External

Role Description This role is a key member of the sales leadership team with primary responsibility for planning and implementing sales and marketing strategies for the Consumer/Individual and Small Group channel in Florida including the distribution of USAble Life’s small group life, disability, supplemental, and consumer life, disability, supplemental, dental and embedded dental products through Florida Blue. This position leads the development of marketing and oversees market segmentation, product and service positioning, channel marketing, pricing, and solution delivery. Develops, executes, and manages sales plans and initiatives to ensure we meet product goals and objectives. Essential Duties - Responsible for ensuring USAble Life/Florida Blue meets its New Annual Premium (NAP) objectives, which are determined annually. - Works with Partners to research market potential and develop strategies to reach desired penetration. - Develops strategy to sell in the Individual/Consumer market and to up sell/cross sell and increase ancillary penetration into existing accounts and health inventory in small group and sell to new accounts with Plan Partners. - Plans and implements sales and marketing strategies for Individual/Consumer and Small Group in Florida. - Develops, executes, and oversees designated sales strategies and plans as defined annually and included in the corporate scorecard. - Develop and execute strategic sales plans in market segments including small groups and consumer/individual sales channels. - Ensures goals and expectations are set to maximize retention of business, elevate overall customer experience, and deliver meaningful contribution to profitable revenue growth. - Develops and maintains relationships with Plan Partner executives and LSV alternate distribution models to understand distribution goals and objectives. - Acts as a key conduit of information between sales and the home office ensuring we are responding to market and product needs. - Works with Sales Executives to deliver high quality service to ensure we meet the needs of our Partners and customers. - Establish, monitor and analyze account performance, client satisfaction, and retention metrics. - Make direct and indirect sales to reach designated goals. - Develops and delivers presentations for Consumer/Individual and group/voluntary product business plans. - Develops and manages budget and cost saving measures. - Motivates and engages staff in a way that fosters a positive culture and commitment. - Supports staff in the development of skills and industry knowledge. - Responsible for staffing strategy and keeping positions staffed with qualified, high-performing leaders and professionals. - Creates a talent pipeline of leaders and potential successors by continually coaching, developing, and expanding team member capabilities. - Performs other related duties and responsibilities as assigned. Qualifications - Ability to develop and execute strategies and initiatives that have significant impact to the business. - Ability to make decisions that influence or impact the business across departments, with customers, Partners, and vendors. - Deep expert knowledge of the industry, specialty, or field of expertise. - Excellent interpersonal, communication, presentation, and negotiation skills. - Ability to apply advanced critical thinking to solve highly complex challenges that impact the business. - Advanced decision-making skills with the ability to exercise sound judgement. - Strong understanding of the big picture and internal and external factors that may impact the organization's success. - Demonstrates creative thinking to develop innovative solutions. - Resiliency and exemplary leadership to effectively lead the business through times of change. - Ability to partner with peers and Executives to pivot business strategy to drive organization to success. - Ability to work positively across the organization modeling and encouraging company Values and inclusiveness of all employees. - Experience with payroll deduction and cafeteria plan administration experience. - Experience in financial management, budget planning, sales and financial forecasting. Requirements - Bachelor’s Degree, or related experience. - 7-10 years’ experience with 3-5 years’ management experience. - 7+ years’ broad-based life, health, and ancillary insurance product sales and marketing experience with a major corporation in the insurance industry. - 2-3 years’ creation and implementation of comprehensive sales strategies, plans, and programs experience. - 2–3 years’ financial management, budget planning, and sales/financial forecasting experience. - Must be licensed in life and health insurance. Preferred Education and Experience - Master’s degree. - 1-2 years’ experience leading managers or multiple teams. - Experience leading a large and/or geographically diverse sales team in a complex business environment. Benefits - A culture that values employees and celebrates, empowers, and inspires a diverse workforce. - Outstanding and affordable benefits package. - PTO provided at date of hire. - 11 paid holidays. - 401(k) with up to 6% match; fully vested from day 1. - Remote opportunities with company-provided equipment. - Team-oriented, collaborative group of peers. - Career advancement opportunities. - Tuition Reimbursement. - Employee Assistance Program. - Inclusion Council and Employee Resource Groups. - Recharge Days and Volunteer Time Off.

