Top 246 Claims manager Jobs in Orlando, Fl

Contract Negotiation Manager (Florida)
CVS Health —Florida
- $60,300 - $132,600 a year
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- 3 years
- Health insurance
- Dental insurance
10d
Claims Training Manager
Frontline Insurance Managers Inc. —Lake Mary, FL
- Extended hours
- Customer service
- 11+ years
- Mid-level
- Disability insurance
- Health insurance
Quick Apply
Clinical Risk Manager
AdventHealth Winter Garden —Winter Garden, FL
- $66,170.74 - $123,073.07 a year
- Full-time
- Background check
- RN License
- Hospital
- Paid parental leave
- Disability insurance
Mgr, Center Management III
AdventHealth Centra Care —Orlando, FL
- $45,196.93 - $84,071.39 a year
- Full-time
- Background check
- CPR Certification
- Microsoft Outlook
- Paid parental leave
- Disability insurance
23h
Clinical Risk Manager Kissimmee
AdventHealth Orlando Support —Celebration, FL
- $66,170.74 - $123,073.07 a year
- Full-time
- Background check
- RN License
- Hospital
- Paid parental leave
- Disability insurance
Claims Operations Director/Manager
CNA Insurance —Lake Mary, FL
- $97,000 - $189,000 a year
- Full-time
- Hybrid work
- 5 years
- Analysis skills
- Organizational skills
Leave Administrator Lead
(Mosaic Shared Services) Millennium Healthcare Management Serv LLC —Oviedo, FL
- $70,379 - $105,569 a year
- Full-time
- 3 years
- Analysis skills
- Bachelor's degree
- Military leave
Quick Apply
3d
Manager, Claims Workers Compensation
AmTrust Financial Services, Inc. —Maitland, FL
- Full-time
- Sales
- Bachelor of Science
- Mid-level
- Health insurance
- Dental insurance
1d
RN Workers Compensation Case Manager
AdventHealth Corporate —Altamonte Springs, FL
- $68,132.50 - $119,520.35 a year
- Full-time
- Background check
- Nursing
- RN License
- Paid parental leave
- Disability insurance
3d
Risk & Quality Performance Manager (Remote)
Molina Healthcare —Orlando, FL
- $66,456 - $129,590 a year
- Full-time
- Remote
- Microsoft Excel
- Azure
- Mid-level
- Health insurance
Risk Manager
Automotive Services Network —Winter Park, FL
- $80,000 - $100,000 a year
- Weekends as needed
- Clean driving record
- 5 years
- Pass drug screening
- Health insurance
- Dental insurance
Quick Apply
Customer Care Manager - State Farm Agent Team Member
Heather Thies - State Farm Agent —Clermont, FL
- $50,000 - $75,000 a year
- Full-time
- Mid-level
- Office
- Administrative experience
- Health insurance
- Dental insurance
Quick Apply
Manager of Provider Network Central Florida
Solis Health Plans —Orlando, FL
- $100,000 - $120,000 a year
- Weekends as needed
- Ability to walk for extended periods
- 3 years
- Master's degree
- Health insurance
- Dental insurance
Quick Apply
Medical Billing Manager
Growing Together Pediatrics —Ocoee, FL
- From $28 an hour
- Full-time
- Hybrid work
- Background check
- Customer service
- HIPAA
- Health insurance
- Flexible spending account
Quick Apply
7d
Account Manager- Commercial Insurance
Insurance Office of America, Inc. —Longwood, FL
- $45,000 - $75,000 a year
- Full-time
- Mid-level
- Leadership
- 2 years
- Paid holidays
- Health insurance
Quick Apply
Safety Manager
The Briar Team —Sanford, FL
- $75,000 - $85,000 a year
- Extended hours
- CPR Certification
- Clean driving record
- Construction site
- Profit sharing
- Paid holidays
1d
Technical Product Manager, Production Support
Healthfirst —Lake Mary, FL
- $119,600 - $194,480 a year
- Full-time
- Computer Science
- SQL
- Supervising experience
- Health insurance
- Dental insurance
Field Reimbursement Manager- Orlando, FL
Amgen —Orlando, FL
- $145,470.70 - $196,813.30 a year
- Hybrid work
- Clean driving record
- Doctoral degree
- Computer literacy
- Disability insurance
- Health insurance
14d
Contracts Manager
Hatalom —Orlando, FL
- Full-time
- Microsoft Outlook
- Mid-level
- Office
7d
Property Manager
Avenue5 Residential, LLC —Orlando, FL
- $75,000 - $77,000 a year
- Full-time
- Clean driving record
- Microsoft Excel
- Microsoft Outlook
- Paid holidays
- Health insurance
Quick Apply
7d

