Company · 76 open roles
Careers at Florida Blue
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76 positions at Florida Blue
Health Plan Consultant - Miami (Spanish/Bilingual)
Florida Blue·Miami, FL, United States
The Florida Blue Center Health Plan Consultant plays a critical role in delivering a best-in-class customer service experience, driving sales and growth, and retaining membership. This involves consulting with prospects and existing customers to meet sales targets, managing leads…
Sr Manager Network Business Ops & Program Management
Florida Blue·FL, United States
The Sr. Manager of the Network Business Operations & Program Mgmt. is accountable to lead one or more teams in achieving targeted outcomes/results and capabilities for key strategic initiatives in support of network development, network management and network operations. This pos…
Maintenance Technician II - Riverside Office Complex
Florida Blue·United States
The Maintenance Technician works independently under moderate supervision, performs planned and corrective maintenance on electrical, HVAC, mechanical, life safety, and plumbing systems. Operates industrial HVAC systems, including chillers, cooling towers, air handlers and pumps.…
Sr. Behavioral Scientist
Florida Blue·United States
We're looking for a Senior Behavioral Scientist who can translate evidence-based behavioral science into real business impact. In this role, you'll work directly with senior leadership and product teams to solve critical problems including increasing member engagement, improving …
Manager of Claims Processing
Florida Blue·Irving, TX, United States
What is your impact? The Manager of Claims Processing is accountable for achieving business results through the application of effective leadership and management processes with a special emphasis and focus on reviewing procedures for new clients, Summary Plan Documents, and clar…
Assistant Manager of Claims Processing
Florida Blue·San Antonio, TX, United States
Get To Know Us! WebTPA, a GuideWell Company, is a healthcare third-party benefit administrator with over 30+ years of experience building unique benefit solutions and managing customized health plans. What is your impact? The Assistant Manager of Claims Processing is responsible…
Procurement Contract Manager, Remote
Florida Blue·United States
Job Summary: We are seeking a highly skilled and experienced Contract Manager to serve as a strategic liaison between our Procurement and Legal teams. As a key member of our team, you will drive the development, negotiations, and management of our Master Service Agreements that a…
Sourcing Manager Procurement
Florida Blue·United States
Job Summary: The position of Sourcing Manager 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 navigat…
Managing Actuary - Medicare Rotation
Florida Blue·United States
Job Summary: Will be responsible for Medicare pricing and risk revenue analytics. Essential Functions: The essential functions listed represent the major duties of this role, additional duties may be assigned Managing Actuaries typically manage one or more direct reports and ar…
Claims Examiner I
Florida Blue·Irving, TX, United States
Get To Know Us! WebTPA, a GuideWell Company, is a healthcare third-party administrator with over 30+ years of experience building unique benefit solutions and managing customized health plans. Key position details: • Anticipated Training Class Start Date: 10/12/2026 • Schedule …
Actuarial Analyst
Florida Blue·United States
What is My Purpose? Responsible for supporting Actuarial management through various rotations across internal and external departments. Responsibilities may include actuarial pricing and analyses, forecasting, reserving, network analyses, segment strategy, value-based provider an…
Health Plan Consultant - Estero
Florida Blue·Estero, FL, United States
The Florida Blue Center Health Plan Consultant plays a critical role in delivering a best-in-class customer service experience, driving sales and growth, and retaining membership. This involves consulting with prospects and existing customers to meet sales targets, managing leads…
Florida Blue Medicare - Sr Regional Business Performance Manager
Florida Blue·FL, United States
The FBM Sr Regional Business Performance Manager is responsible for facilitating the development and monitoring the execution of Florida Blue Medicare's regional strategies to drive growth and business performance. This role will coordinate activities across Medicare's key growth…
Clinical Consultant Authorization Platform
Florida Blue·Jacksonville, FL, United States
The Clinical Consultant provides clinical translation, validation, and adoption support for the Authorization Platform. This role ensures approved medical policy, utilization management criteria, and clinical workflow expectations are accurately reflected in platform design while…
Consultant - Network Business Ops & Program Management
Florida Blue·FL, United States
Consultants are seasoned, subject matter experts who apply specialized knowledge, typically as an individual contributor, in matters that require special interpretation or expertise. Incumbents use their discipline-specific and/or institutional knowledge to perform department act…
Principal Cloud and AI Security Architect
Florida Blue·United States
The Principal Cybersecurity Architect is responsible for driving enterprise-wide technology security strategy and providing technical expertise to business areas and project teams with an emphasis on implementation of innovative, leading-edge security technology solutions. The id…
Healthcare Appeals Analyst RN
Florida Blue·Jacksonville, FL, United States
Reviews provider appeals to ensure medical necessity and experimental/investigational claims were processed correctly according to multiple coverage guidelines. Makes final determination based on findings and procedures within strict timelines established by regulatory requiremen…
Product Manager - Call Center AI Advancements
Florida Blue·Jacksonville, FL, United States
Job Summary: Florida Blue is seeking an Product Manager to shape and drive product advancements across our portfolio. This motivated, collaborative role partners with leadership and business stakeholders to champion product adoption and engagement initiatives, serving as a liaiso…
Onsite Health Plan Consultant (Hialeah, FL)
Florida Blue·Hialeah, FL, United States
The Florida Blue Center Health Plan Consultant plays a critical role in delivering a best-in-class customer service experience, driving sales and growth, and retaining membership. This involves consulting with prospects and existing customers to meet sales targets, managing leads…
Customer Service Rep I
Florida Blue·San Antonio, TX, United States
Get To Know Us! WebTPA, a GuideWell Company, is a healthcare third-party benefit administrator with over 30+ years of experience building unique benefit solutions and managing customized health plans. What is your impact? As a Customer Service Representative, you will be respons…
Customer Service Rep I
Florida Blue·TX, United States
Get To Know Us! WebTPA, a GuideWell Company, is a healthcare third-party benefit administrator with over 30+ years of experience building unique benefit solutions and managing customized health plans. What is your impact? As a Customer Service Representative, you will be respons…
Customer Service Rep I
Florida Blue·San Antonio, TX, United States
Get To Know Us! WebTPA, a GuideWell Company, is a healthcare third-party benefit administrator with over 30+ years of experience building unique benefit solutions and managing customized health plans. What is your impact? As a Customer Service Representative, you will be respons…
Customer Service Rep I
Florida Blue·Irving, TX, United States
Get To Know Us! WebTPA, a GuideWell Company, is a healthcare third-party benefit administrator with over 30+ years of experience building unique benefit solutions and managing customized health plans. What is your impact? As a Customer Service Representative, you will be respons…
Claims Examiner I
Florida Blue·Irving, TX, United States
Get To Know Us! WebTPA, a GuideWell Company, is a healthcare third-party administrator with over 30+ years of experience building unique benefit solutions and managing customized health plans. Key position details: • Training Schedule: Monday to Friday 8:00am to 4:30pm Central …