Jobs at GuideWell
371 open positions
Client Resolution Specialist
Company: GuideWell
Location: San Antonio, TX
Posted Sep 14, 2023
(5%)Required Work Experience• 1+ years related work experience. Jobs are sedentary if traversing activities are required only occasionally.• Must be able to travel to multiple locations for work (i.e., travel to attend meetings, events, conferences). Preferred Qualifications• Other experience in customer service for all types of medical claims would be helpful.• Proficiency and experience in iii: PUT a plus. Experience Details: Experience in customer service Required Education• High school diploma or GED Required Qualifications• Knowledge of CPT and ICD-9 coding required.• Knowledge of COBRA, HIPAA, pre-existing conditions, and coordination of benefits required.• Data entry and 10-key by touch/sight required.• Concise written and oral communication skills required, including the ability to deal with conflict.• Proficiency in maintaining good rapport with physicians, healthcare facilities, clients, and providers.• Knowledge of all MS Office products.• Customized programs for medical CPT coding, review of multiple surgical procedures, and establishment of reasonable and customary fees.• Must possess proven judgment, decision-making skills, and the ability to analyze.• Must learn quickly as well as be able to multi-task.• Must be motivated as well as possess a sound work ethic. Preferred Education• Some college courses in related field General Physical Demands• Sedentary work: Exerting up to 10 pounds of force occasionally to move objects. Occasionally We are an Equal Opportunity/Protected Veteran/Disabled Employer committed to creating a diverse, inclusive, and equitable culture for our employees and communities. (5%)Assisting with assigned special projects. (20%)Other responsibilities include researching claim appeals, researching benefit questions, locating in-network providers. (10%)Provide direction and training to client-dedicated Customer Service Team staff:Provide instruction and training to Customer Service Team when directed by the employer group or the Customer Service Manager. (60%)Provide expert level of assistance to members who have complex or escalated issues that have not been successfully resolved by normal means:Identify members who have high claim volumes or excessive calls to customer service, which may be an indication that they need help understanding their plan or help with finding solutions.Work directly with the Benefit Consultant for the employer group, to resolve claim or customer service issues.
Principal Automation Developer- Remote
Company: GuideWell
Location: Remote
Posted Sep 16, 2023
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 program Employee benefits are designed to align with federal and state employment laws. Annualized Salary Range: $121,300 - $197,100 Typical Annualized Hiring Range: $121,300 - $151,600 Final pay will be determined with consideration of market competitiveness, internal equity, and the job-related knowledge, skills, training, and experience you bring. Benefits for intern, part-time and seasonal employees may differ. To support your wellbeing, comprehensive benefits are offered. Act as a technical mentor to other team members What is Required:• 6+ years' experience in IT development/programming/coding professional work experience with infrastructure technologies• Deep experience working/developing code for automations• Hands on experience with Ansible.• Proficient in automation using Shell/PowerShell.• Deep proficiency with Unix/Linux commands.• Knowledge of Terraform and database concepts• Expert level experience and understanding with unit testing, release procedures, coding design and documentation protocol as well as change management procedures.• Expert level proficiency using versioning and debugging tools. performance.• Expert-level ability to communicate highly complex technical information clearly and articulately at all levels and audiences.• Expert level understanding of the systems development life cycle• High critical thinking skills to evaluate alternatives and present solutions that are consistent with business objectives and strategy.• Experience mentoring and/or leading other infrastructure staff • Exceptional leadership skills demonstrated through project or technical leadership experience.• Expert-level ability to understand overall IT strategy and apply/implement IT strategy in assigned projects/initiatives.• Related Bachelor's degree or additional related equivalent work experience IT related field or equivalent work experience What is Preferred:• Good understanding of Operating Systems, like RHEL, Windows and AIX• Knowledge of network components• Knowledge of Florida Blue systems and applications General Physical Demands Sedentary work: Exerting up to 10 pounds of force occasionally to move objects. To support your financial wellbeing, we offer competitive pay as well as opportunities for incentive or commission compensation. 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. We are an Equal Opportunity/Protected Veteran/Disabled Employer committed to creating a diverse, inclusive and equitable culture for our employees and communities. Benefits may vary based on the state in which work is performed.
