Medicaid managed care payer contracts. * Evaluate AI ...
Clearwater, FL · On-site +1
Remote must reside in Florida * Status: Full Time (non-exempt) * Shift: 8:00 AM - 5:00 PM (may vary ... The Managed Care Negotiator I is responsible for: * Negotiates agreements under supervision from ...
Clearwater, FL · On-site +1
Remote must reside in Florida * Status: Full Time (non-exempt) * Shift: 8:00 AM - 5:00 PM (may vary ... The Managed Care Negotiator I is responsible for: * Negotiates agreements under supervision from ...
Fountain Valley, CA · Remote
$38.36/hr
Fountain Valley, CA / Predominately Remote (Must be located in CA) Department: Managed Care Status: Full-Time Shift: Days (8hr) Pay Range*: $38.36/hr - $55.61/hr MemorialCare is a nonprofit ...
Fountain Valley, CA · Remote
$38.36/hr
Fountain Valley, CA / Predominately Remote (Must be located in CA) Department: Managed Care Status: Full-Time Shift: Days (8hr) Pay Range*: $38.36/hr - $55.61/hr MemorialCare is a nonprofit ...
Fountain Valley, CA · Remote
$38.36/hr
Fountain Valley, CA / Predominately Remote (Must be located in CA) Department: Managed Care Status: Full-Time Shift: Days (8hr) Pay Range*: $38.36/hr - $55.61/hr MemorialCare is a nonprofit ...
Fountain Valley, CA · Remote
$38.36/hr
Fountain Valley, CA / Predominately Remote (Must be located in CA) Department: Managed Care Status: Full-Time Shift: Days (8hr) Pay Range*: $38.36/hr - $55.61/hr MemorialCare is a nonprofit ...
The Cedars-Sinai Medical Network is committed to helping primary care and specialist physicians ... Provides analysis and prepares recommendations to Management for errors and inconsistences
The Cedars-Sinai Medical Network is committed to helping primary care and specialist physicians ... Provides analysis and prepares recommendations to Management for errors and inconsistences
$146K - $248K/yr
Remote Department/Specialty: Chief Legal Counsel Schedule: Full time, days Salary: $146,000.00 ... Drafting, reviewing and negotiating managed care agreements, including value based care ...
$146K - $248K/yr
Remote Department/Specialty: Chief Legal Counsel Schedule: Full time, days Salary: $146,000.00 ... Drafting, reviewing and negotiating managed care agreements, including value based care ...
Los Angeles, CA · On-site +1
$27.74 - $43/hr
The Cedars-Sinai Medical Network is committed to helping primary care and specialist physicians ... Provides analysis and prepares recommendations to Management for errors and inconsistences
Los Angeles, CA · On-site +1
$27.74 - $43/hr
The Cedars-Sinai Medical Network is committed to helping primary care and specialist physicians ... Provides analysis and prepares recommendations to Management for errors and inconsistences
Somerville, MA · Remote
$21 - $28.30/hr
Managed Care Services Insurance Verification Representative is vital for the team and you will be ... remote role Quiet, secure, stable, compliant work station required and will be verified at ...
Somerville, MA · Remote
$21 - $28.30/hr
Managed Care Services Insurance Verification Representative is vital for the team and you will be ... remote role Quiet, secure, stable, compliant work station required and will be verified at ...
Somerville, MA · On-site +1
$21 - $28.30/hr
Managed Care Services Insurance Verification Representative is vital for the team and you will be ... remote role • Quiet, secure, stable, compliant work station required and will be verified at ...
Somerville, MA · On-site +1
$21 - $28.30/hr
Managed Care Services Insurance Verification Representative is vital for the team and you will be ... remote role • Quiet, secure, stable, compliant work station required and will be verified at ...
Rockville, MD · Remote
$70K - $100K/yr
The Opportunity As a Medicaid Managed Care Senior Analyst, you will bring policy knowledge, project ... Abt will never ask candidates for money in exchange for an offer of employment. #LI-REMOTE #LI-BF1 ...
