Job Title: Continuous Improvement Specialist
Company: Florida Blue
Experience: 5 to 20 years
Salary: Not Provided
Job Location: Jacksonville, FL
Continuous improvement specialist that enables business units to achieve their full value through improved process effectiveness. Role improves processes and builds controllership models in order to support organizational oversight and management of key activities. Experience in project management, statistical process contr…

Job Title: RN Medicare HEDIS Provider Educator-remote North Western FL (Bay, Escambia, Gulf
Company: Florida Blue
Experience: 4 to 20 years
Salary: Not Provided
Job Location: Jacksonville, FL
This position is accountable for supporting physicians and the delivery system to improve member’s health outcomes and participate in the company’s STAR initiatives by 1) Assisting the providers in delivering improved patient care and decrease in hospital readmissions and misuse of emergency visits. 2) Enhance traditional c…

Job Title: Executive Communications Consultant
Company: Florida Blue
Experience: 5 to 20 years
Salary: Not Provided
Job Location: Jacksonville, FL
Do you have a passion for helping senior executives engage with employees? Do you relish the opportunity to craft messages that inform and inspire? Do you love collaborating with communications colleagues? Then we want to hear from you. Florida Blue, the leading health insurer in Florida, and its parent organization, a $16…

Job Title: Mgr Pre-Service Medical Review
Company: Florida Blue
Experience: 5 to 20 years
Salary: Not Provided
Job Location: Jacksonville, FL
JOB DUTIES Administer the clinical benefit review determination to support the Service Organization (PSO/MSO), for all lines of business and the pre service clinical benefit review in order to improve provider satisfaction, medical cost management, and administrative performance by Resolving authorization/referral requests,…

Job Title: Payment Integrity Analytics Analyst
Company: Florida Blue
Experience: 5 to 20 years
Salary: Not Provided
Job Location: Jacksonville, FL; Miami, FL
Under close direction of the Payment Integrity Analytics manager, identifies high risk claims for other analysts in the Payment Integrity Office to review via ad hoc and recurring queries/scripts. Creates new scripts and modifies existing scripts to improve effectiveness. Reports on effectiveness of queries of high risk cla…

Job Title: Senior IT Security Administrator
Company: Florida Blue
Experience: 8 to 20 years
Salary: Not Provided
Job Location: Jacksonville, FL
This position is responsible for recommending, designing, implementing, and operationally supporting Information Security solutions; such as firewalls, data loss prevention, anti virus, patching, proxy servers, identity and access management solutions, multi factor authentication, cloud, remote access, and Security Informat…

Job Title: Member Care Specialist
Company: Florida Blue
Experience: 2 to 20 years
Salary: Not Provided
Job Location: Lake Mary, FL
The Member Care Specialist is a key role within the organization that will serve potential, new and existing customers which include individual members, group members, business decision makers and agents. This role will work across many systems and multiple business areas to resolve service inquiries, process transactions a…

Job Title: Sr Cisco VOIP Engineer
Company: Florida Blue
Experience: 7 to 20 years
Salary: Not Provided
Job Location: Jacksonville, FL
Senior Cisco VOIP Engineer assists and/or leads in the planning, forecasting, implementation and identification of resource requirements for network systems of moderate to high end complexity. They lead network planning, architecture design and engineering. They integrate and schematically depict communication architectures…

Job Title: CISCO IVR Developer
Company: Florida Blue
Experience: 4 to 20 years
Salary: Not Provided
Job Location: Jacksonville, FL
CISCO IVR Developers are responsible for monitoring, installation, configuration, administration, troubleshooting and maintenance of technology solutions. CISCO IVR Developers provide technical support and troubleshoot problems and perform scripting/programming to ensure stable and efficient operation of technology solution…

Job Title: Medical Review Nurse RN
Company: Florida Blue
Experience: 2 years
Salary: Not Provided
Job Location: Jacksonville, FL
The Medical Review Nurse reviews, authorizes, coordinates, and responds to requests for services for Florida Blue members. This position also communicates telephonically with providers and their offices, and occasionally with members. Makes decisions based on established policies and procedures, Florida Blue medical coverag…

Job Title: Design Thinking Expert
Company: Florida Blue
Experience: 5 to 20 years
Salary: Not Provided
Job Location: Jacksonville, FL
Leverages customer experience expertise, lean process improvement and design knowledge in collaboration with stakeholders to define, plan, and develop end to end customer centered solutions Translates business requirements into compelling solutions by applying principles of human centered design towards the creation of new…

Job Title: Operational Performance & Regulatory Support Specialist
Company: Florida Blue
Experience: 4 to 20 years
Salary: Not Provided
Job Location: Jacksonville, FL
This position requires the candidate to leverage prior experience to gain an understanding of the risks inherent in the operational processes that support the company and its related subsidiaries. This role requires a self motivated individual that will lead projects and interact with all levels of management to identify op…

