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Health Plan Jobs in Florida (NOW HIRING)

... NCQA health plan accreditation for all lines of business. * Leads all Plan activities for National Committee for Quality Assurance (NCQA) re-accreditation. * Responsible for the ongoing ...

This role contributes to the financial soundness of the health plan, provides strategic insight to executive leadership, and oversees all actuarial and underwriting functions supporting government ...

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Health Plan information

See Florida salary details

$7

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How much do health plan jobs pay per hour?

As of Aug 27, 2026, the average hourly pay for health plan in Florida is $30.19, according to ZipRecruiter salary data. Most workers in this role earn between $15.13 and $38.30 per hour, depending on experience, location, and employer.

What is a health plan?

A health plan is a type of insurance that helps cover the cost of medical and health-related expenses. It typically provides benefits for doctor visits, hospital stays, preventive care, prescription drugs, and sometimes dental and vision care. Health plans can be offered by private companies, employers, or government programs, and may vary in terms of coverage, networks, and out-of-pocket costs. Choosing the right health plan depends on your healthcare needs and financial situation.

What are the key skills and qualifications needed to thrive as a health plan manager, and why are they important?

To thrive as a Health Plan Manager, you need a strong background in healthcare administration, insurance regulations, and policy analysis, typically supported by a bachelor's or master's degree in health administration or a related field. Familiarity with healthcare management software, claims processing systems, and regulatory compliance tools is essential. Exceptional communication, leadership, and problem-solving skills help navigate complex stakeholder relationships and drive organizational goals. These skills and qualities are vital for ensuring operational efficiency, compliance, and member satisfaction within a competitive healthcare environment.

What are some common challenges faced by professionals working in health plan administration, and how can they be effectively managed?

Professionals in health plan administration often encounter challenges such as keeping up with frequently changing healthcare regulations, managing complex claims processes, and ensuring seamless coordination across multiple departments. Staying updated on compliance requirements and investing in ongoing training can help mitigate risks. Effective communication and collaboration with colleagues in customer service, underwriting, and IT are also crucial for addressing issues quickly and maintaining a high standard of service for plan members.

What is the difference between Health Plan vs Health Insurance Coordinator?

AspectHealth PlanHealth Insurance Coordinator
CredentialsVaries; often includes insurance or healthcare administration certificationsTypically requires insurance licensing or certification
Work EnvironmentInsurance companies, healthcare organizations, government agenciesInsurance companies, healthcare providers, broker offices
Employer & Industry UsageUsed by organizations managing healthcare benefitsUsed by insurance firms coordinating policies and claims
Search & Comparison IntentUnderstanding healthcare benefit options and plansManaging and coordinating insurance policies and claims

While both roles relate to healthcare coverage, a Health Plan typically refers to the actual healthcare benefits or coverage options provided by insurers or employers. In contrast, a Health Insurance Coordinator focuses on managing, processing, and coordinating insurance policies and claims within organizations. Understanding these differences helps clarify career paths and job functions in the healthcare industry.

What are the most commonly searched types of Health Plan jobs in Florida?

The most popular types of Health Plan jobs in Florida are:

What cities in Florida are hiring for Health Plan jobs?

Cities in Florida with the most Health Plan job openings:

Infographic showing various Health Plan job openings in Florida as of August 2026, with employment types broken down into 1% As Needed, 79% Full Time, 15% Part Time, and 5% Contract. Highlights an 92% Physical, 1% Hybrid, and 7% Remote job distribution, with an average salary of $62,800 per year, or $30.2 per hour.

Health Plan Compliance Analyst

Miami, FL • On-site


Independent Living Systems
Health Care and Social Assistance • 501 - 1,000 employees

6.5

Company rating: 6.5 out of 10

Based on 9 frontline employees who took The Breakroom Quiz

Great coworkers

Respectful managers


Full-time

Re-posted 25 days ago


Job description

We are seeking a Health Plan Compliance Analyst to join our team at Independent Living Systems (ILS). ILS, along with its affiliated health plans known as Florida Community Care and Florida Complete Care, is committed to promoting a higher quality of life and maximizing independence for all vulnerable populations.

About the Role:

The Health Plan Compliance Analyst plays a critical role in ensuring that health plans operate within the regulatory frameworks established by federal and state laws. This position involves conducting thorough reviews and audits of health plan policies, procedures, and operations to identify compliance risks and recommend corrective actions. The analyst collaborates closely with cross-functional teams to implement compliance strategies that safeguard the organization from legal and financial penalties. Additionally, the role requires staying current with evolving healthcare regulations and industry best practices to proactively address compliance challenges. Ultimately, the Health Plan Compliance Analyst helps maintain the integrity and trustworthiness of the health plan by promoting adherence to all applicable standards and regulations.

Minimum Qualifications:

  • Bachelor’s degree in Health Administration, Public Health, Business, or a related field.
  • Minimum of 3 years of experience in healthcare compliance, health plan operations, or a related area.
  • Strong knowledge of federal and state healthcare regulations, including HIPAA, ACA, and CMS guidelines.
  • Proficiency in conducting audits and risk assessments within healthcare settings.
  • Excellent written and verbal communication skills.
  • Relevant experience may substitute for the educational requirement on a year-for-year basis.

Preferred Qualifications:

  • Master's degree in Health Administration, Public Health, Business, or a related field.
  • Certification in healthcare compliance such as Certified in Healthcare Compliance (CHC) or equivalent.
  • Experience working with managed care organizations or health insurance plans.
  • Familiarity with healthcare data analytics and compliance software tools.
  • Advanced degree in healthcare administration, law, or a related discipline.
  • Demonstrated ability to lead compliance projects and cross-functional teams.

Responsibilities:

  • Conduct detailed compliance audits and assessments of health plan operations to ensure adherence to regulatory requirements.
  • Monitor changes in healthcare laws and regulations, interpreting their impact on organizational policies and procedures.
  • Develop and maintain compliance documentation, including policies, procedures, and training materials.
  • Collaborate with internal departments such as legal, operations, and quality assurance to address compliance issues and implement corrective actions.
  • Prepare reports and present findings to senior management and regulatory bodies as required.
  • Support the development and delivery of compliance training programs for staff across the organization.
  • Investigate and respond to compliance inquiries and potential violations in a timely and effective manner.


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