Florida Blue

 
Displaying 1 - 15 of 75 Jobs.
 
Payroll Specialist II, Executive Compensation (Hybrid, JAXFL based only)
Jacksonville, FL
Payroll Specialists are payroll professionals who apply specialized knowledge, typically as individual contributors, in assisting employees, timekeepers and management in matters that re...

Senior Manager Risk Adjustment - Provider Initiatives (Remote - Florida Only)
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 Solutions Advisor II (Remote Tampa, FL)
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 bett...

Case Manager RN (Medicare)
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 an...

FBM UM Mgr Post Service, Member Appls & Provider Disputes RN
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 necessi...

Florida Blue - Healthcare Appeals Analyst RN
Jacksonville, FL
Reviews provider appeals to ensure medical necessity and experimental/investigational claims were processed correctly according to multiple coverage guidelines. Makes final determination...

PEBS- Intern High School - Baker County
Glen St. Mary, FL
Florida Blue established the Partners in Education for Business Success (PEBS) program in 1991 to offer junior and senior business track high school students hands on experience in a rea...

Medicare Concurrent Review Nurse RN
Jacksonville, FL
The CRN is responsible for performing medical reviews using established criteria to ensure the member is receiving care at the most appropriate level. The CRN builds relationships with f...

Case Manager RN -Remote
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 managem...

Senior Full-stack Developer (Java/NodeJS)- Remote U.S.
Jacksonville, FL
Write code for complex system designs that often span platforms, and can include creating Application Programming Interfaces (APIs). Review code and guide other developers Write detailed...

OnSite Florida Blue Center Customer Advocate
Pensacola, 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 bett...

Specialist V - Contract Compliance
Jacksonville, FL
Responsible for leading the development and maintenance of contract language and materials (e.g. , Administrative Services Agreements, standard and non standard ASA exhibits, amendments/...

Concurrent Review Nurse RN - Remote
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...

Medical Director Care Management
Jacksonville, FL
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, Concurre...

Field Marketing Manager (Tallahassee/Pensacola, FL)
Tallahassee, FL
As a Field Marketing Manager, you will assist in leading the implementation of best in class consumer facing activations under the field marketing capability for GuideWell Connect client...