Rockville, MD · Remote
$70K - $100K/yr
The Opportunity As a Medicaid Managed Care Senior Analyst, you will bring policy knowledge, project ... Abt will never ask candidates for money in exchange for an offer of employment. #LI-REMOTE #LI-BF1 ...
Rockville, MD · Remote
$70K - $100K/yr
The Opportunity As a Medicaid Managed Care Senior Analyst, you will bring policy knowledge, project ... Abt will never ask candidates for money in exchange for an offer of employment. #LI-REMOTE #LI-BF1 ...
Rockville, MD · Remote
$70K - $100K/yr
The Opportunity As a Medicaid Managed Care Senior Analyst, you will bring policy knowledge, project ... Abt will never ask candidates for money in exchange for an offer of employment. #LI-REMOTE #LI-BF1 ...
$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
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.
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.
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.

Full-time
Posted 21 days ago
7.4
Based on 107 frontline employees who took The Breakroom Quiz
262nd of 890 rated healthcare providers
The Managed Care Director is responsible for developing and executing payer contracting, reimbursement, and value-based care strategies for assigned practices within The US Oncology Network. This role leads contract negotiations with commercial payers, Medicare, Medicaid, concierge benefit managers, employers, provider networks, and health systems to maximize revenue, strengthen market position, and support practice growth.Success in this role requires building strong relationships with payer partners, practice leadership, and key stakeholders while supporting managed care strategies across multiple practices and service areas.
The Director serves as a strategic advisor to practice leadership, identifying opportunities to enhance reimbursement, referral relationships, and participation in innovative payment models, including value-based and risk-sharing arrangements. The role collaborates with cross-functional teams across McKesson and US Oncology to develop and implement payer strategies, alternative payment models, and performance initiatives that improve financial and quality outcomes. This is a hybrid positon- the ideal candidate will be able to travel between Pennsylvania Locations as well as Deleware Locations, only candidates who are local to these areas will be considered.
Key Responsibilities
Lead managed care contracting and negotiation strategies with payers, providers,
employers, and health systems.
Develop and execute payer, reimbursement, and value-based care initiatives aligned with
practice growth objectives.
Advise practice and organizational leadership on managed care trends, revenue
optimization, and market opportunities.
Establish and maintain relationships with key payer and provider stakeholders.
Support development and implementation of alternative payment models, including
value-based reimbursement, shared savings, and risk-based contracts.
Analyze financial and operational performance to evaluate contract effectiveness and identify
improvement opportunities.
Collaborate with operations, finance, pharmacy, revenue cycle, and business development
teams to achieve budget and performance goals.
Provide guidance on managed care contract review, reimbursement policies, and
payer-related operational processes.
Monitor industry trends, payer activity, and market conditions to support strategic planning.
Minimum Qualifications
Education
Bachelor's degree required.
Master's degree in Business, Finance, Healthcare Administration, or related field preferred.
Experience
10+ years of experience in managed care, payer relations, value-based care, healthcare
administration, oncology, or multispecialty practice operations.
Experience negotiating payer contracts and developing strategic payer relationships.
Experience with value-based care models, reimbursement methodologies, and healthcare
financial analysis.
Preferred Skills
Strong understanding of managed care, healthcare reimbursement, and provider operations.
Experience in oncology or specialty healthcare environments.
Executive presence with strong leadership, communication, and relationship-building skills.
Ability to influence stakeholders and collaborate across diverse teams.
Proficiency in public speaking, presentations, and remote facilitation.
Knowledge of Microsoft Office Suite and Salesforce.
Working Conditions
Hrybrid position with approximately 30% domestic travel- On-site attendance is required during onboarding payer meetings, practice leadership engagement, and other business needs payer meetings, practice leadership engagement, onboarding, and other business needs. The position supports multiple practices across different service areas and requires the ability to effectively partner with diverse teams while balancing the unique needs of each division.
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Health care and social assistance
10,000+ Employees
The Woodlands, TX, US
1992