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description The Supervisor, Dental Provider Data Maintenance & Credentialing supervises the daily tasks of the Provider Data Maintenance & Credentialing Specialist I. This role works with outside vendors including but not limited to CVO, Dental Directors, Print and Mail Services. - Monitors workflow within the team and with outside vendors such as the CVO and identifies opportunities for process improvements. - Coaches and provides assistance and feedback to staff as needed. - Researches, plans, and prepares departmental reports to ensure accuracy and efficiency of the team's data entry and adherence to NCQA protocols for credentialing and re-credentialing. - Works directly with internal and external auditors and follows up on any recommended actions. - Works directly with Dental Director and Credentialing Committee attendees to ensure all files are reviewed, signed off on and any follow-up action completed. - Facilitates all mailings associated with re-credentialing to ensure that NCQA guidelines relative to timeliness are being met. - May perform other duties, including the daily functions of the credentialing team as assigned. - Monitors and recommends adjustments to workflow processes and staff assignments. - Prepares performance reviews, and administrative action documentation, and reviews with staff as necessary. - Coordinates audit reviews as necessary and follows up on any action items. - Manages reports to monitor efficiency and quality review. - Prepares the monthly agenda for Credentialing Committee meeting. - Makes all preparations for the Credentialing Committee Meeting and attends and creates meeting minutes. - Drafts letters for all tabled cases and prepares check requests for the attendees' stipends. Qualifications - Knowledge of general credentialing processes. - Knowledge of CVOs and NCQA Credentialing Guidelines. - Advanced MS Office skills, particularly Excel. - Excellent verbal and written communication skills including the ability to compose professional correspondence. - Demonstrated leadership skills and the ability to assist and guide others. - Ability to supervise staff using appropriate tools and techniques. - Ability to maintain attention to detail and a low error rate. - Ability to prioritize tasks and work within time constraints. Requirements - Bachelor’s Degree or related experience. - 3 to 5 years’ provider data maintenance & credentialing experience. - Credentialing Delegation Oversight experience. - Minimum 1 year of management experience. - Or, equivalent military experience. Preferred Education and Experience - 3 years as a Credentialing Specialist II. - Certified Provider Credentialing Specialist (CPCS®). Benefits - A culture that values employees and celebrates, empowers, and inspires a diverse workforce. - Outstanding and affordable benefits package. - PTO provided at date of hire. - 11 paid holidays. - 401(k) with up to 6% match; fully vested from day 1. - Remote opportunities with company-provided equipment. - Team-oriented, collaborative group of peers. - Career advancement opportunities. - Tuition Reimbursement. - Employee Assistance Program. - Inclusion Council and Employee Resource Groups. - Recharge Days and Volunteer Time Off.

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description A Premium Billing Reconciliation Specialist performs a wide range of accounting and analytical functions related to reconciling individual and group premium payments for Life, Supplemental and Disability insurance policies. This is not a traditional billing or accounts receivable role compromised of sending invoices and matching payments. Every insurance premium payment presents a new puzzle and requires a high level of analytical and reconciliation skills to solve it. A Premium Billing Reconciliation Specialist I will: - Reconcile and process premium billings and balances daily reports. - Maintain and research premium suspense. - Generate premium refunds and correspondence. - Perform member and group terminations. - Perform member level reconciliations. Essentials Duties: - Analyze, process and accurately reconcile and post group payments in a timely manner. - Analyze and research suspense on the groups to ensure premiums are posted correctly. - Complete payment audits for groups in MS Excel. - Achieve acceptable quality and productivity benchmarks by multi-tasking in high volume environment on a daily basis. - Have excellent written communication skills, strong product knowledge and procedure expertise. - Work collaboratively with internal customers to meet established departmental service level goals. - May perform other duties as assigned based on department needs. Qualifications - High School Diploma or Equivalent. - 2-4 years working in general accounting with understanding of related concepts and practices. - Experience in a role requiring heavy research and reconciliation. Requirements - Ability to perform complex reconciliation and administrative research in servicing system. - Ability to analyze financial premium data and communicate results. - Outstanding research and reconciliation skills. - 10-key skills. - Intermediate MS Excel skills to include spreadsheet formatting, formulas, pivot tables, and VLOOKUPs. - Excellent verbal and written communication skills and ability to compose professional correspondence. - Excellent analytical and critical thinking skills. - Ability to maintain attention to detail. - Ability to maintain a low error rate. - Ability to prioritize, multi-task, and meet tight deadlines. - Ability to handle confidential information. Benefits - A culture that values employees and celebrates, empowers, and inspires a diverse workforce. - Outstanding comprehensive benefits package. - PTO provided at date of hire. - 11 paid holidays. - 401(k) with up to 6% match; fully vested from day 1. - Remote opportunities with company-provided equipment. - Team-oriented, collaborative group of peers. - Career advancement opportunities. - Tuition Reimbursement. - Employee Assistance Program. - Inclusion Council and Employee Resource Groups. - Recharge Days and Volunteer Time Off.

