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Remote Managed Care Analyst Jobs (NOW HIRING)

Managed Care Resource - Midwest About the Company Our growing company serves over 378 health care ... Strong analytical mind, with problem solving skills, an aptitude for accuracy, and attention to ...

Healthcare Analyst II

Dayton, OH · On-site +1

$72K - $115K/yr

Analyze healthcare utilization to identify patterns, variation, and outliers * Identify and ... Managed care experience is strongly preferred Competencies, Knowledge and Skills: * Knowledge of ...

... in analyzing margins based on costs and rates for existing and newly acquired operations ... Remote Compensation: $95,000 - $105,000 About the Company Pennant Services is one of the most ...

$40/hr

EDI Healthcare Analyst (Claims / Encounters & Enrollment) Location: Remote (US Only) Employment Type: W2 Rate: $40/hr (No Benefits) Role Overview: We are looking for experienced EDI Healthcare ...

Managed Care Assistant

Somerville, MA · Remote

$19.81 - $28.30/hr

... analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching ... Additional Job Details (if applicable) Remote Type Remote Work Location 399 Revolution Drive ...

Specialist, Managed Care Operation * Location: Morristown, US or Cambridge, MA About the Job The ... This position will analyze and pay rebates based on contract language, formulary placement and ...

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Remote Managed Care Analyst information

See salary details

$31K

$73.3K

$130K

How much do remote managed care analyst jobs pay per year?

As of Jun 9, 2026, the average yearly pay for remote managed care analyst in the United States is $73,261.00, according to ZipRecruiter salary data. Most workers in this role earn between $52,500.00 and $87,000.00 per year, depending on experience, location, and employer.

What is the difference between Remote Managed Care Analyst vs Remote Healthcare Data Analyst?

AspectRemote Managed Care AnalystRemote Healthcare Data Analyst
Required CredentialsHealthcare-related certifications, bachelor’s degree in health administration or related fieldStatistics, data analysis, or health informatics certifications, bachelor’s degree in data science or related field
Work EnvironmentHealthcare organizations, insurance companies, managed care plansHospitals, healthcare providers, research institutions, insurance companies
Employer & Industry UsageFocuses on managing patient care plans, cost containment, and provider networksFocuses on analyzing healthcare data, trends, and outcomes for decision-making

The main difference is that Remote Managed Care Analysts focus on managing patient care and healthcare plans, while Remote Healthcare Data Analysts analyze healthcare data to inform decisions. Both roles require healthcare knowledge and data skills but serve different functions within the healthcare industry.

More about Remote Managed Care Analyst jobs
What cities are hiring for Remote Managed Care Analyst jobs? Cities with the most Remote Managed Care Analyst job openings:
What are the most commonly searched types of Managed Care Analyst jobs? The most popular types of Managed Care Analyst jobs are:
What states have the most Remote Managed Care Analyst jobs? States with the most job openings for Remote Managed Care Analyst jobs include:
Infographic showing various Remote Managed Care Analyst job openings in the United States as of May 2026, with employment types broken down into 2% Locum Tenens, 5% As Needed, 30% Full Time, 46% Part Time, and 17% Contract. Highlights an 88% Physical, 3% Hybrid, and 9% Remote job distribution, with an average salary of $73,261 per year, or $35.2 per hour.
Managed Care Resource

Managed Care Resource

Ensign Services, Inc.

Charlotte, NC • On-site, Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 21 days ago


