Managed Care Coordinator Jobs
Managed Care Coordinator jobs are open across health insurance, hospital systems, managed care organizations, and home health agencies, from entry-level to senior and lead, with specializations in utilization management, case coordination, and prior authorization. Find a role that fits from the openings below and apply directly.
Find Managed Care Coordinator JobsOverview
Showing 5 of 12+ Managed Care Coordinator jobs
INTRODUCTION
When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives.
JOB SUMMARY
Under the direction of the Sr. Managed Care Coordinator and Practice Manager, initiate and process managed care insurance referral requests for patients of the practice, while maintaining a strong focus on patient-centered care, timeliness, quality, and accuracy. Adhere to the organization’s Revenue Cycle Referral Management policy and meet targets regarding expected standard turnaround time goals as set by the practice.
JOB DESCRIPTION
ESSENTIAL RESPONSIBILITIES:
-
Work collaboratively with APG PCPs, patients and practice support staff to coordinate, and process all specialty care managed care referral authorization requests in compliance with APG’s, BIDMC’s and BIDPO’s contractual rules and agreements for multiple managed care insurance payers. Utilize electronic technologies to initiate, issue, and administratively sign off on a high volume of referrals.
-
Learn and remain proficient on multiple electronic technologies used by the APG practices and BIDMC to initiate referral requests in an efficient and timely manner. Technologies will include but are not limited to (POS) Point of Service Device, Health Wire Network, Aetna WebMD, NEHEN, HPHC Connect, and other computer and web-based technology, Navinet and NIA.
-
Serve as a daily point of contact and as an organizational resource for APG patients, families, specialty practices, physicians and support staff on APG managed care related issues. Communicate to the specialist and/or patient the level of care, number of visits being authorized (e.g. one consult only vs. a consult and treatment), and the extent of the diagnostic testing being authorized.
-
Communicate with managed care payers to resolve patient referral management issues; coordinate with Patient Accounts, and other internal and external customers to resolve patient billing problems. Help provide referral management training to new hires. Work with extremely sensitive and highly confidential patient information and adhere to policy of maintaining patient confidentiality.
-
Maintain current knowledge base of referral and authorization plan rules and policies for multiple managed care payers and multiple specialties and ancillary/diagnostic testing as they apply to issuing PCP approvals. Work closely with patients and PCP’s to refer patients with complex referral needs and complicated problems or situations to the case management at the insurance companies.
REQUIRED QUALIFICATIONS:
- High School diploma or GED required.
- Certificate 1 Medical Admin Assistant Cert preferred.
- 1-3 years related work experience required.
- Experience with computer systems required, including web based applications and some Microsoft Office applications which may include Outlook, Word, Excel, PowerPoint or Access.
COMPETENCIES:
-
Written Communications: Ability to communicate clearly and effectively in written English with internal and external customers.
-
Oral Communications: Ability to comprehend and converse in English to communicate effectively with medical center staff, patients, families and external customers.
-
Knowledge: Ability to demonstrate full working knowledge of standard concepts, practices, procedures and policies with the ability to use them in varied situations.
-
Team Work: Ability to interact respectfully with other employees, professional staff and/or external contacts to offer ideas, identify issues, obtain information or deliver services.
-
Customer Service: Ability to provide a high level of customer service to patients, visitors, staff and external customers in a professional, service-oriented, respectful manner using skills in active listening and problem solving. Ability to remain calm in stressful situations.
PHYSICAL NATURE OF THE JOB:
Sedentary work: Exerting up to 10 pounds of force occasionally in carrying, lifting, pushing, pulling objects. Sitting most of the time, with walking and standing required only occasionally.
PAY RANGE:
$22.50 – $30.00
The pay range listed for this position is the base hourly wage range the organization reasonably and in good faith expects to pay for this position at this time. Actual compensation is determined based on several factors, that may include seniority, education, training, relevant experience, relevant certifications, geography of work location, job responsibilities, or other applicable factors permissible by law. Compensation may exceed the base hourly rate depending on shift differentials, call pay, premium pay, overtime pay, and other additional pay practices, as applicable to the position and in accordance with the law.
As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment.
LOCATION
Plymouth, MA
JOB DETAILS
- Employment: Full-time
- Hours/Week: 40
- Shift: Day
- Category: Payer Relations
- Pay Range: $22.50 - $30.00
- FLSA: Non-Exempt
- Req ID: JR97228
Equal Opportunity Employer/Veterans/Disabled
INTRODUCTION
When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives.
