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Medical Review Nurse RN - Remote
Florida Blue
-
Jacksonville, FL
Get To Know US ! GuideWell and its family of forward thinking companies are focused on helping people and communities achieve better health and are at the forefront in the transformation of health care. As a highly integrated care team we empower members to optimize their health and achieve their health care goals by providing access to quality and affordable health solut
Email Job
Posted 1 day ago
FB Medicare Case Manager RN -Remote
Florida Blue
-
Jacksonville, FL
This key position is responsible for assisting members within a geographical (local, statewide and/or other) area make effective health care choices for self management of their acute and /or chronic condition(s). Utilizing a member centric approach they assist members, and their families understand and manage their disease process by reinforcing the physicians' plan of t
Email Job
Posted 1 day ago
Medicare Sales Agent
Florida Blue
-
Tampa, FL
Florida Blue Medicare Sales Agents will sell products and services to Medicare eligible individuals, and build long term relationships with customers and external business partners. Meet with eligible participants with the goal of enrollment and presenting product information for Medicare Advantage HMO, Medicare Advantage PPO, Medicare Supplement, or stand alone Medicare
Email Job
Posted 1 day ago
Analyst III - Business Support - Remote
Florida Blue
-
Jacksonville, FL
Research, analyze, maintain, modify, validate, and prepare data, information and content used in making business decisions. Output is used for forecasting, costing, planning, positioning, trending, measuring, controlling risk, contracting and administration. Present findings and articulate results. Monitor, maintain and test the Company's systems that manage business and
Email Job
Posted 1 day ago
Provider Solutions Advisor III - Tampa, FL
Florida Blue
-
Tampa, FL
J 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
Email Job
Posted 1 day ago
Digital Analyst I (Remote)
Florida Blue
-
Jacksonville, FL
Florida Blue (FLB) is looking for a Journey Digitization Analyst to work with digital leadership to help shape and drive member journey digitization, redefining the healthcare experience of our customers. We're looking for an inspirational, high energy candidate who will advocate and push our digital experience to the next level and unlock breakthrough customer and busine
Email Job
Posted 1 day ago
Case Manager RN -Remote
Florida Blue
-
Jacksonville, FL
What is your purpose? The Case Manager is responsible for assisting members within a geographical (local, statewide and/or other) area make effective health care choices for self management of their acute and /or chronic condition(s). Utilizing a member centric approach they assist members, and their families understand and manage their disease process by reinforcing the
Email Job
Posted 1 day ago
Sr Manager Care Implementation Remote
Florida Blue
-
Jacksonville, FL
The Senior Manager has the leadership accountability for their assigned team. This role has direct management and oversight of the team. Partnering with executive leadership, internal & external business partners/ stakeholders, this role oversees the development and management of operational processes for each of these distinct areas of accountability. Essential Functions
Email Job
Posted 1 day ago
Onsite FL Blue Center- Bilingual RN
Florida Blue
-
Clearwater, FL
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
Email Job
Posted 2 days ago
Payroll Specialist II, Executive Compensation (Hybrid, JAXFL based only)
Florida Blue
-
Jacksonville, FL
Payroll Specialists are payroll professionals who apply specialized knowledge, typically as individual contributors, in assisting employees, timekeepers and management in matters that require special interpretation or expertise as it relates to time management, payroll calculations and administering human resources' pay related policies. Incumbents utilize their professio
Email Job
Posted 2 days ago
Associate Product Owner
Florida Blue
-
Jacksonville, FL
The Associate Product Owner will be supporting Product Owner(s) on initiatives to drive digital transformationwithin the research, shop, renew journey.This position collaborates with Product Manager(s)and Product Owner(s) to familiarize themselves with the direction,strategy and vision, in an effort to provide the necessary direction to business and IT partnersas, the sol
Email Job
Posted 2 days ago
Senior Manager Risk Adjustment - Provider Initiatives (Remote - Florida Only)
Florida Blue
-
Jacksonville, FL
Oversee the staff who is primarily focused on, but is not limited to, establishing, and nurturing collaborative relationships provider initiatives for risk adjustment programs including provider quality coding chart reviews, chart procurement/medical record documentation education for completeness and accuracy, provider engagement and RADV. Oversee staff and day to day op
Email Job
Posted 2 days ago
Provider Solutions Advisor II (Remote Tampa, FL)
Florida Blue
-
Tampa, FL
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
Email Job
Posted 3 days ago
Case Manager RN (Medicare)
Florida Blue
-
Miami, FL
This key position is responsible for assisting members within a geographical (local, statewide and/or other) area make effective health care choices for self management of their acute and /or chronic condition(s). Utilizing a member centric approach they assist members and their families understand and manage their disease process by reinforcing the physicians' plan of tr
Email Job
Posted 3 days ago
FBM UM Mgr Post Service, Member Appls & Provider Disputes RN
Florida Blue
-
Jacksonville, FL
UM Mgr Post Service, Member Appls & Provider Disputes RN, reports to the FBM Director, Utilization Management & Compliance. This role is accountable for ensuring accurate medical necessity review, timely processing and notification of determinations for post service requests, member appeals and provider disputes. This role has oversight of clinical appeals team staff incl
Email Job
Posted 3 days ago
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