Ensign Group rating

6.4

Company rating: 6.4 out of 10

Based on 164 frontline employees who took The Breakroom Quiz

632nd of 870 rated healthcare providers


Job description

Managed Care Resource - Southeast Region
About the Company
Our growing company serves over 378 health care operations that employ over 55,000 employees across 17 states. These operations have no corporate headquarters or traditional management hierarchy. Instead, they operate independently with support from the "Service Center" - a team of accounting, legal, human resources, benefits, compliance, payroll, construction, training and information technology resources. Service Center human resources employees are dedicated subject matter consultants who guide and advise field personnel. This structure allows on-site leaders and caregivers to focus on day-to-day issues in their individual operations. What sets ESI apart from other companies is the quality of our most valuable resource - our people.
About the Opportunity
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 healthcare industry. The Consultant will provide guidance regarding development of managed care relationships and rate negotiation, ensuring timeliness and rate appropriateness.
Additionally, the Consultant will negotiate contracts for new locations, assist with ensuring that contracts are updated for new services and help with contract cancellations, denials and appeals.
Essential Functions and Responsibilities:
  • Establish, implement and evaluate the strategic plan(s) that will ensure each local operation the ability to optimize financial performance through rates and increased census.
  • Engage in complex levels of contract development and negotiation, including risk agreements using utilization, claims and market data with health plans and direct service agreements with physicians, physician organizations and hospitals and ancillary providers.
  • Identify, develop and maintain an effective relationship with contracted health plans and managed care regulatory agencies.
  • Manage complex and high-profile health plan negotiations. Actively draft and negotiate contracts in the health care operations and health care plan functional areas.
  • Assist in analysis and coordination of amendments, reimbursement, and language changes.
  • Assess resource utilization, cost management and negotiate effectively.
  • Monitor industry changes, trends and events to proactively identify opportunities to increase market penetration and performance improvement.
  • Understands the competitive pricing levels in the local market and improves the company's cost position through unit costs strategies.
  • Strategizes for facility census growth and retention.
  • Teach, Train and Instruct facility level personnel on how to operationalize the contract.
  • Interact with facility personnel on utilization, clinical results and managed care census.

Qualifications:
  • Knowledge of managed care contracting language, requirements, and methods to support the development and maintenance of contract compliance, contract language review and contract analysis.
  • Must be knowledgeable about the managed care environment, including capitation, PPO, HMO, IPA, ACO and POS.
  • Knowledge of CPT-4, HCPCS, Revenue and ICD coding.
  • Expert in Skilled Nursing Managed care plans.
  • Experience in successful operationalizing managed care contracts in the skilled nursing environment.
  • Knowledge of contracts and contractual interpretations for payment and benefit issues.
  • Working knowledge of medical terminology, claims payment, contract negotiations, and problem resolution; ability to work collaboratively in a team setting.
  • Communicate effectively at all organizational levels and in situations requiring instructing, persuading, negotiating, consulting, and advising.
  • Ability to deal with responsibility with confidential matters. Maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA).
  • Strong analytical mind, with problem solving skills, an aptitude for accuracy, and attention to detail.
  • Must be able to prioritize, plan, and handle multiple tasks/demands simultaneously.
  • Excellent verbal and written communication skills, as well as excellent critical thinking skills.
  • Computer savvy (Contract Logix, MS Word, MS Outlook & Excel).
  • Ability to be flexible, be readily adaptable, and work in a rapidly and constantly changing environment.
  • Present in facilities on a weekly basis, (currently as deemed appropriate).

Desired Qualifications:
  • Must reside inCharlotte, NC
  • Preference for bachelor's degree in business administration, management or health care administration.
  • Willing to travel up to 80% of the time (as deemed appropriate)
  • Highly desired at least 2 years' experience with Managed Care contracting in a Senior Living/Skilled Nursing or Long-Term Care community.

Additional Information:
  • Wage Rate: Depending on Experience
  • Position Type: Full-time, exempt employee
  • Location: Candidate must reside in theCharlotte, NC area.
  • Pre-employment criminal background screening required.

What We Offer:
We are committed to providing a competitive benefits and compensation package which includes medical/dental/vision coverage, company-provided life insurance, 401(k) with company match, and sick/vacation plans. We also believe in supporting our employee's professional growth and development through our Learning Management System as well as training sessions and seminars. Take a look at these benefits (and more!) at www.ensignbenefits.com
Ensign Services, Inc. is an equal opportunity employer. If you need assistance or accommodation during the application process, please contact us at 888-659-3616.
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