Women comprise the majority of Managed Care Specialists in the United States. Individuals in this line of work make around $49K annually on average. Medical benefits are awarded to nearly all, and most earn dental coverage. For the most part, Managed Care Specialists enjoy their work and report high levels of job satisfaction. Respondents to the PayScale salary survey provided the data for this report.

$35,349 - $69,986
$35K
$49K
$70K
MEDIAN: $49,285
10%
50%
90%

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$11.75 - $25.00
$12
$17
$25
MEDIAN: $16.89
10%
50%
90%

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National Salary Data (?
XAll compensation data shown are gross 10th to 90th percentile ranges. Take the PayScale Survey to find out how location influences pay for this job.
)
$0$24K$48K$72K
Salary
$35,349 - $69,986  
   
Bonus
$700  
Profit Sharing
$1,250  
Total Pay (?
XTotal Pay combines base annual salary or hourly wage, bonuses, profit sharing, tips, commissions, overtime pay and other forms of cash earnings, as applicable for this job. It does not include equity (stock) compensation, cash value of retirement benefits, or the value of other non-cash benefits (e.g. healthcare).
)
$28,282 - $62,682  
Country: United States | Currency: USD | Updated: 18 Jan 2017 | Individuals Reporting: 27
National Hourly Rate Data (?
XAll compensation data shown are gross 10th to 90th percentile ranges. Take the PayScale Survey to find out how location influences pay for this job.
)
$0$11$22$33
Hourly Rate
$11.75 - $25.00  
   
Overtime
$19.44  
National Annualized Data (?
XAll compensation data shown are gross 10th to 90th percentile ranges. Take the PayScale Survey to find out how location influences pay for this job.
)
$0$22K$44K$66K
Bonus
$700  
   
Profit Sharing
$1,250  
Total Pay (?
XTotal Pay combines base annual salary or hourly wage, bonuses, profit sharing, tips, commissions, overtime pay and other forms of cash earnings, as applicable for this job. It does not include equity (stock) compensation, cash value of retirement benefits, or the value of other non-cash benefits (e.g. healthcare).
)
$28,282 - $62,682  
Country: United States | Currency: USD | Updated: 18 Jan 2017 | Individuals Reporting: 24

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Job Description for Managed Care Specialist

Managed care specialists generally work in the healthcare industry to verify insurance coverage; they may work directly with patients. These professionals refer patients to specialists, keep track of referral status, and obtain authorization on behalf of patients from managed care organizations. Other tasks performed by managed care specialists include working with patients' physicians to clarify specialist referrals, as well as performing a liaison function among the insurance company, customer operations staff, patient billing staff and other relevant professionals. These specialists address patients’ concerns regarding health insurance coverage, explain benefits to patients and may be involved in sales efforts.

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Managed Care Specialist Tasks

  • Review and audit managed care program to ensure professional standards.
  • Resolve patient complaints regarding claims and services rendered.
  • Collect and analyze data on managed care demographics, preferences and needs to identify potential contracts.
  • Answer patient questions regarding the managed care program and policies.
  • Coordinate marketing activities and policies to promote and educate managed care organizations.

Managed Care Specialist Job Listings

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Pay by Experience Level for Managed Care Specialist

Median of all compensation (including tips, bonus, and overtime) by years of experience.


Managed Care Specialists who reported more years of relevant experience also reported higher earnings. During the first five years of their careers, Managed Care Specialists see a median income of $36K. Survey respondents with five to 10 years of experience report an only modestly higher median of $40K. Managed Care Specialists claiming one to two decades of experience make an estimated median of $46K. More than 20 years of experience seem related to solid financial gains; veterans in this group report earning a median of $57K.

Key Stats for Managed Care Specialist

Gender

Female
91 %
Male
9 %

Job Satisfaction

Extremely satisfied
Rated 5 out of 5
based on 4 votes.
035
1-4 years
35%
5-9 years
25%
10-19 years
25%
20 years or more
14%
Location:
Years in Fields/Career:
United States (change)

Related Jobs

Experience Affects Managed Care Specialist Salaries

Late-Career
up arrow 41%

Experienced
up arrow 12%

National Average
$41,000

Mid-Career
up arrow 3%

Entry-Level
up arrow 10%

Job Satisfaction

Extremely satisfied
Rated 5 out of 5
based on 4 votes.

Gender

Female
91 %
Male
9 %

Years of Experience

1-4 years
35%
5-9 years
25%
10-19 years
25%
20 years or more
14%

Common Health Benefits

medical benefits
Medical: 91%
dental benefits
Dental: 81%
vision benefits
Vision: 75%
dental benefits
None: 9%
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