Specialis Iii - Business Support

The Purpose

Specialists apply discipline-specific or institutional knowledge and skills in the performance of departmental activities which support the Company's operations. Incumbents may directly manage a small number of direct reports; the primary function of the role is applying specialized knowledge and skills as an exempt-level individual contributor.

Important to Know

• Must reside in the State of Florida with the ability to work in office at the closest location for meetings, training, and events
• Ability to travel for annual Federal Employees Program Conference out of state which may require overnight and/or weekend stay

What Will You Be Doing

• Serve as a liaison between internal clients and functional departments; help clients achieve their objectives by serving as a resource in the interpretation, application and compliance with internal and external laws, regulations, policies, procedures, standards and practices.
• Identify risks, evaluate controls and prepare findings and recommendations. Implement compliance programs to prevent illegal, unethical or improper business practices.
• Ensure through audits that the organization’s programs are consistently administered in compliance with organizational policies and procedures, contractual obligations, rulings, laws and government regulations.
• Monitor and evaluate the effectiveness of solutions, policies, practices and processes to ensure continuous improvement, good client relations and adherence to business requirements. Recommend improvements to achieve and deliver high quality, value-added services.
• Develop, implement, administer and revise policies, procedures and programs that meet business needs; assist and/or lead program development and enhancements.
• Research, analyze, maintain, modify, validate and prepare data, information and content used in making business decisions. Present findings and articulate results.
• Produce, edit and distribute a variety of business documents such as reports, proposals, policies, procedures, audit results, issue papers, marketing materials, newsletters, brochures, etc.
• Create, present and/or facilitate meetings, webinars, conference calls, training programs, education sessions, certifications, etc. for a variety of internal and external audiences.
• Represent assigned function at external hearings, mediations, audits, meetings, etc.
• Participate on or lead large, 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.
• Participate on Company workgroups and initiatives.
• Develop and build internal and external partnerships to improve communication, coordination, collaboration and effective working relationships within own department, across the Company and outside of the Company.
• Mentor and coach less experienced coworkers on the technical and interpersonal skills needed for effective job performance.

What You Must Have

• 5+ years related work experience
• Related Bachelor’s degree or additional related equivalent work experience

What We Prefer

• Familiarity with HEDIS process including evaluating member compliance and identifying opportunities
• Experience working with 3rd party Healthcare stakeholders, i.e. vendors and providers
• Healthcare Insurance background

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 a 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.

Salary

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.

• Typical Annualized Hiring Range: $74,200 - $92,700
• Annualized Salary Range: $74,200 - $120,500
• 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.