The candidate will be responsible for working directly with managed care payers and PFS to resolve claim payment and administrative escalations occurring with managed care contracts. Responsible for ...
The candidate will be responsible for working directly with managed care payers and PFS to resolve claim payment and administrative escalations occurring with managed care contracts. Responsible for ...
Managed Care Resource
Atlanta, GA · On-site
Managed Care Resource - Southeast Region Position Type: Full-time, exempt employee. Compensation Range: Depending on Experience. Location: Candidate must reside in the Atlanta, Georgia area. About ...
Managed Care Resource
Atlanta, GA · On-site
Managed Care Resource - Southeast Region Position Type: Full-time, exempt employee. Compensation Range: Depending on Experience. Location: Candidate must reside in the Atlanta, Georgia area. About ...
Managed Care Resource
Orlando, FL · On-site +1
Managed Care Resource - Southeast Region Position Type: Full-time, exempt employee. Compensation Range: Depending on Experience. Location: Candidate must reside in the Orlando, Florida area. About ...
Managed Care Resource
Orlando, FL · On-site +1
Managed Care Resource - Southeast Region Position Type: Full-time, exempt employee. Compensation Range: Depending on Experience. Location: Candidate must reside in the Orlando, Florida area. About ...
Managed Care Resource
Los Angeles, CA · On-site +1
$110K - $130K/yr
Managed Care Resource - Los Angeles, CA Position Type: Full Time, exempt employee. Salary: $110,000 - $130,000 annually, DOE; may be eligible for bonus. Location: Candidate must reside in the Los ...
Managed Care Resource
Los Angeles, CA · On-site +1
$110K - $130K/yr
Managed Care Resource - Los Angeles, CA Position Type: Full Time, exempt employee. Salary: $110,000 - $130,000 annually, DOE; may be eligible for bonus. Location: Candidate must reside in the Los ...
Managed Care Resource
Whittier, CA · On-site
$110K - $130K/yr
Managed Care Resource - Los Angeles, CA Position Type: Full Time, exempt employee. Salary: $110,000 - $130,000 annually, DOE; may be eligible for bonus. Location: Candidate must reside in the Los ...
Managed Care Resource
Whittier, CA · On-site
$110K - $130K/yr
Managed Care Resource - Los Angeles, CA Position Type: Full Time, exempt employee. Salary: $110,000 - $130,000 annually, DOE; may be eligible for bonus. Location: Candidate must reside in the Los ...
Managed Care Resource
Jacksonville, FL · On-site +1
Managed Care Resource - Southeast Region Position Type: Full-time, exempt employee. Compensation Range: Depending on Experience. Location: Candidate must reside in the Jacksonville, Florida area.
Managed Care Resource
Jacksonville, FL · On-site +1
Managed Care Resource - Southeast Region Position Type: Full-time, exempt employee. Compensation Range: Depending on Experience. Location: Candidate must reside in the Jacksonville, Florida area.
Managed Care Resource
Jacksonville, FL · On-site
Managed Care Resource - Southeast Region Position Type: Full-time, exempt employee. Compensation Range: Depending on Experience. Location: Candidate must reside in the Jacksonville, Florida area.
Managed Care Resource
Jacksonville, FL · On-site
Managed Care Resource - Southeast Region Position Type: Full-time, exempt employee. Compensation Range: Depending on Experience. Location: Candidate must reside in the Jacksonville, Florida area.
Oversees managed care related policies, procedures and processes in support of strategic objectives. Develops and executes in conjunction with members of the US Oncology Network support staff on ...
Oversees managed care related policies, procedures and processes in support of strategic objectives. Develops and executes in conjunction with members of the US Oncology Network support staff on ...
Managed Care Specialist
Nashville, TN · On-site
Catapult Consultants is hiring a Managed Care Specialist to provide subject matter expertise and technical assistance on matters related to Managed Care operations, policies and regulations. This ...
Managed Care Specialist
Nashville, TN · On-site
Catapult Consultants is hiring a Managed Care Specialist to provide subject matter expertise and technical assistance on matters related to Managed Care operations, policies and regulations. This ...
Managed Care Assistant
Winter Haven, FL · On-site
The Managed Care Assistant supports the Managed Care and Quality departments by coordinating medical record collection, performing HEDIS data abstraction, preparing charts for review, and assisting ...
Managed Care Assistant
Winter Haven, FL · On-site
The Managed Care Assistant supports the Managed Care and Quality departments by coordinating medical record collection, performing HEDIS data abstraction, preparing charts for review, and assisting ...