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description The GTM Manager is responsible for designing and executing a comprehensive, end-to-end go-to-market process for new product launches and strategic initiatives. This role ensures new solutions are positioned, adopted, and scaled in partnership with Blue Plans, brokers, and other distribution channels. Acting as the central orchestrator, the GTM Manager brings together cross-functional teams to deliver seamless market execution and measurable business outcomes. - Develop structured GTM plans covering positioning, pricing, channel strategy, enablement, launch, and measurement - Define success metrics and ensure post-launch feedback loops - Convene and lead stakeholders from product, sales, marketing, service, compliance, and partner management - Drive alignment on launch objectives, deliverables, and timelines - Manage interdependencies and remove barriers to execution - Partner with product and marketing teams to define compelling value propositions - Ensure messaging resonates across employers, brokers, members, and Blue Plan partners - Tailor positioning for competitive differentiation - Coordinate enablement activities (sales training, broker tools, Blue Plan partner education, FAQs) - Ensure supporting materials, campaigns, and digital assets are ready at launch - Maintain detailed launch roadmaps and run regular GTM checkpoints - Track launch readiness and escalate risks proactively - Monitor adoption and refine approach post-launch - Performs other related duties and responsibilities as assigned Qualifications - Bachelor’s degree in related field or equivalent military experience - 7+ years of experience in product marketing, commercialization, or GTM execution, preferably in healthcare, insurance, or employee benefits - Proven track record of orchestrating cross-functional product launches or commercialization initiatives - Experience with broker distribution and health plan partnerships a plus Requirements - Ability to strategically orchestrate and align teams toward a common launch goal - Strong program management with the ability to run complex, multi-threaded initiatives - Strong understanding of ancillary insurance, broker/Partner dynamics, and competitive landscape - Compelling communication skills with the ability to translate strategy into clear action, internally and externally - Ability to use data-informed insights to refine strategy, measure impact, and drive continuous improvement - Excellent collaboration skills with the ability to influence and lead without direct authority Benefits - A culture that values employees and celebrates, empowers, and inspires a diverse workforce - Outstanding and affordable benefits package - PTO provided at date of hire - 11 paid holidays - 401(k) with up to 6% match; fully vested from day 1 - Remote opportunities with company-provided equipment - Team-oriented, collaborative group of peers - Career advancement opportunities - Tuition Reimbursement - Employee Assistance Program - Inclusion Council and Employee Resource Groups - Recharge Days and Volunteer Time Off

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description This role involves performing systems analysis and providing support and guidance to end-users for company applications and administration systems. Acts as a liaison between internal business staff, IT technical teams, and vendors to evaluate business needs and drive system solutions to support business strategies and objectives. Qualifications - Bachelor's Degree in related field or equivalent experience - 2-4 years’ programming, systems analysis, or business analysis experience for Business Systems Analyst II - 4-6 years' programming, systems analysis, or business analysis experience for Sr. Business Systems Analyst - 7 years of related experience in programming, systems analysis, or business analysis for Lead Business Systems Analyst - LOMA courses; Master’s degree preferred - Experience with process mapping/process documentation preferred - Proven analytical and problem-solving experience preferred - Configuration experience with Enterprise applications preferred - Vast knowledge of insurance preferred - Programming or SQL Experience preferred Requirements - Strong knowledge of all business system analysis tools, processes, methodologies, and standards for business requirements information gathering, analysis, and documentation - Understanding of application design and system configuration - Understanding of project management methodologies - Basic understanding of SQL for extracting and analyzing data and troubleshooting issues - Advanced problem-solving and analytical skills - Strong written and verbal communication skills, as well as meeting facilitation skills - Ability to effectively convey complex and detailed technical information - Excellent organizational skills and ability to work independently - Ability to develop skills in multiple technical environments and grasp business processes - Ability to build relationships and collaborate with internal partners and vendors Benefits - A culture that values employees and celebrates, empowers, and inspires a diverse workforce - Outstanding and affordable benefits package - PTO provided at date of hire - 11 paid holidays - 401(k) with up to 6% match; fully vested from day 1 - Remote opportunities with company-provided equipment - Team-oriented, collaborative group of peers - Career advancement opportunities - Tuition Reimbursement - Employee Assistance Program - Inclusion Council and Employee Resource Groups - Recharge Days and Volunteer Time Off