IT Application Big Data Architect (Remote)
Company: GuideWell
Location: Remote
Posted Sep 08, 2023
Florida Blue is seeking an IT Application Big Data Architect with 4+ years of experience in IT development/programming/coding. The role involves managing technical design and implementation for Commercial & Medicare Rewards Programs, defining project-level application architectures, and providing technical direction to the project team. The company offers comprehensive benefits including medical, dental, vision, life insurance, income protection benefits, leave programs, retirement savings plan, paid time off, volunteer time off, holidays, a wellness program, and competitive pay. The annualized salary range is $102,000 - $165,800, with a typical range of $114,750 - $127,500.
Accounting Associate II (Jacksonville, FL- Hybrid)
Company: GuideWell
Location: Jacksonville, FL
Posted Sep 16, 2023
Typical Annualized Hiring Range: $39,300 - $44,000 Annualized Salary Range: $39,300- $63,800 Final pay will be determined with consideration of market competitiveness, internal equity, and the job-related knowledge, skills, training, and experience you bring. Benefits for intern, part-time and seasonal employees may differ. 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.• A comprehensive wellness program.• Additional voluntary benefits available. 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 financial wellbeing, we offer competitive pay as well as opportunities for incentive or commission compensation. Benefits may vary based on the state in which work is performed. Additionally, this hands-on role will handle daily operational incoming and outgoing mail, and inquiries. This team member interacts with banks, providers, and subsidiaries on banking activities, unclaimed and returned checks generated from claims and accounts payable systems.
IT Scrum Master - Irving, Texas
Company: GuideWell
Location: Dallas-Fort Worth, TX
Posted Sep 18, 2023
Essential Functions The essential functions listed represent the major duties of this role, additional duties may be assigned.Facilitate scrum ceremonies such as daily stand up meetings, backlog grooming, sprint planning, sprint reviews/demos and sprint retrospectives. (20%)Assist the scrum team to become a self-organized, cross-functional and highly efficient team that delivers high-quality products (15%)Facilitate documenting and executing the team's continuous improvement plan, based on retrospectives (15%)Clarify deliverables and assignments and remove impediments (20%)Provide leadership with metrics necessary to make decisions (15%)Determine ways to improve throughput, velocity and allow the team flexibility to self-manage themselves especially on items identified from the retrospective (15%)Qualifications Required Work Experience 4+ years related work experience leading Agile / Scrum projects Required Management Experience No supervisory/management experience required Required Education Related Bachelor's degree or additional related equivalent work experience Computer Science or Information Technology Additional Preferred Qualifications Experience utilizing the CA Agile Rally tool 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. Protect the team from outside distractions. We are an Equal Opportunity/Protected Veteran/Disabled Employer committed to creating a diverse, inclusive and equitable culture for our employees and communities. Remove obstacles in order to continue to deliver. Continuously seek to improve team performance by promoting joint accountability for results and solving productivity issues. Run key Agile ceremonies, including daily stand up meetings, backlog grooming, sprint planning, sprint reviews/demos and sprint retrospectives. Create and maintain the appropriate channels for open communication within the scrum team to create a trusting and safe team environment. The Scrum Master will utilize the Sr. Scrum Master for SME knowledge.
Principal IT Enterprise Technical Solutions Architect - Remote
Company: GuideWell
Location: Remote
Posted Sep 09, 2023
The Principal IT Enterprise Technical Solutions Architect is a crucial role responsible for driving company-wide technology architecture. This position requires extensive experience in IT projects, strong communication skills, and a deep understanding of healthcare insurance processes. The role involves evangelizing technology, serving as a subject matter expert, benchmarking strategies, and ensuring alignment between business and IT systems. The ideal candidate should have a Bachelor's degree, 8+ years of related experience, and proficiency in security protocols. Preferred skills include leading teams for modern UX technologies, Microservices platforms, and cloud-based data implementations. The role involves travel and offers comprehensive benefits, competitive pay, and opportunities for incentive compensation.
