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Become A Managed Care Director

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Working As A Managed Care Director

  • Communicating with Supervisors, Peers, or Subordinates
  • Making Decisions and Solving Problems
  • Establishing and Maintaining Interpersonal Relationships
  • Evaluating Information to Determine Compliance with Standards
  • Developing and Building Teams
  • Deal with People

  • Unpleasant/Angry People

  • Mostly Sitting

  • Make Decisions

  • $81,000

    Average Salary

What Does A Managed Care Director Do

Medical and health services managers, also called healthcare executives or healthcare administrators, plan, direct, and coordinate medical and health services. They may manage an entire facility, a specific clinical area or department, or a medical practice for a group of physicians. Medical and health services managers must adapt to changes in healthcare laws, regulations, and technology.

Duties

Medical and health services managers typically do the following:

  • Work to improve efficiency and quality in delivering healthcare services
  • Develop departmental goals and objectives
  • Ensure that the facility in which they work is up to date on and compliant with new laws and regulations
  • Recruit, train, and supervise staff
  • Manage the finances of the facility, such as patient fees and billing
  • Create work schedules
  • Prepare and monitor budgets and spending to ensure departments operate within allocated funds
  • Represent the facility at investor meetings or on governing boards
  • Keep and organize records of the facility’s services, such as the number of inpatient beds used
  • Communicate with members of the medical staff and department heads

Medical and health services managers work closely with physicians and surgeons, registered nurses, medical and clinical laboratory technologists and technicians, and other healthcare workers. Others may interact with patients or insurance agents.

Medical and health services managers’ titles depend on the facility or area of expertise in which they work. The following are examples of types of medical and health services managers:

Nursing home administrators manage staff, admissions, finances, and care of the building, as well as care of the residents in nursing homes. All states require licensure for nursing home administrators; licensing requirements vary by state.

Clinical managers oversee a specific department, such as nursing, surgery, or physical therapy, and have responsibilities based on that specialty. Clinical managers set and carry out policies, goals, and procedures for their departments; evaluate the quality of the staff’s work; and develop reports and budgets.

Health information managers are responsible for the maintenance and security of all patient records and data. They must stay up to date with evolving information technology, current or proposed laws about health information systems, and trends in managing large amounts of complex data. Health information managers must ensure that databases are complete, accurate, and accessible only to authorized personnel. They also may supervise the work of medical records and health information technicians.

Assistant administrators work under the top administrator in larger facilities and often handle daily decisions. Assistants might direct activities in clinical areas, such as nursing, surgery, therapy, medical records, or health information. They also handle administrative tasks, such as ensuring that their department has the necessary supplies and that equipment is operational and up to date.

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How To Become A Managed Care Director

Most medical and health services managers have at least a bachelor’s degree before entering the field. However, master’s degrees are common and sometimes preferred by employers. Educational requirements vary by facility.

Education

Medical and health services managers typically need at least a bachelor’s degree to enter the occupation. However, master’s degrees are common and sometimes preferred by employers. Graduate programs often last between 2 and 3 years and may include up to 1 year of supervised administrative experience in a hospital or healthcare consulting setting.

Prospective medical and health services managers typically have a degree in health administration, health management, nursing, public health administration, or business administration. Degrees that focus on both management and healthcare combine business-related courses with courses in medical terminology, hospital organization, and health information systems. For example, a degree in health administration or health information management often includes courses in health services management, accounting and budgeting, human resources administration, strategic planning, law and ethics, health economics, and health information systems.

Work Experience in a Related Occupation

Many employers require prospective medical and health services managers to have some work experience in either an administrative or a clinical role in a hospital or other healthcare facility. For example, nursing home administrators usually have years of experience working as a registered nurse.

Others may begin their careers as medical records and health information technicians, administrative assistants, or financial clerks within a healthcare office.

Important Qualities

Analytical skills. Medical and health services managers must understand and follow current regulations and adapt to new laws.

Communication skills. These managers must effectively communicate policies and procedures with other health professionals and ensure their staff’s compliance with new laws and regulations.

