Most Managed Care Specialists in the United States are women. The median pay for people in this role is approximately $49K per year. Most Managed Care Specialists like their work and job satisfaction is high. A large number enjoy medical while a fair number get dental coverage. Vision coverage is also available to a strong majority. Figures cited in this summary are based on replies to PayScale's salary questionnaire.

$35,150 - $69,463
(Median)
$35K
$49K
$69K
MEDIAN: $48,678
10%
50%
90%

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$10.55 - $24.83
(Median)
$11
$17
$25
MEDIAN: $17.00
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
$35,150 - $69,463  
   
Bonus
$0.00 - $2,936  
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).
)
$27,718 - $60,794  
Country: United States | Currency: USD | Updated: 28 Oct 2016 | Individuals Reporting: 28
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
$10.55 - $24.83  
   
Overtime
$15.69  
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
$0.00 - $2,936  
   
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).
)
$27,718 - $60,794  
Country: United States | Currency: USD | Updated: 28 Oct 2016 | Individuals Reporting: 26
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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.

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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.


The average inexperienced worker's salary is approximately $40K. It's worth noting that people with five to 10 years of experience report bringing in less at around $40K on average. After working for 10 to 20 years, Managed Care Specialists make a median salary of $45K. Managed Care Specialists who have acquired more than 20 years of relevant experience earn significantly more than folks with fewer years on their resumes; the average income in this veteran group is $55K.

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Related Jobs

Experience Affects Managed Care Specialist Salaries

Late-Career
up arrow 34%

Experienced
up arrow 10%

National Average
$41,000

Entry-Level
up arrow 1%

Mid-Career
up arrow 2%

Job Satisfaction

Extremely satisfied
Rated 5 out of 5
based on 3 votes.

Gender

Female
92 %
Male
8 %

Years of Experience

1-4 years
39%
5-9 years
28%
10-19 years
22%
20 years or more
11%

Common Health Benefits

medical benefits
Medical: 89%
dental benefits
Dental: 80%
medical benefits
Vision: 74%
dental benefits
None: 11%
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