Top 27 Insurance compliance Jobs in Florida

Senior Compliance Administrator, Medicare Claims & Payment Integrity
Centene —Florida
- $87,700 - $157,800 a year
- Full-time
- Remote
- Master's degree
- Presentation skills
- Bachelor's degree
- Paid holidays
- Health insurance
Healthcare Compliance Manager (Remote, U.S.)
Health Insurance Alliance LLC —Fort Lauderdale, FL
- $95,000 - $120,000 a year
- Full-time
- Remote
- Background check
- Analysis skills
- Mentoring
- Health insurance
- Dental insurance
7d
Regulatory Compliance Analyst I
Frank Winston Crum Insurance —Clearwater, FL
- Full-time
- Mid-level
- Office
- Databases
- Health savings account
- Paid holidays
14d
Premium Auditor
ARMStrong Insurance Services —Sarasota, FL
- $44 - $50 an hour
- Full-time
- Remote
- Microsoft Word
- Mid-level
- Analysis skills
- Paid holidays
- Health insurance
Quick Apply
Compliance Analyst
Amerilife Group, LLC —Clearwater, FL
- Full-time
- Background check
- Microsoft Excel
- Microsoft Outlook
- Disability insurance
- Health insurance
Director of Compliance
UniVista Insurance —Miami, FL
- $80,000 - $120,000 a year
- Full-time
- Background check
- Spanish
- HIPAA
Premium Field Auditor
ARMStrong Insurance Services —Tampa, FL
- $44 - $50 an hour
- Full-time
- Remote
- Microsoft Word
- Mid-level
- Analysis skills
- Paid holidays
- Health insurance
Quick Apply
Sales & Account Manager – Insurance Licensing & Compliance Solutions
RD Global Inc —Fort Lauderdale, FL
- Mid-level
- 3 years
- Travel
Premium Field Auditor PT
ARMStrong Insurance Services —Miami, FL
- $44 - $50 an hour
- Full-time
- Remote
- Microsoft Word
- Mid-level
- Analysis skills
- Paid holidays
- Health insurance
Quick Apply
E&S Compliance Specialist
Private Client Select Insurance Services —Saint Petersburg, FL
- Hybrid work
- Mid-level
- Office
- US work authorization
Quick Apply
Health Insurance Compliance and Quality Assurance Associate
GetMeHealthcare —Deerfield Beach, FL
- $18 an hour
- Full-time
- Customer service
- Computer literacy
- Office
- Health insurance
- Dental insurance
Quick Apply
13d
Senior Legal Counsel - Insurance and Risk
Siemens Energy —Orlando, FL
- Full-time
- 5 years
- Writing skills
- English
- Paid holidays
- Health insurance
Part-Time Premium Field Auditor
ARMStrong Insurance Services —Jacksonville, FL
- $44 - $50 an hour
- Full-time
- Remote
- Microsoft Word
- Mid-level
- Analysis skills
- Paid holidays
- Health insurance
Quick Apply
Claims Auditor
Independent Living Systems —Miami, FL
- Full-time
- Microsoft Excel
- HIPAA
- Mid-level
Quick Apply
M&A Insurance Advisory - Senior Associate
CohnReznick —Boca Raton, FL
- Hybrid work
- Management
- CPA
- Mid-level
- Paid time off
- Parental leave
FORTIFIED Quality Assurance Auditor
Insurance Institute for Business & Home Safety —Tampa, FL
- Full-time
- Hybrid work
- Construction site
- Mid-level
- Residential
- AD&D insurance
- Disability insurance
Quick Apply
Auditor
Univista Insurance —Miami, FL
- $17 - $20 an hour
- Microsoft Excel
- Mid-level
- Analysis skills
Quick Apply
Corporate Legal Counsel
Del Toro Insurance —Miami, FL
- Full-time
- Spanish
- English
- Mid-level
Quick Apply
General Counsel - International
Prestige International Insurance Gr Inc —Tamarac, FL
- $80,000 - $150,000 a year
- Full-time
- Office
- Analysis skills
- Travel
Quick Apply

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Medical Doctor (MD)
Las Mercedes Medical Center —Broward County, FL
It is expected for PCP’s to build trust with their patients, and make themselves available, in addition to being open for walk-in visits and answering phone…
From $270,000 a year
Quick Apply
ACN Medical Doctor
Las Mercedes Medical Center —Broward County, FL
It is expected for PCP’s to build trust with their patients, and make themselves available, in addition to being open for walk-in visits and answering phone…
$200,000 - $250,000 a year
Quick Apply

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Premium Field Auditor
ARMStrong Insurance Services —Columbus, OH
Valid driver’s license and reliable transportation. Premium Auditors examine the financial records of businesses insured by commercial property and casualty…
$44 - $50 an hour
Quick Apply
Senior Financial Accounting Analyst/Auditor
State of Ohio - Insurance —Columbus, OH
Department of insurance exp. &/or consulting exp. for a department of insurance related to financial solvency regulation; must provide own transportation; valid…
$64.25 an hour

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Senior Compliance Administrator, Medicare Claims & Payment Integrity

Centene -
Florida

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Job Details

Full-time
$87,700 - $157,800 a year

Benefits

Paid holidays
Health insurance
401(k)
Tuition reimbursement
Paid time off

Qualifications

Risk mitigation strategy implementation
Leading team collaboration initiatives
Research data analysis
Cross-functional team management
Cross-functional communication

Full Job Description

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.