Detail oriented. Medical and health services managers must pay attention to detail. They might be required to organize and maintain scheduling and billing information for very large facilities, such as hospitals.

Interpersonal skills. Medical and health services managers discuss staffing problems and patient information with other professionals, such as physicians and health insurance representatives.

Leadership skills. These managers are often responsible for finding creative solutions to staffing or other administrative problems. They must hire, train, motivate, and lead staff.

Technical skills. Medical and health services managers must stay up to date with advances in healthcare technology and data analytics. For example, they may need to use coding and classification software and electronic health record (EHR) systems as their facility adopts these technologies.

Licenses, Certifications, and Registrations

All states require licensure for nursing home administrators; requirements vary by state. In most states, these administrators must have a bachelor’s degree, complete a state-approved training program, and pass a national licensing exam. Some states also require applicants to pass a state-specific exam; others may require applicants to have previous work experience in a healthcare facility. Some states also require licensure for administrators in assisted-living facilities. For information on specific state-by-state licensure requirements, visit the National Association of Long Term Care Administrator Boards.

A license is typically not required in other areas of medical and health services management. However, some positions may require applicants to have a registered nurse or social worker license.

Although certification is not required, some managers choose to become certified. Certification is available in many areas of practice. For example, the Professional Association of Health Care Office Management offers certification in medical management, the American Health Information Management Association offers health information management certification, and the American College of Health Care Administrators offers the Certified Nursing Home Administrator and Certified Assisted Living Administrator distinctions.

Advancement

Medical and health services managers advance by moving into higher paying positions with more responsibility. Some health information managers, for example, can advance to become responsible for the entire hospital’s information systems. Other managers may advance to top executive positions within the organization.

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Managed Care Director Career Paths

Managed Care Director
Director
Executive Director
10 Yearsyrs
Executive Director
Chief Executive Officer
8 Yearsyrs
Vice President
Senior Vice President
13 Yearsyrs
Senior Director
Operations Vice President
11 Yearsyrs
Senior Director
13 Yearsyrs
Chief Nursing Officer
Chief Operating Officer
11 Yearsyrs
Chief Nursing Officer
13 Yearsyrs
Operations Director
Managing Director
11 Yearsyrs
Operations Director
9 Yearsyrs
Chief Operating Officer
President & Chief Operating Officer
13 Yearsyrs
Service Director
Nursing Director
9 Yearsyrs
Service Director
9 Yearsyrs
Managing Director
Board Of Directors Member
8 Yearsyrs
President
Executive Vice President
11 Yearsyrs
Chief Executive Officer
Business Director
10 Yearsyrs
Business Development Director
Communications Director
6 Yearsyrs
Residence Director
Wellness Director
7 Yearsyrs
Chief Finance Officer
Chief Administrative Officer
11 Yearsyrs
Operations Vice President
Compliance Director
12 Yearsyrs
Director Of Quality
Clinical Director
9 Yearsyrs
Director Of Quality
14 Yearsyrs
Corporate Director
Finance Director
10 Yearsyrs
Health Director
Medical Director
9 Yearsyrs
Health Director
9 Yearsyrs
Assistant Vice President
Finance Vice President
10 Yearsyrs
Assistant Vice President
7 Yearsyrs
Regional Director Of Operations
Regional Vice President
11 Yearsyrs
Education Director
Center Director
7 Yearsyrs
Regional Director Of Operations
11 Yearsyrs
Education Director
7 Yearsyrs
President/Chief Executive Officer
Practice Director
12 Yearsyrs
Development Director
Deputy Director
9 Yearsyrs
Regional Vice President
National Director
10 Yearsyrs
Wellness Director
Resident Services Director
6 Yearsyrs
Director Of Sales
Community Relations Director
8 Yearsyrs
Resident Services Director
Director Of Health Services
10 Yearsyrs
Director Of Professional Services
Clinical Services Director
11 Yearsyrs
Director Of Professional Services
11 Yearsyrs
Child Care Director
Interim Director
10 Yearsyrs
Assistant Executive Director
Interim Executive Director
11 Yearsyrs
Client Services Director
Director Of Social Services
6 Yearsyrs
Client Services Director
9 Yearsyrs
Director Of Quality Management
Director Of Case Management
11 Yearsyrs
Director Of Quality Management
13 Yearsyrs
Area Vice President
12 Yearsyrs
Senior Vice President
Director Of Managed Services
9 Yearsyrs
Project Director
Director Of Project Management
12 Yearsyrs
Project Director
8 Yearsyrs
Director Of Human Resources
Area Director
8 Yearsyrs
Director Of Human Resources
10 Yearsyrs
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Help others decide if this is a good career for them