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claims manager jobs near orlando, fl

Contract Negotiation Manager (Florida)

CVS Health -
Florida

Apply Now

Job Details

Full-time
$60,300 - $132,600 a year
10 days ago

Benefits

Health insurance
Dental insurance
Paid time off
Vision insurance

Qualifications

Microsoft Excel
Microsoft Outlook
Managed care organization experience

Full Job Description

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

Position Summary

This is an individual contributor role.

This role will contract and manage provider negotiations with physicians and ancillary providers throughout the state.

Manages contract performance and drives the development and implementation of value-based contract relationships in support of business strategies.
Project management skills to prioritize competing priorities and effectively communicate provider contracting scenarios with attention to detail based on a thorough evaluation of provider data using internal tools.
Recruits providers as needed to ensure attainment of network expansion and adequacy targets. Accountable for cost arrangements within defined groups.
Collaborates cross-functionally to manage provider compensation and pricing development activities, submission of contractual information, and the review and analysis of reports as part of negotiation and reimbursement modeling activities.
Responsible for identifying and managing cost issues and collaborating cross functionally to execute significant cost saving initiatives.
Represents company with high visibility constituents, including customers and community groups. Promotes collaboration with internal partners.
Evaluates, helps formulate, and implements the provider network strategic plans to achieve contracting targets and manage medical costs through effective provider contracting to meet state contract and product requirements. Collaborates with internal partners to assess effectiveness of tactical plan in managing costs.
May optimize interaction with assigned providers and internal business partners to facilitate relationships and ensure provider needs are met. Ensures resolution of escalated issues related, but not limited to, claims payment, contract interpretation and parameters, or accuracy of provider contract or demographic information.

Required Qualifications

Minimum of 5 years of related experience, with demonstrated proficiency in managed care network negotiations.
Minimum of 3 years of experience in provider relations, with demonstrated success in strengthening provider partnerships, increasing engagement, and contributing to network performance and access goals.
Proficiency in Microsoft Office Suite (Excel, Word, PowerPoint, Outlook).
Candidates must reside in the state of Florida.

Preferred Qualifications

Demonstrated ability to build and maintain strong, long-term relationships with provider partners.
Demonstrated ability to communicate effectively across all levels of the organization, evidenced by successful cross-functional collaboration and the ability to influence provider and stakeholder decisions in complex situations.
Proven track record of applying knowledge of competitor strategies, complex contracting models, and financial arrangements to support negotiations and achieve favorable contract outcomes while maintaining regulatory compliance.
Working knowledge of Medicare programs and related regulatory and operational requirements.

Education

Bachelor's degree preferred or a combination of professional work experience and education.

Anticipated Weekly Hours

Time Type

Full time

Pay Range

The typical pay range for this role is:

$60,300.00 - $132,600.00

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.

Additional details about available benefits are provided during the application process and on Benefits Moments.

We anticipate the application window for this opening will close on: 08/18/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Apply Now

Refine Your Search

claims manager jobs in orlando, fl

Contract Negotiation Manager (Florida)

Claims Training Manager

Clinical Risk Manager

Mgr, Center Management III

Clinical Risk Manager Kissimmee

Claims Operations Director/Manager

Leave Administrator Lead

Manager, Claims Workers Compensation

RN Workers Compensation Case Manager

Risk & Quality Performance Manager (Remote)

Risk Manager

Customer Care Manager - State Farm Agent Team Member

Manager of Provider Network Central Florida

Medical Billing Manager

Account Manager- Commercial Insurance

Safety Manager

Technical Product Manager, Production Support

Field Reimbursement Manager- Orlando, FL

Contracts Manager

Property Manager

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