The Medical Review Nurse reviews, authorizes, coordinates, and responds to requests for services for Florida Blue members. This position also communicates telephonically with providers and their offices, and occasionally with members. Makes decisions based on established policies and procedures, Florida Blue medical coverage guidelines, benefits, InterQual criteria, nursi

What Will You Be Doing Coordinates the implementation and activation of Local Presence community investments and sponsorships to support strategic growth and brand awareness in the North West Florida market (includes Pensacola cluster and Tallahassee cluster counties). The role will maintain a strong matrix relationship to the regional Local Presence Leadership team (Mark

The Sr Manager Direct Sales Enablement is directly responsible for enabling organizational effectiveness to help Commercial Direct Sales (CDS) meet ongoing performance measures for Florida Blue. This position will be responsible for and support the team in using data driven metrics to identify performance improvement opportunities and best practices focused on operational

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 of health care. We offer competitive salariesandbenefits, work life balance,flexible work arrangements, opportunities for growth and development, and a great place to workacross our enterprise! What is yo

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 real business environment and increase their knowledge of health care. Through this program, Florida Blue seeks to develop highly skilled workers who can continue their involvement with Flori

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

The Florida Blue Centers are and will continue to become more visible and vital to achieving our market segment objectives to deliver a best in class customer experience, create value for the membership, drive market share and profitable growth, and deliver a differentiated experience to drive long term retention of the membership. This role will be critical in delivering

The Cybersecurity Endpoint Protection Manager is accountable for communicating, planning and providing leadership to their assigned team. Cybersecurity Managers provide direction to project and functional resources within and outside their reporting structure, gather, support and develop the resources needed to execute the plan, champion the tactical direction of work and

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 th

Multiple Position available in the following regions West Coast=Tampa area, South Florida =Miami, Ft Lauderdale, and Panhandle/Jacksonville area What is your impact? The Account Management Specialist will provide field service support and coordination to specific assigned groups along with assisting with enrollment, implementation, conservation and renewal phases of the s

Do you have bold ideas? Are you an innovative and strategic thinker with the ability to dream it up AND execute it? Can you focus simultaneously on the big picture and the small details? Those are a few of the requirements for the Enterprise Communications Creative Director. The Creative Director is a key leadership position within Enterprise Communications, responsible f

Retail Sales Interns are critical to delivering on the sales, renewal, retention, and community penetration objectives of the Florida Blue Centers. This internship will entail developing and then demonstrating the knowledge, skills, and competencies of a sales professional through effectively consulting with prospects and existing customers. Sales Interns will also perfor

Retail Sales Interns are critical to delivering on the sales, renewal, retention, and community penetration objectives of the Florida Blue Centers. This internship will entail developing and then demonstrating the knowledge, skills, and competencies of a sales professional through effectively consulting with prospects and existing customers. Sales Interns will also perfor

The Enterprise Strategy Manager role will partner directly with department and executive level leadership to help some the complex challenges facing GuideWell as an Enterprise. This role will focus on the identification of enterprise level challenges and opportunities, including strategy, business development, and growth initiatives. The incumbent will partner with depart

The Enterprise Strategy Director role will partner directly with department leadership team members and business unit peers to help solve the most important and complex questions and challenges facing GuideWell as an Enterprise. This role will focus on the identification enterprise level challenges and opportunities, including strategy, business development, and growth in