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.
What You Will Do
The Provider Solutions team provide support to the services/network management provider community by serving as a liaison between the Provider and the Company on education, reimbursement, administrative/medical policy, and non-routine provider issues, by supporting network contracting by researching issues that may impact future provider negotiations or jeopardize network retention, and by assisting in the implementation of new initiatives, capabilities, and processes.
Important to Know
Must reside in Tampa, FL Area
Not 100% remote; 2-3 days a week traveling locally to client sites for training, strategizing, building, and maintaining provider relationships
Requires travel for client engagement, and meetings
What Will You Be Doing
Leverage business relationships with executives of integrated hospital systems and acute hospitals and facilities that change behaviors to create value for customers.
Contribute to the efficiency of the delivery system through offering and servicing a valued, integrated portfolio of business solutions.
Support network contracting efforts by providing input on engagement/performance relative to network participation decisions and act as a conduit to share competitive intelligence, industry trends and environmental impacts to key business partners and stakeholders. Serves as an adviser and educator to providers as the health care industry transforms to impact improved performance outcomes.
Influences key stakeholders to advocate for and adopt effective policies, business processes, initiatives, and capabilities.
Monitors and evaluates adoption, engagement, and educational opportunities by analyzing data to positively influence outcomes.
Coordinates solutions of critical non-resolved provider issues with internal business partners.
Identifies and supports continuous improvement initiatives and provides subject matter expertise.
What We Require
3+ years related experience in Health care with a focus in provider relationship, network management or provider office/hospital environments.
Related Bachelor’s degree or additional related equivalent work experience
Knowledge of all physician/provider payment and AFCS, methodologies/contracts, drug, per diem, OPP, DRG, etc.
Experience with managing a territory and associated priorities, action plans and tasks.
Knowledge of MS Office applications including Word, PowerPoint, and Excel.
Preparing and presenting training materials.
Experience in negotiating and influencing customer outcomes.
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
Exerting up to 10 pounds of force occasionally to move objects.
Jobs are sedentary if traversing activities are required only occasionally.
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 comprehensive wellness program
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.
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.
About Us
At GuideWell, we are committed to making diversity, equity and inclusion part of everything we do. We believe in hiring people who represent the communities we serve while creating a workplace that encourages a sense of belonging for everyone, no matter who you are or where you come from.
From students to former military to seasoned professionals, our family of mission-based companies are stronger because of the unique talents and skills of our employees. We believe everyone’s contribution has the power to help people and communities achieve better health. Find your new team today.
About The Team
Florida Blue, A GuideWell Company, has been providing health insurance to residents of Florida for 75 years. Driven by its mission of helping people and communicating to achieve better health, the company serves more than five million health care members across the state. We are looking for exceptional people who will bring our mission to life and succeed by putting the members first.
Seniority level
Mid-Senior level
Employment type
Full-time
Job function
Consulting, Information Technology, and Sales
Industries
Insurance
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