Analyst IV Business Support

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. 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 Business Support Analyst IV is responsible for managing multiple providers and projects related to provider account receivables, Executive, DFS and OIR Escalations, provide peer support as needed on existing projects, educate and train team and providers as needed. Analyst will understand pain points, identify gaps in claims processing and execute process improvement initiatives to support Inventory reduction efforts and improve provider satisfaction. Analyst will generate easy to interpret reports based on collected data and findings. Analyst is relied upon to apply business knowledge to projects and provide value-added insights to directly impact business outcomes.

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

• Create, present and/or facilitate meetings, webinars, conference calls, training programs, education sessions, certifications, etc. for a variety of internal and external audiences
• Implement corrective action to enhance network performance and monitor results
• Responsibilities will include a full range of activities from leading small to mid-level projects to complex projects related to operational functions that affect provider satisfaction
• Assists with requirements gathering, data analysis, trends, and ad hoc reporting
• Ensure through data analysis that the organization's programs are consistently administered in compliance with organizational policies and procedures, contractual obligations, rulings, laws, and government regulations
• Research, analyze, maintain, modify, validate, and prepare data, information and content used in making business decisions. Present findings and articulate findings
• Produce, edit, and distribute a variety of business documents such as reports, proposals, SOPs/DTPs, procedures, audit results
• 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
• Serve as a liaison between external business partners and internal functional departments; help achieve objectives by serving as a resource in the interpretation, application and compliance with internal and external laws, regulations, policies, procedures, standards, and practices

What you will need:

Experience:

• 5+ years related work experience

Preferred Qualifications:

• Claims 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.