Manage the non clinical capabilities using all BCBSF management processes. Monitor clinical and non clinical operational performance i.e., Centre Vue, Siebel, Quest, etc.) within the Pre Service Medical Review to ensure alignment with budgeting, staffing, and performance objectives (i.e., budgeting, resource management, etc.) Lead Pre Service Medical Review members to mee

Get to know us! Florida Blue, a GuideWell Company, has been providing insurance to residents of Florida for 75 years. Driven by its mission of helping people and communities achieve better health, the company serves more than five million healthcare members across the state. We are looking for exceptional people who will bring our mission to life and succeed by putting th

Responsible for cash related functions in multiple operational systems. Position in corporate cash receipts will enter daily deposits into various enrollment systems. Associate will also perform validations, research, and correct any cash discrepancies. Position requires a moderate understanding of the cash process. This Associate role provides administrative, technical o

Onsite Florida Blue Center Sales and Service Consultant Ft. Lauderdale, FL The Florida Blue Centers are vital to achieving our market segment objectives to deliver a best in class customer experience, create value for the membership, drive market share and profitable growth, and deliver a differentiated experience to drive long term retention of the membership. The Sales

This role will lead and support critical projects and initiatives that support the Find Care Journey. The projects will focus on enhancements to our online provider directory that serve our members, shoppers, agents, and internal employees. As a business support lead, you will define a project's success measures, scope, requirements, timeline, testing, and operational rea

Retail Sales Interns are critical to delivering on the sales, renewal, retention, and community penetration objectives of the Florida Blue Centers. This internship will entail developing and then demonstrating the knowledge, skills, and competencies of a sales professional through effectively consulting with prospects and existing customers. Sales Interns will also perfor

Retail Sales Interns are critical to delivering on the sales, renewal, retention, and community penetration objectives of the Florida Blue Centers. This internship will entail developing and then demonstrating the knowledge, skills, and competencies of a sales professional through effectively consulting with prospects and existing customers. Sales Interns will also perfor

Retail Sales Interns are critical to delivering on the sales, renewal, retention, and community penetration objectives of the Florida Blue Centers. This internship will entail developing and then demonstrating the knowledge, skills, and competencies of a sales professional through effectively consulting with prospects and existing customers. Sales Interns will also perfor

This position will work ONSITE at our Miami Office, the purpose of this position is to manage all aspects and functions in the Florida Blue Center to ensure that the customer's experience is meaningful, informative, supportive in center encounters that result in high customer satisfaction. Essential Functions Help ensure all customers (walk in, telephonic or electronic) a

The Commercial Insurance Market area maintains profitable growth delivered through competitively priced, locally tailored medical products and services that provide a clearly superior value to our group and individual customers. The Mid Market Account Executive is responsible for focusing on renewals of clients. The position would be more tactical vs strategic as evidence

The Value Consultant, as part of the Local Group Sales Team, is accountable for developing, presenting and executing metric driven, group specific health improvement plans to targeted Mid Group clients. The purpose of the role is to provide, through consultative guidance and program management, a differentiated, customized clinical and wellness consultative experience to

Participate in the design and execution of research on various projects ranging from exploratory research to concept validation. Collaborate effectively with interaction and visual designers within the Experience Design team to deliver formative and summative research in cadence with the team's design process. Work on cross functional product teams, partnering closely wit

Contract Management, Performance Management & Reporting Responsible for program performance, including but not limited to the Care Partner's adherence to established SLA's, ROI, cross functional processes, etc. Contribute to the development and maintenance of Care Partner program performance scorecards Coordinate regular Care Partner meetings with internal business partne

The Specialist, EDI Operations & Transactions Management, Provider Connectivity Solutions role applies their discipline specific knowledge of Electronic Data Interchange (EDI), X12 & HL7 standards and CMS/ONC Regulatory Compliance or institutional knowledge and skills in the performance of departmental activities which support the operations of the CompanyThe primary func

The Sr. Manager provides direction and leadership to maximize the overall value of Florida Blue's corporate development and strategic investments initiatives. The Sr. Manager engages with executive leadership to identify, evaluate and execute strategic investments and business development initiatives, including mergers/acquisitions, divestitures, principal investments, jo