Average Length of Employment
Nursing Director 3.5 years
Health Director 3.4 years
Clinical Director 3.4 years
Hospital Director 3.3 years
Lead Care Manager 2.7 years
Wellness Director 2.5 years
Top Careers Before Managed Care Director
Staff Nurse 17.8%
Director 4.9%
Nurse 4.0%
Manager 3.8%
Internship 3.1%
Supervisor 2.9%
Chaplain 2.5%
Top Careers After Managed Care Director
Director 9.0%
Consultant 5.3%
Manager 3.1%
Nurse 2.9%
Chaplain 2.8%

Do you work as a Managed Care Director?

Managed Care Director Demographics

Gender

Female

63.3%

Male

25.1%

Unknown

11.6%
Ethnicity

White

63.2%

Hispanic or Latino

15.3%

Black or African American

11.4%

Asian

6.7%

Unknown

3.4%
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Foreign Languages Spoken

Spanish

52.1%

French

11.3%

Russian

5.6%

Portuguese

2.8%

Mandarin

2.8%

Carrier

2.8%

Polish

2.8%

Italian

2.8%

Hawaiian

1.4%

Ukrainian

1.4%

German

1.4%

Yiddish

1.4%

Persian

1.4%

Cantonese

1.4%

Greek

1.4%

Hindi

1.4%

Korean

1.4%

Chinese

1.4%

Arabic

1.4%

Croatian

1.4%
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Managed Care Director Education

Schools

University of Phoenix

34.5%

Walden University

8.0%

Capella University

5.6%

New York University

4.4%

Ohio State University

4.1%

University of Kentucky

3.4%

Excelsior College

3.4%

Pennsylvania State University

3.2%

Liberty University

3.2%

Central Michigan University

3.2%

Indiana Wesleyan University

3.2%

Ashford University

2.9%

Regis University

2.9%

Grand Canyon University

2.9%

University of Alabama

2.7%

Chamberlain College of Nursing

2.7%

Western Governors University

2.7%

University of Saint Francis

2.4%

Michigan State University

2.4%

University of Texas at Arlington

2.4%
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Majors

Nursing

38.1%

Business

17.7%

Health Care Administration

7.6%

Social Work

6.1%

Theology

3.5%

Psychology

3.5%

Management

3.5%

Education

2.5%

Public Health

2.3%

Mental Health Counseling

2.2%

Marketing

1.6%

Elementary Education

1.3%

Public Administration

1.3%

Communication

1.3%

Counseling Psychology

1.3%

Pharmacy

1.3%

Accounting

1.3%

Nursing Assistants

1.2%

Medicine

1.2%

Human Services

1.2%
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Degrees

Masters

37.8%

Bachelors

27.0%

Other

13.9%

Associate

10.4%

Doctorate

4.6%

Certificate

3.6%

License

1.5%

Diploma

1.1%
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Job type you want
Full Time
Part Time
Internship
Temporary
Average Yearly Salary
$81,000
View Detailed Salary Report
$52,000
Min 10%
$81,000
Median 50%
$81,000
Median 50%
$81,000
Median 50%
$81,000
Median 50%
$81,000
Median 50%
$81,000
Median 50%
$81,000
Median 50%
$126,000
Max 90%
Best Paying Company
EmblemHealth
Highest Paying City
Petaluma, CA
Highest Paying State
New Jersey
Avg Experience Level
3.3 years
How much does a Managed Care Director make at top companies?
The national average salary for a Managed Care Director in the United States is $82,026 per year or $39 per hour. Those in the bottom 10 percent make under $52,000 a year, and the top 10 percent make over $126,000.