JOB SUMMARY
Under the direction of the Sr. Managed Care Coordinator and Practice Manager, initiate and process managed care insurance referral requests for patients of the practice, while maintaining a strong focus on patient-centered care, timeliness, quality, and accuracy. Adhere to the organization’s Revenue Cycle Referral Management policy and meet targets regarding expected standard turnaround time goals as set by the practice.
JOB DESCRIPTION
ESSENTIAL RESPONSIBILITIES:
-
Work collaboratively with APG PCPs, patients and practice support staff to coordinate, and process all specialty care managed care referral authorization requests in compliance with APG’s, BIDMC’s and BIDPO’s contractual rules and agreements for multiple managed care insurance payers. Utilize electronic technologies to initiate, issue, and administratively sign off on a high volume of referrals.
-
Learn and remain proficient on multiple electronic technologies used by the APG practices and BIDMC to initiate referral requests in an efficient and timely manner. Technologies will include but are not limited to (POS) Point of Service Device, Health Wire Network, Aetna WebMD, NEHEN, HPHC Connect, and other computer and web-based technology, Navinet and NIA.
-
Serve as a daily point of contact and as an organizational resource for APG patients, families, specialty practices, physicians and support staff on APG managed care related issues. Communicate to the specialist and/or patient the level of care, number of visits being authorized (e.g. one consult only vs. a consult and treatment), and the extent of the diagnostic testing being authorized.
-
Communicate with managed care payers to resolve patient referral management issues; coordinate with Patient Accounts, and other internal and external customers to resolve patient billing problems. Help provide referral management training to new hires. Work with extremely sensitive and highly confidential patient information and adhere to policy of maintaining patient confidentiality.
-
Maintain current knowledge base of referral and authorization plan rules and policies for multiple managed care payers and multiple specialties and ancillary/diagnostic testing as they apply to issuing PCP approvals. Work closely with patients and PCP’s to refer patients with complex referral needs and complicated problems or situations to the case management at the insurance companies.
REQUIRED QUALIFICATIONS:
- High School diploma or GED required.
- Certificate 1 Medical Admin Assistant Cert preferred.
- 1-3 years related work experience required.
- Experience with computer systems required, including web based applications and some Microsoft Office applications which may include Outlook, Word, Excel, PowerPoint or Access.
COMPETENCIES:
-
Written Communications: Ability to communicate clearly and effectively in written English with internal and external customers.
-
Oral Communications: Ability to comprehend and converse in English to communicate effectively with medical center staff, patients, families and external customers.
-
Knowledge: Ability to demonstrate full working knowledge of standard concepts, practices, procedures and policies with the ability to use them in varied situations.
-
Team Work: Ability to interact respectfully with other employees, professional staff and/or external contacts to offer ideas, identify issues, obtain information or deliver services.
-
Customer Service: Ability to provide a high level of customer service to patients, visitors, staff and external customers in a professional, service-oriented, respectful manner using skills in active listening and problem solving. Ability to remain calm in stressful situations.
PHYSICAL NATURE OF THE JOB:
Sedentary work: Exerting up to 10 pounds of force occasionally in carrying, lifting, pushing, pulling objects. Sitting most of the time, with walking and standing required only occasionally.
PAY RANGE:
$22.50 – $30.00
The pay range listed for this position is the base hourly wage range the organization reasonably and in good faith expects to pay for this position at this time. Actual compensation is determined based on several factors, that may include seniority, education, training, relevant experience, relevant certifications, geography of work location, job responsibilities, or other applicable factors permissible by law. Compensation may exceed the base hourly rate depending on shift differentials, call pay, premium pay, overtime pay, and other additional pay practices, as applicable to the position and in accordance with the law.
As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment.
LOCATION
Plymouth, MA
JOB DETAILS
- Employment: Full-time
- Hours/Week: 40
- Shift: Day
- Category: Payer Relations
- Pay Range: $22.50 - $30.00
- FLSA: Non-Exempt
- Req ID: JR97228
Equal Opportunity Employer/Veterans/Disabled
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Find Managed Care Coordinator JobsManaged Care Coordinator Job Market
A snapshot from current openings nationwide, updated as new roles post.
