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Florida Blue
- Lake Mary, FL / Orlando, FL / Jacksonville, FL / 2 more...
Are you a seasoned designer who wants to make a great impact? Are you looking for a career that is truly helping people through the power of design and innovation? The Service Designer is a key role in Enterprise Innovation team a growing and dynamic team that solves tough healthcare challenges and brings innovations to our customers, community, and the organization. We touch the lives of over fou
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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 and adjudicate claims. Essential Job Functions Review a member's enrollment
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Retail Center Sales Consultants are critical to delivering on the sales, renewal, retention, and community penetration objectives of the Retail Centers. This will entail demonstrating the knowledge, skills, and competencies of a high performing sales professional through effectively consulting with prospects and existing customers to meet sales targets, performing timely and efficient lead managem
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Florida Blue
- Gainesville, FL / Jacksonville, FL / Orlando, FL / 2 more...
JOB DESCRIPTION Health Business Analyst Care Analytics The Health Business Analyst within the Commercial Care Analytics team will assist in a diverse range of analytical projects with a focus on targeting , investigating and quantifying cost and utilization drivers using claims , authorization and case management data. The ideal candidate will have strong technical skills, with a combination of
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Florida Blue
- Gainesville, FL / Jacksonville, FL / Miami, FL / 2 more...
JOB DESCRIPTION Sr Health Business Analyst The Senior Health Business Analyst within the Value Based Analytics team will be accountable for leading a diverse range of analytical projects . This role will be focused on Provider Value Based Programs (Alternative Payment Models) including ACO, PCMH, Episode Based Payment (EBP) Bundles, and MLR Shared Savings incentive programs. The Senior Health Bu
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The Training Delivery Specialist V is responsible fordelivering formal instructor led (classroom, event and virtual) training,facilitating discussions to support the implementation of informal trainingsolutions, and providing coaching and performance based feedback to Medicaresales agents enabling them to perform the requirements of their roles whilemaximizing their time to competency. This includ
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Florida Blue
- Gainesville, FL / Jacksonville, FL / Miami, FL / 2 more...
JOB DESCRIPTION Data Analytics Consultant Value Based Analytics The Data Analytics Consultant will develop analyze and provide insight, analysis and reports. This role will be focused on Provider Value Based Programs (Alternative Payment Models) including ACO, PCMH, Episode Based Payment (EBP) Bundles, and MLR Shared Savings incentive programs. In this role you will be accountable for identifying
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Florida Blue
- Gainesville, FL / Jacksonville, FL / Miami, FL / 2 more...
JOB DESCRIPTION Health Business Analyst Pharmacy Analytics The Health Business Analyst within the Commercial Pharmacy Analytics team will assist in a diverse range of analytical projects with a focus on targeting , investigating and quantifying cost and utilization drivers within pharmacy claims data. The ideal candidate will have strong technical skills, with a combination of pharmacy data expe
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JOB DESCRIPTION The Sr Director Regional Sales and Market Integration is accountable and responsible for developing, leading, and executing Florida Blue Medicare's (FBM) regional integration and sales strategy. This strategy includes the interlocking of Medicare products, sales, providers, local marketing and community relations to grow membership by creating local market differentiation. The dire
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Florida Blue
- Gainesville, FL / Jacksonville, FL / Tampa, FL / 1 more...
JOB DESCRIPTION Health Business Analyst Risk Adjustment & Quality Analytics The Health Business Analyst within the Commercial Risk Adjustments and Quality Analytics team will assist in technical and analytical projects with a focus on targeting, investigating, summarizing and evaluating enrollment and claims data in support of ACA risk adjustment and/or HEDIS quality programs . The ideal candida
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Florida Blue
- Fort Lauderdale, FL / Sarasota, FL / Miami, FL / 4 more...
JOB DESCRIPTION Position can be based from remote location Job duties include but are not limited to Perform all Federal Employee Program (FEP) utilization management (UM) reviews, including but not limited to Pre service, Post service, Concurrent Review and Appeals Train and utilize JIVA and all Florida Blue and FEP platforms, applications and tools to best complete needed work and tasks Apply FE
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Florida Blue
- Miami, FL / Gainesville, FL / Jacksonville, FL / 2 more...
JOB DESCRIPTION Data Analytics Consultant GuideWell Health Analytics The Data Analytics Consultant will develop, analyze, and provide insight, analysis and reports. In this role you will be focused on GuideWell's clinical assets, GuideWell Health (GWH). You will be accountable for identifying and quantifying key drivers of GuideWell Health's financial and clinical performance, investigating areas
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Florida Blue
- Miami, FL / Orlando, FL / Tampa, FL / 1 more...
(preference given to those applicants who are/can be strategically located at one of our hub locations Jacksonville, Tampa, Orlando, and/or Miami) The Training Delivery Specialist V is responsible for delivering formal instructor led (classroom, event and virtual) training, facilitating discussions to support the implementation of informal training solutions, and providing coaching and performance
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Florida Blue
- Gainesville, FL / Jacksonville, FL / Orlando, FL / 2 more...
JOB DESCRIPTION Health Business Analyst Value Based Analytics The Health Business Analyst within the Value Based Analytics team will be accountable for supporting a diverse range of analytical projects while owning routine reporting processes. This role will be focused on Provider Value Based Programs (Alternative Payment Models) including ACO, PCMH, , and MLR Shared Savings incentive programs. T
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Florida Blue
- Gainesville, FL / Jacksonville, FL / Tampa, FL / 1 more...
JOB DESCRIPTION Sr. Health Business Analyst Network Performance Analytics Please note that t here are two open positions available for this posting. One is intended to be an integrated role that combine s Network and Care related topics/projects, and the second is focused on Network specific needs. The Senior Health Business Analyst within the Commercial Network Performance Analytics team will p
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