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 the member first.

Let’s talk benefits!

When it comes to our benefits, we offer a total compensation package including competitive base pay, health insurance, 401(k), as well as work-life balance programs, flexible work arrangements, and opportunities for growth and development.

We design our offerings to take care of you to help you be your best at work and in life.

What you will do :

The Provider Connectivity Solutions Specialist IIIa will have direct accountability for key tasks that support the Availity Alliance partnership, State HIE connection and all Provider Interoperability operations and implementations.

This role is responsible for managing the invoicing, payment, and reconciliation of a $30M administrative budget that currently funds seven technology solution partners with three more in-process.

The person leading this work will assist in the coordination and facilitation with existing and potential channel-partners including any partner provider engagements.

This position requires strong organizational skills and the ability to shift priorities as needed. The Provider Connectivity Solutions Specialist IIIa will document processes and continually evaluate for any improvement needs that may exist.

Important to know :

• While this role is remote, meetings are held in person quarterly.
• Candidates must reside in FL.

The essential functions listed represent the major duties of this role, additional duties may be assigned.

• Serve as a liaison between internal clients and functional departments; help clients achieve their objectives by serving as a resource in the interpretation, application and compliance with internal and external laws, regulations, policies, procedures, standards, and practices.
• Identify risks, evaluate controls, and prepare findings and recommendations. Implement compliance programs to prevent illegal, unethical, or improper business practices.
• Ensure through audits that the organization’s programs are consistently administered in compliance with organizational policies and procedures, contractual obligations, rulings, laws, and government regulations.
• Monitor and evaluate the effectiveness of solutions, policies, practices and processes to ensure continuous improvement, good client relations and adherence to business requirements.

Recommend improvements to achieve and deliver high quality, value-added services.

• Develop, implement, administer, and revise policies, procedures and programs that meet business needs; assist and / or lead program development and enhancements.
• Research, analyze, maintain, modify, validate, and prepare data, information and content used in making business decisions.

Present findings and articulate results.

• Produce, edit, and distribute a variety of business documents such as reports, proposals, policies, procedures, audit results, issue papers, marketing materials, newsletters, brochures, etc.
• Create, present and / or facilitate meetings, webinars, conference calls, training programs, education sessions, certifications, etc.

for a variety of internal and external audiences.

• May represent assigned function at external hearings, mediations, audits, meetings, etc.
• Participate on or lead larger, more complex departmental and / or divisional projects. Plan, organize, monitor, and control projects to ensure the effective use of resources and adherence to project management standards and reporting requirements.
• May participate on Company workgroups and initiatives.
• Develop and build internal partnerships to improve communication, coordination, collaboration, and effective working relationships within own department and across the Company.
• May mentor and coach less experienced coworkers on the technical and interpersonal skills needed for effective job performance.

What you will need : Experience :

Experience :

4 years of related work experience.

Education :

Related Bachelor’s degree or additional related equivalent work experience

When you become part of the GuideWell family, you help bring our mission to life by helping people and communities achieve better health.

General Physical Demands :

Sedentary work : Exerting up to 10 pounds of force occasionally to move objects. Jobs are sedentary if traversing activities are required only occasionally.

We are an Equal Opportunity / Protected Veteran / Disabled Employer committed to creating a diverse, inclusive, and equitable culture for our employees and communities.

What We Offer :

As a Florida Blue employee, you will thrive in our Be Well, Work Well, GuideWell culture where being well as an individual, and working well as a team, are both important in serving our members and communities.

To support your wellbeing, comprehensive benefits are offered. As an employee, you will have access to :

• Medical, dental, vision, life, and global travel health insurance.
• Income protection benefits : life insurance, Short- and long-term disability programs.
• Leave programs to support personal circumstances.
• Retirement Savings Plan includes employer contribution and employer match.
• Paid time off, volunteer time off, and 11 holidays
• Additional voluntary benefits available; and
• A comprehensive wellness programs

Employee benefits are designed to align with federal and state employment laws. Benefits may vary based on the state in which work is performed.

Benefits for intern, part-time and seasonal employees may differ.

To support your financial wellbeing, we offer competitive pay as well as opportunities for incentive or commission compensation.

We also conduct regular annual reviews with pay for performance considerations for base pay increases.

Annualized Salary Range : $62,500 - $101,500

Typical Annualized Hiring Range : $62,500 - $78,100

Final pay will be determined with consideration of market competitiveness, internal equity, and the job-related knowledge, skills, training, and experience you bring.

We are an Equal Opportunity / Protected Veteran / Disabled Employer committed to creating a diverse, inclusive, and equitable culture for our employees and communities