Job Title: Strategic Account Executive – Renewal
Company: Florida Blue
Experience: 5 to 20 years
Salary: Not Provided
Job Location: Jacksonville, FL
Consultative management of Major Accounts (500+ lives) for all lines of business (health and ancillary) for enrolled companies. Develop and enhance relationships with Agents/Consultants. Act as a liaison between the customers and internal teams to assist in resolution of concerns, issues, etc. Utilize sales skills and a tea…

Job Title: Process Improvement and Operational Excellence Leader
Company: Florida Blue
Experience: 3 to 20 years
Salary: Not Provided
Job Location: Jacksonville, FL
Program Portfolio Management Development and implementation of large scale business transformational programs. A program consists of multiple projects to improve key performance measures. I nfluence through others, deliver results, and earn trust quickly of the organization and stakeholders and someone that has a strong b…

Job Title: Process Improvement Senior Lead
Company: Florida Blue
Experience: 3 to 20 years
Salary: Not Provided
Job Location: Jacksonville, FL
Program Management Accountable for development and implementation of large scale business transformational programs. Accountable for consultation to departmental heads and implementing solutions across functional areas (Delivery, IT, Sales, etc.) through interaction at all levels of the organization Act as Program business…

Job Title: Talent Acquisition Consultant I
Company: Florida Blue
Experience: 2 to 20 years
Salary: Not Provided
Job Location: Jacksonville, FL
Job duties include but are not limited to Manage the end to end staffing process for assigned lines of business, working with leader/managers across the organization to provide sourcing and staffing excellence by managing all lifecycle recruiting processes from sourcing through offer and close. Provide consultative services…

Job Title: Senior IT Infrastructure Architect
Company: Florida Blue
Experience: 10 to 20 years
Salary: Not Provided
Job Location: Jacksonville, FL
The Senior IT Infrastructure Architect will specialize in one or more IT infrastructure related functions including Network and/or Web. The Senior IT Infrastructure Architect serves the company as an advisor on best practices and is responsible for designing and effectively implementing strategies, architectures and solutio…

Job Title: Operational Readiness Project Specialist
Company: Florida Blue
Experience: 4 to 20 years
Salary: Not Provided
Job Location: Jacksonville, FL
This position isresponsible for Operational Readiness for the Sales Support Area. Thearea includes Agent Service Center, CPIM, Small Group Renewal Unit, Small GroupSales Support, Large Group Sales Support and Large Group Rating, Thisrole must ensure these areas are Operationally prepared to handle anyimplementation of tools…

Job Title: Workforce Managment Analyst
Company: Florida Blue
Experience: 3 to 20 years
Salary: Not Provided
Job Location: Jacksonville, FL
Serve as a liaison between internal clients and functional departments; help clients achieve their objectives by serving as a resource in the interpretation, change and application of company policies and procedures. Forecasts call volumes, shrinkage, written correspondence, claims and other inventories as needed using fore…

Job Title: Sr IT Application Architect
Company: Florida Blue
Experience: 2 to 20 years
Salary: Not Provided
Job Location: Jacksonville, FL
Working with integrating vendor solution with internal built solution, The Senior IT Application Architect provides technology oversight to Development Leads, Principal Developers and Application architects. Responsible for ensuring quality and consistency of the applications architecture across the system and providing tec…

Job Title: Member Care Rep – Claims
Company: Florida Blue
Experience: 1 to 20 years
Salary: Not Provided
Job Location: Jacksonville, FL
This is an entry level claims position with the responsibility of entering claims and processing held claims. The role entails resolving claims by utilizing the claims processing systems and current processes and procedures. Ensuring claims are processed timely to adequately adhere to business goals and /or metrics. Manual…

Job Title: Prin IT Business Architect
Company: Florida Blue
Experience: 8 to 20 years
Salary: Not Provided
Job Location: Jacksonville, FL
The Principal IT Business Architect leads and directs capability planning activities across the enterprise to manage a new claims system ensuring alignment of solutions with strategic, compliance, and regulatory needs. The incumbent will act as a multi functional expert and enterprise solution architect for business process…

Job Title: IT Manager
Company: Florida Blue
Experience: 3 to 20 years
Salary: Not Provided
Job Location: Jacksonville, FL
The IT Manager is accountable for leading a team responsible for Florida Blue’s enrollment, maintenance and billing systems providing direction to project and functional resources within and outside their reporting structure, gather, support and develop the resources needed to execute the plan, champion the tactical directi…

Job Title: IT Business Analyst
Company: Florida Blue
Experience: 3 to 20 years
Salary: Not Provided
Job Location: Jacksonville, FL
High critical thinking skills and ability to evaluate alternatives and present solutions that are consistent with business objectives and strategy. Preferred Criteria Health care industry related experience is preferred. Experience with Agile methodologies preferred….