Real Managed Care Director Salaries

Job Title Company Location Start Date Salary
Director of Neurocritical Care Children's Hospital Neurology Foundation, Inc. Boston, MA Feb 01, 2013 $326,400
Director of Neurocritical Care Ch Neurology Foundation Boston, MA Feb 01, 2010 $320,000
Director, Vision Care Luxottica Retail North America Inc. Mason, OH Jan 02, 2016 $185,000
Patient Care Managing Director Allcare Dental and Dentures Inc. of Il-Bates DDS Rockford, IL Jun 25, 2010 $136,000
Patient Care Managing Director/Dentist Allcare Dental & Dentures of Ma, PC Chicopee, MA Sep 28, 2009 $136,000
Director, Managed Care Payment Reform NYU Langone Health System New York, NY Oct 01, 2016 $135,200
Director, Medicaid Accountable Care Children's Hospital Corporation Boston, MA Apr 04, 2016 $130,000
Director, Managed Care Payment Reform New York University Hospitals Center New York, NY Jan 12, 2015 $130,000
Director, Acute Care Flow Saint Joseph Mercy Health System Ann Arbor, MI Jun 10, 2013 $129,000
Patient Care Managing Director/Dentist Allcare Dental & Dentures of Ia, PC Des Moines, IA Oct 01, 2009 $115,274
Director, Managed Care Tenet Health System Medical, Inc. ('THM') Atlanta, GA Oct 01, 2012 $110,000
Patient Care Managing Director/Dentist Allcare Dental & Dentures, Inc. of Ohio-Bates Cuyahoga Falls, OH Oct 01, 2009 $108,800
Director of Heatlh Care Services Sunrise Community, Inc. Miami, FL Jan 10, 2015 $96,000
Director of Patient Care Services Aston Home Health Inc. Wilmington, DE Aug 02, 2012 $84,000
Director of Patient Care Services Golden Hills Healthcare Services, Inc. Burbank, CA Oct 01, 2012 $83,480
Director of Patient Care Services Jubilee Home Health Services, Inc. Lakewood, CA Dec 30, 2010 $78,499
Ass't. Director of Nursing-Long Term Care and Reha Spectrum Health Continuing Care Grand Rapids, MI Mar 11, 2013 $76,752
Director of Patient Care Services Bakersfield Community Hospice, Inc. Bakersfield, CA Aug 15, 2015 $76,045
Director of Patient Care Services Hillcrest Hospice Inc. Burbank, CA Aug 15, 2015 $72,000
Director of Patient Care Services Care First Hospice, Inc. Burbank, CA Aug 15, 2015 $72,000
Director of Patient Care Services Mar Vista Hospice, Inc. Burbank, CA Aug 15, 2015 $72,000
Director of Patient Care Services Hillcrest Hospice Inc. Burbank, CA Sep 01, 2014 $72,000

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Top Skills for A Managed Care Director

  1. Ensure Compliance
  2. Procedures
  3. Patient Care
You can check out examples of real life uses of top skills on resumes here:
  • Work with insurance companies to ensure compliance with numerous contractual obligations around utilization and case management for all patients admitted.
  • Lead initiative in guiding Hospital/Community patients on policies and procedures involving Managed Care.
  • Coached and mentored Patient Care Services Management in the development of and implementation of effective performance improvement plans.
  • Developed a system of staff communication that ensured proper implementation of treatment plans and comprehensive patient care.
  • Develop business plan for territory and facility to increase census and strengthen prospect relationships.

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Top 10 Best States for Managed Care Directors

  1. New York
  2. Nevada
  3. Rhode Island
  4. Massachusetts
  5. District of Columbia
  6. Delaware
  7. New Mexico
  8. Connecticut
  9. California
  10. Oregon
  • (917 jobs)
  • (133 jobs)
  • (71 jobs)
  • (777 jobs)
  • (121 jobs)
  • (46 jobs)
  • (137 jobs)
  • (200 jobs)
  • (2,135 jobs)
  • (235 jobs)

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