Actuarial Analyst - REMOTE
Company: GuideWell
Location: Remote
Posted Sep 18, 2023
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• A comprehensive wellness program Employee benefits are designed to align with federal and state employment laws. Annualized Salary Range:$66,400 - $107,900 Typical Annualized Hiring Range: $66,400 - $83,000 Final pay will be determined with consideration of market competitiveness, internal equity, and the job-related knowledge, skills, training, and experience you bring. Benefits for intern, part-time and seasonal employees may differ. We are an Equal Opportunity/Protected Veteran/Disabled Employer committed to creating a diverse, inclusive, and equitable culture for our employees and communities. What Is REQUIRED?• Related Bachelor's degree required Math/Statistics or related degree• Completion of at least 1 SOA EXAM• 0-1 years of successful Actuarial experience What is PREFERRED?• Background in health field or insurance field• Previous Actuarial experience or internship in an Actuarial area• SAS, SQL, and other programming language experience • Minimum GPA of 3.2 • Completion of college-level courses on micro and macroeconomics, introductory corporate finance, and applied statistical methods What We Offer YOU: 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. To support your financial wellbeing, we offer competitive pay as well as opportunities for incentive or commission compensation. What Are Your Key Responsibilities?• Support and analyze activities related to the Direct Pay, Local Group and National Accounts Market Segments and all lines of business.• Increase knowledge of actuarial science and insurance theory & practice, progressing to the FSA designation.• Rate analysis and development.• Forecast/variance analysis and reporting.• Claim trend analysis.• The essential functions listed represent the major duties of this role, additional duties may be assigned. The IDEAL candidate will:• Have strong analytical and technical skills to manipulate data and solve problems.• Be proactive and have the initiative to be innovative, obtain results, and improve processes.• Have strong attention to detail to produce quality output.• Be an effective verbal and written communicator with the ability to work independently and/or within a team. We also conduct regular annual reviews with pay for performance considerations for base pay increases.
Advanced .NET Developer - Remote
Company: GuideWell
Location: Remote
Posted Sep 10, 2023
IT Developers at Florida Blue are responsible for developing, programming, and coding IT solutions. They document detailed system specifications, participate in unit testing, and maintain applications. They are also accountable for including IT Controls to protect data confidentiality, integrity, and availability. The role requires 4+ years of related work experience in IT development, proficiency in ASP, .NET, and C#, and understanding of unit testing, release procedures, and coding design. Florida Blue offers comprehensive benefits, competitive pay, and opportunities for incentive or commission compensation. The annual salary range is $85,900 - $139,600.
IT Summer 2024 Internship - Graduate
Company: GuideWell
Location: Jacksonville, FL
Posted Sep 21, 2023
Typical Hourly Pay Range: $22 - $32 Final pay will be determined with consideration of market competitiveness, internal equity, and the job-related knowledge, skills, training, and experience you bring. To support your wellbeing, comprehensive benefits are offered. We pride ourselves on a culture that embraces flexibility, innovation, and diversity. Benefits for intern, part-time and seasonal employees may differ. Willingness to learn, ask questions, and keep an open mind are essential. In addition to their day-to-day responsibilities, interns will have exposure to our IT Command Center and World Class Data Center, as well as meet with leaders from Information Security, Data Analytics, Behavioral Science, and our Software Development teams. Interns will contribute to literature review, data analysis, experimental design (A/B testing), survey design, creation and implementation of recommendations. Interns will be exposed to tools used in Project Management, real-world issues and risks, various types of meetings (planning, problem-solving, Agile events), and the financial aspects of budgeting for projects. 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 program Employee benefits are designed to align with federal and state employment laws. Must Have's:• Currently enrolled in computer science, information technology, mathematics, psychology, or related degree program Pursuing a Master's Degree• Cumulative GPA of 3.0 or better• Must be able to commit to working at least 30 hours a week• Basic PC skills required including working knowledge of Microsoft Office products (Word, Excel, PowerPoint, and Outlook)• Basic programming knowledge, JavaScript/HTML/CSS or other Object Oriented programming experience• Excellent written and verbal communication skills; team and collaboration-oriented• Work under minimal supervision and adapt to a dynamic, changing environment• Must be a creative and innovative thinker 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.