Job Title: Sr IT Business Sys Analyst
Company: Florida Blue
Experience: 6 to 20 years
Salary: Not Provided
Job Location: Jacksonville, FL
The Senior IT Business Systems Analyst will use their knowledge of end to end claims adjudication process to analyze information/processes in support of our new claims system. Essential Job Functions Provides oversight as well as serves as the functional and technical lead during development, implementation, and testing of…

Job Title: Insurance Agency Sales Agent
Company: Florida Blue
Experience: Open
Salary: Not Provided
Job Location: Jacksonville, FL
The Insurance Agency Sales Agent is an entry level sales role that will focus on selling property and casualty insurance through a blend of inbound/outbound calls. This individual is responsible for quoting, counseling and the sales fulfillment of the client prospects. This position requires the use of multiple systems to a…

Job Title: Senior IT Project Manager
Company: Florida Blue
Experience: 5 to 20 years
Salary: Not Provided
Job Location: Jacksonville, FL
Senior IT Project Managers are responsible for the overall direction, management, communication, coordination of status reports, and accountability of project oriented work efforts and success of their projects across the IT organization. This position focuses on technical projects related to the design, development, execut…

Job Title: Vendor Management Specialist
Company: Florida Blue
Experience: 5 to 20 years
Salary: Not Provided
Job Location: Jacksonville, FL
Accountablefor providing leadership and coordination for risk adjustment vendor relatedprograms. Responsible for the end to end management of the Vendor Managementprogram, including relationship management, contracting, contract adherence andperformance, invoice reconciliation, and process improvements. JobResponsibilities…

Job Title: Marketing Manager
Company: Florida Blue
Experience: Open
Salary: Not Provided
Job Location: Jacksonville, FL
Why work for GuideWell Connect? GuideWell Connect is a marketing services company focused on driving results for clients. With growth and revenue on the rise, we take pride in our employees and are looking for talented individuals to join our team in our direct marketing division. The success of GuideWell Connect is built o…

Job Title: Senior Systems and Regulatory Integrator
Company: Florida Blue
Experience: 10 to 20 years
Salary: Not Provided
Job Location: Jacksonville, FL
This Business Support Consultant will design, develop, execute and lead Federal, State and BCBSA programs, projects and initiatives designed to attain and maintain regulatory compliance across the enterprise; serving as spokesperson on behalf of the Company to effectively communicate and influence external entities (e.g. Un…

Job Title: Financial Analyst FP&A
Company: Florida Blue
Experience: 4 to 20 years
Salary: Not Provided
Job Location: Jacksonville, FL
The Financial Analyst, FP&A is responsible for maintaining financial modeling that supports Guidewell Connect Lines Of Business (LOB) and Client P&Ls. The position will develop and maintain financial forecasting, budget development, and tracking for Guidewell Connect. The role relies heavily on self driven and manager direc…

Job Title: Senior Accounting Consultant
Company: Florida Blue
Experience: Open
Salary: Not Provided
Job Location: Jacksonville, FL
Provides leadership and management for internal performance management reporting provided to Senior Leadership. The incumbent will initially report directly to the Chief Accounting Officer and will have a substantial impact on corporate financial results, management and accounting controls. Additionally, the effectiveness o…

Job Title: Senior IT Developer
Company: Florida Blue
Experience: Open
Salary: Not Provided
Job Location: Jacksonville, FL
Senior IT Developers are responsible for development, programming, coding of Information Technology solutions. Senior IT Developers are responsible for documenting detailed system specifications, participation in unit testing and maintenance of planned and unplanned internally developed applications, evaluation and performa…

Job Title: Assoc IT Manager
Company: Florida Blue
Experience: 2 to 20 years
Salary: Not Provided
Job Location: Jacksonville, FL
The Associate IT Manager is accountable for communicating, planning and providing leadership to their assigned team. Provides day to day tactical execution and operational implementation of plans as directed and overseen by IT senior leadership. Associate IT Managers provide direction to project and functional resources wit…

Job Title: Internal Audit Specialist
Company: Florida Blue
Experience: 4 to 20 years
Salary: Not Provided
Job Location: Jacksonville, FL
Utilizes an understanding of the Company’s business activities to execute audit procedures, performs detailed analyses, reaches sound conclusions and documents results for assigned financial, operational, forensic and compliance audit activities. Maintains relationships with audit customers at appropriate levels and promote…

Job Title: Cisco VOIP Engineer
Company: Florida Blue
Experience: 5 to 20 years
Salary: Not Provided
Job Location: Jacksonville, FL
Cisco Voice Engineer Voice over Internet Protocol (VoIP) Voice Engineers assists and/or leads in the planning, forecasting, implementation and identification of resource requirements for IP telephony network systems of moderate to high end complexity. They participate in network planning, architecture design and engineering…