Position Purpose:

Serves as an individual contributor and subject matter expert responsible for supporting the day-to-day execution of the Medicare Compliance Advisory program in alignment with CMS requirements and applicable federal and state regulations. Provides trusted advisory support to business and compliance leadership by providing regulatory guidance, conducting research and analysis, tracking issues, contributing to audit readiness and supporting compliance workplan activities. This role partners closely with the Sr. Manager, Medicare Compliance Advisory, to ensure accurate interpretation of CMS requirements, timely completion of assignments, and consistent documentation of compliance risks, trends, and corrective actions.

Execute the Medicare Compliance Program in alignment with CMS and applicable federal and state regulations, ensuring prevention, detection, and correction of noncompliance and FWA.
Execute assignments, ensuring timely, accurate, and well-documented completion of deliverables.
Serve as a compliance advisor and subject matter resource for Medicare programs by interpreting CMS regulations and guidance and translating requirements into clear, actionable business input; as well as advising leadership on compliance impact and implementation needs.
Conduct regulatory research and analysis to support business inquiries, compliance advisory opinions, and implementation activities.
Support intake, tracking, and resolution of compliance issues, including documenting findings, assessing risk, and recommending corrective actions.
Contribute to monitoring and oversight activities by identifying regulatory risks and trends and supporting resolution of identified issues.
Prepare draft responses and supporting materials for regulatory inquiries, audits, data requests, and internal compliance reviews.
Maintain accurate and complete documentation of compliance activities, including issue logs, regulatory references, self-disclosures and supporting evidence.
Collaborate with cross-functional business partners to clarify regulatory requirements and support the implementation of compliant processes.
Escalate compliance risks, gaps, or delays in a timely manner to support effective risk management and decision-making.
Contribute to audit readiness by supporting documentation, process validation, and issue resolution activities.
Identify process improvement opportunities and support initiatives to enhance compliance controls, standardization, and operational efficiency.
Support compliance training and education initiatives, ensuring awareness of Medicare regulatory program requirements, standards of conduct, and reporting obligations.
Performs other duties as assigned.
Comply with all policies and standards.

Education/Experience:

Bachelor’s degree in a related field (e.g., healthcare administration, public health, policy) or equivalent experience required. Master's Degree or Juris Doctor preferred.
5+ years Compliance, regulatory, operations, or risk management within a regulated industry (e.g., healthcare, managed care, insurance, or public sector).
Demonstrated experience interpreting and applying complex regulatory frameworks and compliance program requirements within a regulated environment into clear, actionable guidance for business stakeholders required.
Experience leading cross-functional initiatives or large-scale compliance efforts, required.
Experience conducting risk assessments, analyzing data, and applying structured problem-solving approaches to identify compliance risks and recommend mitigation strategies required.
Experience effectively communicating with and managing relationships across stakeholders, including presenting complex compliance concepts to diverse audiences required.
Demonstrated experience influencing cross-functional partners and driving outcomes in a matrixed environment without direct authority required.
Experience supporting managed care, Medicare Advantage/Part D, or Dual Eligible (DSNP) programs.
Foundational knowledge of Medicare regulations, including CMS guidance and compliance expectations (e.g., Parts C & D).
Certified in Healthcare Compliance (CHC) preferred.
Familiarity with CMS audit protocols, program audits, or monitoring activities preferred.
Experience working in a matrixed or cross-functional environment preferred.

Licenses/Certifications:

Certified in Healthcare Compliance (CHC) preferred.
RN, LPN, Pharmacist, CPhT, Case Management preferred.

Pay Range: $87,700.00 - $157,800.00 per year

Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

Apply Now

Refine Your Search

insurance compliance jobs in florida

Senior Compliance Administrator, Medicare Claims & Payment Integrity

Healthcare Compliance Manager (Remote, U.S.)

Regulatory Compliance Analyst I

Premium Auditor

Compliance Analyst

Director of Compliance

Premium Field Auditor

Sales & Account Manager – Insurance Licensing & Compliance Solutions

Premium Field Auditor PT

E&S Compliance Specialist

Health Insurance Compliance and Quality Assurance Associate

Senior Legal Counsel - Insurance and Risk

Part-Time Premium Field Auditor

Claims Auditor

M&A Insurance Advisory - Senior Associate

FORTIFIED Quality Assurance Auditor

Auditor

Corporate Legal Counsel

General Counsel - International

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