Specialist IIIa – Process Improvement

Job not on LinkedIn

🕒 4 days ago

🐊 Florida – Remote

🐊 Florida – Remote

💵 $65.4k - $106.2k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

⚙️ Operations

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GuideWell Source

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

⚕️ Healthcare Insurance

🏛️ Government

🏢 Enterprise

Healthcare Insurance • Government • Enterprise

GuideWell Source is a company within the GuideWell Family that focuses on accelerating innovative health solutions to market, transforming and reshaping the health industry. It specializes in healthcare delivery, providing new models and superior outcomes for patients. The company emphasizes consumerism in healthcare, engaging clients in meaningful ways. GuideWell Source offers healthcare insurance, protecting employers and consumers with coverage plans and services. The company also provides administrative and claims processing services for state and federal Medicare and Medicaid programs, establishing itself as a trusted business partner in the healthcare sector with a focus on operational excellence.

📋 Description

• Serve as a liaison between internal clients and functional departments; • Identify risks, evaluate controls and prepare findings and recommendations. • Ensure through audits that the organization’s programs are consistently administered. • Monitor and evaluate the effectiveness of solutions, policies, practices and processes. • Develop, implement, administer and revise policies, procedures and programs. • Research, analyze, maintain, modify, validate and prepare data, information and content. • Produce, edit and distribute a variety of business documents. • Create, present and/or facilitate meetings, webinars, conference calls, training programs, etc. • Participate on or lead larger, more complex departmental and/or divisional projects. • Develop and build internal partnerships to improve communication, coordination and collaboration.

🎯 Requirements

• 4+ years related work experience. • Related Bachelor’s degree or additional related equivalent work experience • BlueCard Claims processing, Benefit Systems Knowledge, Medical Cost Savings Calculations

🏖️ Benefits

• 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 including employer match; • Paid time off, volunteer time off, 10 holidays and 2 well-being days; • Additional voluntary benefits available; • A comprehensive wellness program