Actuarial Summer 2024 Internship
Company: GuideWell
Location: Jacksonville, FL
Posted Sep 02, 2023
Florida Blue is offering a Summer 2024 Actuarial Internship in Jacksonville, FL. The intern will gain a broad understanding of actuarial work, support business goals, and work on real projects. The company provides campus perks, a supportive culture, and comprehensive benefits. Required skills include being a full-time student, maintaining a 3.0 GPA, and basic PC skills. Preferred skills include project experience, communication, programming knowledge, and a 3.2 GPA or higher.
Senior IT Application Architect- AI/ML (Remote)
Company: GuideWell
Location: Remote
Posted Sep 12, 2023
The job posting is for a Senior IT Application Architect- AI & Machine Learning position at Florida Blue. The job requires 6+ years of work experience in IT development/programming/coding, expertise in creating architectural designs, and experience with AI, machine learning, and large language models. The job offers competitive pay, opportunities for incentive or commission compensation, and a comprehensive benefits package.
UI/UX ReactJS Developer (Intermediate) - Remote
Company: GuideWell
Location: Remote
Posted Sep 17, 2023
React.JS, (UI), (NodeJS, MongoDB, GIT, REST Web ServicesResource will be primarily engaged with building applications (UI & Services) using REACT/NODE JSExperience with web services & databasesThis opportunity is open to remote work in the following approved states: AL, AK, FL, GA, ID, IN, IO, KS, KY, LA, MS, MO, NE, NC, ND, OH, PA, SC, TN, TX, UT, WV, WI, WY. In FL, PA, TX and WI, in-office and hybrid work may also be available. The Federal Government and the Centers for Medicare & Medicaid Services (CMS) may require applicants to have lived in the United States for a minimum of three (3) out of the last five (5) years to be employed with the Company. Create React and Functional Driven JavaScript and UI ComponentsDeliver performance optimization.Use React.JS library functions for the logical implementation for all the applications.Create React.JS for reusable components (multi-field form elements, background file uploads.Develop various screens for the front end using React JS and used various predefined components from NPM (Node Package Manager) and Redux library.Design dynamic and multi-browser compatible pages using HTML, CSS, Angular & JavaScript.Collaborate with backend developers in creating RESTful APIs and webservices.What is Required? To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The UI/UX REACT Developer (Intermediate) - Remote is responsible for development, programming, coding of User Interfaces at Guidewell Source. Specific counties and cities within these states may require further approval. These years of residence do not have to be consecutive. Bachelor's degree in a related field or equivalent experience.5+ years' related work experience; this includes IT work experience and progressive work experience in a programming or application development roleExperience and understanding with unit testing, release procedures, coding design and documentation protocol as well as change management proceduresProficiency using versioning toolsThorough knowledge of Information Technology fields and computer systemsDemonstrated organizational, analytical and interpersonal skillsFlexible team playerAbility to manage tasks independently and take ownership of responsibilitiesAbility to learn from mistakes and apply constructive feedback to improve performanceMust demonstrate initiative and effective independent decision-making skillsAbility to communicate technical information clearly and articulatelyAbility to adapt to a rapidly changing environmentIn-depth understanding of the systems development life cycleProficiency programming in more than one object-oriented programming languageProficiency using standard desktop applications such as MS Suite and flowcharting tools such as VisioProficiency using debugging toolsHigh critical thinking skills to evaluate alternatives and present solutions that are consistent with business objectives and strategyWhat is Preferred? Create front end enterprise healthcare software applications.