Who's Hiring
- North East Medical Services4
- Beth Israel Lahey Health1
- Brigham & Women'S Faulkner Hospital1
- CHRISTUS Health1
- CommonSpirit Health1
Top Industries Hiring
- Healthcare & Medical Services10
- Non-Profit & Social Services4
- Education1
What Employers Look For
The qualifications that appear most often in managed care coordinator jobs.
- Associate's or bachelor's degree in nursing, social work, or a health-related field
- Active clinical license such as RN or LSW preferred by most employers
- Experience with utilization review, prior authorization, or case management
- Knowledge of Medicaid, Medicare, or commercial managed care plan operations
- Proficiency with care management platforms and electronic health record systems
- Strong communication skills for coordinating across members, providers, and payers
Tips for Your Managed Care Coordinator Job Search
Tailor your resume for prior authorization
Highlight specific payer experience and any familiarity with criteria sets like InterQual or MCG. Recruiters scan for these terms fast, and a generic clinical resume won't signal the utilization management background most managed care coordinator roles require.
Apply early to roles that fit
Migrate Mate lists managed care coordinator openings from across the United States in one place, so you can find roles that match and apply directly to each listing.
Target postings by product line not just title
Search for Medicaid, Medicare Advantage, or commercial lines of business alongside the job title. Managed care coordinator duties shift significantly by product line, and filtering by payer type helps you find openings that match your actual experience.
Quantify your caseload in the resume
Hiring managers want to know how many members or cases you handled at once. Replace vague phrases like 'managed a caseload' with a specific volume range and the complexity level, such as high-risk members, dual eligibles, or complex chronic conditions.
Prepare for scenario-based interview questions
Interviewers routinely ask how you handled a member who refused a care plan or a provider who disputed a denial. Rehearse two or three real situations that show your judgment under conflicting pressures from members, providers, and plan requirements.
Follow up referencing your clinical fit
When following up after an interview, connect your specific background to the plan's population. Mentioning that your experience aligns with their Medicaid or SNP membership makes your follow-up more relevant than a generic thank-you note.
Managed Care Coordinator Jobs: Frequently Asked Questions
Which companies are hiring the most managed care coordinators?
The companies hiring the most managed care coordinators right now include North East Medical Services, Beth Israel Lahey Health, and Brigham & Women'S Faulkner Hospital, with the largest share of openings in California, Massachusetts, and Michigan, based on current listings on Migrate Mate as of June 2026. Health plans, managed care organizations, and hospital-affiliated case management departments consistently post the highest volumes.
How many managed care coordinator jobs are remote?
About 8% of managed care coordinator openings are fully remote or hybrid as of June 2026, reflecting the phone- and portal-based nature of much of the work. Prior authorization and telephonic case management roles are the most likely to be fully remote, while roles requiring in-person member visits or on-site utilization review tend to be in-person or hybrid.
How do you become a managed care coordinator?
Start by earning a degree in nursing, social work, health information management, or a related clinical or administrative field. Gain experience in a clinical or health plan setting, such as a hospital, physician office, or insurance company. Pursue a case management or utilization review certification like CCM or CPUR to strengthen your application. Then target entry-level coordinator or utilization review specialist roles to build your managed care foundation.
Can you get a managed care coordinator job with little or no experience?
Yes, entry-level managed care coordinator roles exist, particularly in prior authorization and member services, and many health plans hire candidates with a clinical degree and minimal direct managed care experience. Emphasize any exposure to insurance processes, referral coordination, or discharge planning. Temporary or contract positions at health plans are a common entry point that often converts to full-time.
What does the managed care coordinator interview process look like?
Most hiring processes start with a phone screen from a recruiter focused on your clinical background and payer experience. A second interview with a hiring manager or team lead typically involves scenario questions about handling denials, member non-compliance, or provider disputes. Some employers add a brief skills assessment covering medical terminology or criteria application. The full process usually runs two to four rounds over a few weeks.
Where can I find and apply to managed care coordinator jobs?
You can find and apply to managed care coordinator jobs on Migrate Mate, which lists current openings from across the United States. Search the listings to find roles that match your background, payer experience, and preferred setting, then apply directly to each opening that fits.
See All Managed Care Coordinator Jobs
Jump back to the full list of openings and apply to any managed care coordinator role that fits.
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