Manager Managed Care Contracting
Saint Louis, MO · On-site
$83K - $136K/yr
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 ...
Manager Managed Care Contracting
Saint Louis, MO · On-site
$83K - $136K/yr
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 ...
Fast-paced and Growth-Oriented Here is what you will need: * 3+ years of experience in Managed Care, Revenue Cycle Management, or Payer Contracting. * Demonstrated experience supporting contract ...
Fast-paced and Growth-Oriented Here is what you will need: * 3+ years of experience in Managed Care, Revenue Cycle Management, or Payer Contracting. * Demonstrated experience supporting contract ...
Affordable and comprehensive benefits package The Managed Care Contracting Manager manages the execution, and administration of managed care agreements. Supports contract negotiations with our major ...
Affordable and comprehensive benefits package The Managed Care Contracting Manager manages the execution, and administration of managed care agreements. Supports contract negotiations with our major ...
Managed Care Coordinator
$38K - $48K/yr
Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in response to our patients' and members' needs. These high ...
Managed Care Coordinator
$38K - $48K/yr
Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in response to our patients' and members' needs. These high ...
JOB SUMMARY The Managed Care Coordinator is responsible for completing insurance requirements and providing case management support for services delivered across various patient care settings. This ...
JOB SUMMARY The Managed Care Coordinator is responsible for completing insurance requirements and providing case management support for services delivered across various patient care settings. This ...
Managed Care Coordinator
Los Angeles, CA · On-site
$25 - $31/hr
JOB SUMMARY The Managed Care Coordinator provides operational support for all managed care functions across contracted IPAs, MSOs, and health plans. This role is responsible for assisting with ...
Managed Care Coordinator
Los Angeles, CA · On-site
$25 - $31/hr
JOB SUMMARY The Managed Care Coordinator provides operational support for all managed care functions across contracted IPAs, MSOs, and health plans. This role is responsible for assisting with ...
Managed Care Coordinator I The Managed Care Coordinator I (MCC I) for the UM Letter Team is a remote-based role responsible for ensuring the quality, accuracy, and compliance of member-facing ...
Managed Care Coordinator I The Managed Care Coordinator I (MCC I) for the UM Letter Team is a remote-based role responsible for ensuring the quality, accuracy, and compliance of member-facing ...
Managed Care Coordinator
Philadelphia, PA · On-site
$21/hr
We are currently seeking Managed Care Coordinator to join our Intellectual and Developmental Disabilities Services (IDD) division. * Interface with physicians, AVS staff (Nurses, Adaptive Equipment ...
Managed Care Coordinator
Philadelphia, PA · On-site
$21/hr
We are currently seeking Managed Care Coordinator to join our Intellectual and Developmental Disabilities Services (IDD) division. * Interface with physicians, AVS staff (Nurses, Adaptive Equipment ...
Such as a Case worker, LPN, or Certified Medical assistant • 3 to 5 years clinical or care management experience preferred • Information technology software experience • Basic Cardiovascular ...
Such as a Case worker, LPN, or Certified Medical assistant • 3 to 5 years clinical or care management experience preferred • Information technology software experience • Basic Cardiovascular ...
Primary Accountability The Managed Care Analyst is responsible for using health plan data to validate, contrast, and track opportunities for revenue growth and compiling external and internal data ...
Primary Accountability The Managed Care Analyst is responsible for using health plan data to validate, contrast, and track opportunities for revenue growth and compiling external and internal data ...
managed care information
See salary details
$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
How much do managed care jobs pay per year?
As of Aug 20, 2026, the average yearly pay for 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 managed care?
Managed care refers to a healthcare delivery system designed to manage cost, utilization, and quality. It involves a network of providers and organizations that coordinate patient care to improve health outcomes while controlling expenses. Managed care plans often require members to choose healthcare providers from a specific network and may require pre-authorization for certain services. Common types of managed care include Health Maintenance Organizations (HMOs), Preferred Provider Organizations (PPOs), and Point of Service (POS) plans.
What are the most common challenges faced by professionals working in managed care roles?
Professionals in Managed Care often navigate complex regulatory requirements while balancing cost efficiency and quality patient care. One common challenge is coordinating between healthcare providers, insurance companies, and patients to ensure effective coverage and access to services. Additionally, staying updated on frequently changing policies and negotiating contracts can require strong analytical and communication skills. Collaboration with interdisciplinary teams is essential, and adaptability is key to managing evolving healthcare trends and payer guidelines.
