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

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

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

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 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

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 position of Sourcing Specialist requires talented, experienced, professionals with good business acumen, legal acuity, product knowledge, project management and organization skills. These skills, combined with a suite of competencies designed to successfully navigate the enterprise and vendor community, are necessary to produce well constructed, mid complexity solutio

Florida Blue Field Marketing Internship Reporting to the Senior Manager , Field or Experiential Marketing, this internship aids in the development and implementation of marketing tactics for Florida Blue's statewide sport, retail and community sponsorships in order to meet our objectives. This role's responsibilities involve creating and executing the partnership strategy

Responsible for leading the development and maintenance of contract language and materials (e.g. , Administrative Services Agreements, standard and non standard ASA exhibits, amendments/renewals, standard contract templates ) to support projects/initiatives for Florida Blue's self insured (ASO) business . Works under minimal supervision ensuring contract materials are dev

Responsible for supporting the development, enhancement, and execution of new and existing Care & Health Solution programs and business partnerships for Florida Blue Centers. Acts as Care and Group SME and point of contact for Health Solution Program ideation and design working with leadership across the enterprise to discover, evaluate, and develop new health solution pa

Florida Blue Field Marketing Internship Reporting to the Senior Manager , Field or Experiential Marketing, this internship aids in the development and implementation of marketing tactics for Florida Blue's statewide sport, retail and community sponsorships in order to meet our objectives. This role's responsibilities involve creating and executing the partnership strategy

The Decision Support Analytics team resides within the Health Business' Enterprise Shared Services (ESS). Decision Support Analytics team members provide analytical and operational support to the core processes of ESS; act as consultants and analytical support for the Enterprise; engage with Information Technology (IT) to define, prototype, and operationalize business sol

Design, develop, test, implement, and support departmental website using Visual Studio, HTML, ASP, and SQL Server. Partner with others to identify and implement the tools, technologies, applications, and practices used to collect, integrate, analyze, and present data to create insightful and actionable business information; establish interactive visualizations and web bas

Supports cost reporting and analysis, budgeting, forecasting and administrative cost controllership for the Federal Employee Program (FEP). Provides management with technical reporting, in depth financial analysis, consulting support and resolution of issues for cost accounting, reporting and compliance related to the Federal Employee Program (FEP). What You Will Be Doing