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

Specialists apply discipline specific or institutional knowledge and skills in the performance of departmental activities which support the Company's operations. Specialists typically prepare for their role by earning a post secondary degree in a specific field, obtaining certification, or by on the job training and work experience. Incumbents may directly manage a small

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

As a Senior Enterprise Competitive Insights Advisor you will lead the data collection and analysis of intelligence, as well as external research efforts, guided by leadership, to collectively understand the overall health care operating environment (competitive, regulatory, financial). You will participate in the development, execution, and communication of competitive re

Perform all types of utilization management (UM) reviews, including but not limited to Pre service, Post service, Concurrent Review and Appeals Discuss cases with physician providers (Peer to Peer) Apply health plan review hierarchy to member contracts, medical policy, clinical guidelines and other approved resources to render timely decisions on medical necessity request

This position will be responsible for reviewing and analyzing Requests for Proposals (RFPs) and preparing health and ancillary quotes.The Mid Group Pre Sale Analyst works closely with the Senior Director of Sales, Mid Group New Sales Executive, brokers and internal business partners to ensure an accurate and competitive Florida Blue quote is generated.This position will w

Project management support of Enterprise wide facility planning projects and all subsidiaries, that enable the achievement of the enterprise mission, vision, values, and goals. Job Duties include but are not limited to Organize and maintain construction and Facility Planning interior renovation project documents, digital database development, floorplans, finish plans, det

As the Senior Manager, Enterprise Competitive Insights role you will lead the development, project management, and communication of competitive research, as well as business insights associated with GuideWell's growing scope of operations. You will be accountable for effectively integrating insights from multiple sources to form a holistic view of GuideWell's customers, m

Owns and leads overall process for regular product performance reporting and annual portfolio reviews for all segments, inclusive of setting deadlines, managing key deliverables, facilitation of cross functional workgroups, development of key messaging of results for senior management and coordination with Segment Leads Owns product performance analysis, ad hoc reporting

Write code for complex system designs. Write programs that span platforms. Code to and/or create Application Programming Interfaces (APIs). Review code developed by other Developers Provide input to and drive programming standards Write detailed technical specifications for entire systems (made up of several subsystems). Identify integration points. Review technical specs

Why should you check out Florida Blue? We offer flexible work arrangements, opportunities for growth and development, and a great place to workacross our enterprise ! There are multiple positions at this job level available within Commercial Markets Analytics. We aim to match your interests and skills to an area that will provide personal satisfaction and engagement. As a

Enterprise Strategy and Corporate Development Intern GuideWell employees are driven by our mission of building healthy communities through forward thinking health solutions. Come be a part of a dynamic team who has set the standard in developing top talent that is in high demand across our 18,000+ employee population. Your career possibilities are endless as we grow and e

Provides subject matter expertise and management within their assigned area. Proactively identifies, implements and manages process improvements and agile solutions within functional area. Leads cross functional discussions/initiatives to anticipate and mitigate issues and achieve required outcomes within required timeframes. Sets, articulates and oversees achievement of

Attention experienced Sr. Systems Auditors! Our Internal Audit department is hiring! If you have a deep understanding of risks and methods utilized to identify enterprise internal security architecture, applications, operating systems and databases risks, APPLY and/or SHARE immediately!! How Will You Make a Difference? Key player in advising audit management in promoting