Managed care organizations have used psychiatrists primarily for their patient care skills, and their potential for performing administrative and managerial services for managed care organizations has not been fully appreciated. However, the role of physician managers is likely to expand with or without federal action on health care reform. Areas of opportunity for psychiatrists include utilization and quality management, network development, provider profiling, and credentialing. in addition, psychiatrists may serve as ombudsmen for managed care organizations and support internal operations. Although formal training beyond medical school and residency is not necessary for psychiatrists to become effective managers, various educational programs are available and are highly recommended.