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Remote Managed Care Jobs in Florida (NOW HIRING)

BayCare

Managed Care Negotiator I

Clearwater, FL · Remote

Remote must reside in Florida * Status: Full Time (non-exempt) * Shift: 8:00 AM - 5:00 PM (may vary ... The Managed Care Negotiator I is responsible for: * Negotiates agreements under supervision from ...

Phsorg

Remote Office Austin, TX 78701 Summary: Presbyterian Healthcare Services (PHS) seeks a strategic ... Develop and implement a comprehensive managed care strategic and tactical plan with clear ...

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Remote Managed Care information

What is a remote managed care?

A Remote Managed Care job involves overseeing healthcare services, cost management, and patient care coordination from a remote location. Professionals in this role work with insurance providers, healthcare facilities, and patients to ensure efficient and cost-effective care. Responsibilities may include reviewing treatment plans, managing claims, and ensuring compliance with healthcare regulations. Remote Managed Care positions are common in insurance companies, hospitals, and telehealth organizations, requiring strong communication and analytical skills.

What does a remote managed care do?

In a Remote Managed Care role, your primary daily tasks often include coordinating care plans, reviewing healthcare claims, ensuring members receive appropriate medical services, and communicating with providers, patients, and insurance companies. You may spend much of your day using online platforms to track cases, resolve billing issues, and document patient interactions. Collaboration with clinical teams, providers, and case managers is common to address patient needs and ensure the quality and cost-effectiveness of care. Working remotely requires a high level of self-motivation and strong organizational skills, as you’ll manage your caseload with minimal direct supervision.

What are the key skills and qualifications needed to thrive in remote managed care?

To thrive in a Remote Managed Care role, you need a solid understanding of healthcare administration, insurance processes, patient advocacy, and compliance — usually demonstrated by relevant experience or a degree in healthcare or business. Familiarity with managed care software platforms, claims management systems, and relevant certifications such as Certified Case Manager (CCM) or Certified Professional in Healthcare Management (CPHM) are often required. Strong communication, time management, and problem-solving skills set top performers apart in this position. These skills are critical for effectively coordinating patient care, ensuring regulatory compliance, and delivering excellent service while working remotely.

What are the most commonly searched types of Managed Care jobs in Florida?

The most popular types of Managed Care jobs in Florida are:

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For Remote Managed Care jobs in Florida, the most frequently searched job titles are:

What job categories do people searching Remote Managed Care jobs in Florida look for?

The top searched job categories for Remote Managed Care jobs in Florida are:

What cities in Florida are hiring for Remote Managed Care jobs?

Cities in Florida with the most Remote Managed Care job openings:

Remote Managed Care jobs near you
Infographic showing various Remote Managed Care job openings in Florida as of August 2026, with employment types broken down into 2% As Needed, 70% Full Time, 21% Part Time, and 7% Contract. Highlights an 93% Physical, 1% Hybrid, and 6% Remote job distribution.

Managed Care Negotiator I

BayCare

Clearwater, FL • Remote

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 27 days ago

BayCare Health System rating

7.4

Company rating: 7.4 out of 10

Based on 404 frontline employees who took The Breakroom Quiz

237th of 891 rated healthcare providers

Job description

BayCare is currently in search of our newest Managed Care Negotiator I who is passionate about providing outstanding customer service to our community. BayCare’s top priority is the health and well-being of our communities as Tampa Bay's leading multi-specialty group with more than 600 providers practicing 45 specialties in over 175 outpatient locations throughout the Tampa Bay and west central Florida regions. 

Position Details: 

  • Location: Remote must reside in Florida 
  • Status: Full Time (non-exempt) 
  • Shift: 8:00 AM - 5:00 PM (may vary) 

BayCare is all about making the most of your life and loving your career. BayCare provides an array of benefits to help you meet the daily challenges of balancing all aspects of your life and career goals. 

  • Benefits (Health, Dental, Vision) 
  • Paid time off 
  • Tuition reimbursement 
  • 401k match and additional yearly contribution 
  • Yearly performance appraisals and team award bonus 
  • Community discounts and more

AND the Chance to be part of an amazing team and a great place to work! 

The Managed Care Negotiator I is responsible for:

  • Negotiates agreements under supervision from manager and/or director.
  • Supports managed care negotiations by drafting contract language, preparing internal stakeholder presentations, and assisting with re-negotiations under guidance. Evaluates and leads small health plan entrant proposal reviews for inclusion in BayCare's network.
  • Performs basic financial analysis to support rate proposals, collaborates with analysts to verify assumptions, and prepares counter proposals.
  • Reviews physician credentialing agreements, identifies compliance issues, and assists in resolving disputes with payors.
  • Communicates with payors and internal teams throughout negotiation, implementation, and operational phases, and maintains summaries of contract terms. Acts as primary point of contact for assigned payers and is responsible for leading internal and external meetings.
  • Maintains current files on managed care companies, including contracts, matrices, and correspondence, and distributes notices of contract changes.
  • Assists in developing educational materials and provides credentialing information to payors as needed.
  • Under general supervision, evaluates and enforces contract compliance.
  • Facilitates issue resolution with internal and external stakeholders.

 Required Education: 

  • Bachelor's Degree with 2 years of Healthcare or Insurance/Payor experience; OR
  • 1-year of relevant experience with a Juris Doctorate 

Experience: 

  • Required: 1-year legal experience or 2 years of Managed Care, Healthcare, or Insurance/Payor experience

Equal Opportunity Employer Veterans/Disabled 

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