Establish and execute the organization's multi-year cloud transformation vision as the principal technical authority for the C-suite. Lead the Cloud Center of Excellence to drive enterprise-wide adoption, optimize costs via FinOps, and mentor high-performing technical teams.
Florida Blue
9 Remote Job Openings at Florida Blue
Sr. Manager Health Business Analytics, Medicare Risk Adjustment - Remote
Florida Blue
·
Full Time
·
6 hours ago
Florida Blue
Lead the strategy, design, and execution of Medicare Risk Adjustment programs to enhance revenue accuracy and ensure regulatory compliance. Manage a team of analysts to provide predictive modeling and evidence-based recommendations for executive leadership.
Serve as a financial strategist for care delivery assets, benchmarking clinic performance against industry standards to drive margin improvement. Partner with clinical leaders and enterprise FP&A to align financial priorities and lead investment analysis for new clinic expansions.
Mid Market Account Executive - Renewal (South, Florida)
Florida Blue
·
Full Time
·
8 days ago
Florida Blue
Develop and implement renewal strategies for groups of 50-499 employees to ensure client retention. Build and maintain strong partnerships with insurance agents and internal stakeholders to facilitate the sales and enrollment process.
Drive enterprise-wide technology security strategy with a focus on implementing innovative AI and cloud security solutions. Lead the secure design of cloud foundational controls and manage the migration from on-premise datacenters to public cloud environments.
The VP of Enterprise Architecture will define the technology vision, strategy, and roadmap while establishing the Architecture Office to ensure alignment with business and clinical outcomes. This role involves leading architecture governance, overseeing cloud and data strategies, and serving as a strategic advisor to executive leadership.
This executive role is responsible for transforming how GuideWell, Florida Blue, and Triple-S engage with stakeholders by leading the design of health-centric member experiences and developing enterprise-wide CX strategy, governance, and capability. Key duties include leading end-to-end journey design across channels, championing AI for personalization, and establishing a unified CRM and communications strategy.
This executive role involves owning the architecture, development, and operation of platforms powering AI-driven innovation across the health plan enterprise, focusing on transforming operations from predictive models to automation in areas like claims and care management. Key duties include executing the multi-year technical roadmap, serving as the senior engineering authority for AI, and ensuring production-grade AI systems are scalable, compliant, and clinically sound.
The Medical Director will conduct various utilization management reviews, including pre-service, post-service, concurrent review, and appeals, while discussing cases with physician providers. Key duties involve applying health plan criteria to render timely medical necessity decisions and collaborating with Case Managers for physician assistance.