What are the key skills and qualifications needed to thrive in managed care, and why are they important?
To excel in Managed Care, you need strong analytical abilities, knowledge of healthcare regulations, and typically a degree in healthcare administration, public health, or a related field. Familiarity with claims processing systems, data analytics tools, and industry-specific software such as Epic or Meditech is often required. Excellent communication, negotiation, and problem-solving skills help professionals build relationships with providers and navigate complex patient needs. These competencies are crucial for optimizing patient outcomes, controlling costs, and ensuring compliance within the evolving healthcare landscape.
What is the difference between Managed Care vs Health Insurance Coordinator?
| Aspect | Managed Care | Health Insurance Coordinator |
|---|---|---|
| Credentials | Typically requires a degree in healthcare administration, nursing, or related fields | Often requires knowledge of insurance policies, customer service, and sometimes certifications like CPC or HIPAA training |
| Work Environment | Hospitals, insurance companies, healthcare networks | Insurance companies, healthcare offices, clinics |
| Employer & Industry Usage | Healthcare providers, insurance plans, government programs | Insurance providers, healthcare organizations |
| Common Search & Comparison Intent | Understanding managed care plans, healthcare management | Managing insurance claims, policy details |
Managed Care professionals focus on coordinating healthcare services within managed care plans, emphasizing cost control and quality. Health Insurance Coordinators handle insurance policies, claims, and customer support. While both roles involve insurance, managed care is broader, often involving healthcare management, whereas insurance coordinators focus on policy administration.
What are examples of managed care?
Managed care involves health care organizations coordinating services to improve quality and control costs, often through health maintenance organizations (HMOs), preferred provider organizations (PPOs), and point-of-service (POS) plans. These models emphasize preventive care, network restrictions, and utilization management, requiring managed care professionals to oversee provider networks and patient care plans.
More about managed care jobs
What cities are hiring for Managed Care jobs?
Cities with the most 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 Managed Care jobs?
States with the most job openings for Managed Care jobs include:
What job categories do people searching Managed Care jobs look for?
The top searched job categories for Managed Care jobs are:
CHRISTUS Health rating
6.7
Based on 531 frontline employees who took The Breakroom Quiz
531st of 889 rated healthcare providers
Job description
Description
Summary:
This position is responsible for managing daily activities as assigned by System Director or Director related to providing operational support on managed care contracts. The candidate will be responsible for working directly with managed care payers and PFS to resolve claim payment and administrative escalations occurring with managed care contracts. Responsible for the mentoring and training of team members as needed, providing subject matter expertise to improve efficiencies and results. The candidate will work collaboratively with Vice President Managed Care, Managed Care Team, Revenue Integrity, and PFS management.
Responsibilities:
- Assists the point person to the hospital leadership teams and business offices for the assigned CHRISTUS region(s) for all managed care related aspects, including contract performance and operational issues Carries out appropriate managed care related education and training including roll out of new payor contracts
- Assists in payor/plan dispute resolution projects or any other special projects
- Responsible for coordinating payer credentialing & re-credentialing activities
- Works with the hospital business offices with regard to tracking and reducing managed care denials and underpayments, including restitution or other prompt pay penalties
- Knowledge of Federal and Texas general regulatory environment related to managed care and participates in legislative advocacy activities as appropriate
- Monitor implementation managed care contracts for all CHRISTUS Health Providers
- Develop payer performance and monitoring tools
- Conduct data analyses/reports to the assigned System Director or Director on payments and operational issues associated with Managed Care contract language
Requirements:
- Bachelor's Degree preferred
Work Schedule:
8AM - 5PM Monday-Friday
Work Type:
Full Time
What CHRISTUS Health employees say
Pay
Benefits
Hours and flexibility
Workplace
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About CHRISTUS Health
Sourced by ZipRecruiter
CHRISTUS Health is a prominent name in the healthcare industry, with its headquarters situated in Irving, TX, USA. Established in 1999, the company has since been devoted to providing comprehensive care and extending the healing ministry of Jesus Christ. This not-for-profit health system primarily operates more than 600 healthcare services and programs, including long-term care facilities, health insurance products, community clinics, and outreach services, serving both urban and rural populations.
Industry
Outpatient health care
Company size
1,001 - 5,000 Employees
Headquarters location
Irving, TX, US
Year founded
1999