Florida Blue - Jacksonville, FL

posted 4 months ago

Full-time - Entry Level
Remote - Jacksonville, FL
Professional, Scientific, and Technical Services

About the position

The User Research Analyst position within the Florida Blue military SkillBridge Internship program is designed for military service members transitioning to civilian careers. This role focuses on supporting the Network Management Department by facilitating the contracting process, managing provider participation data, and assisting with clerical tasks. The internship provides on-the-job experience and training, with potential full-time employment opportunities upon successful completion.

Responsibilities

  • Research provider participation data, contract terms, language, and rates.
  • Compile information and prepare reports.
  • Prepare answers to routine inquiries from internal and external business partners.
  • Support network staff with clerical requests.
  • Manage Key Group terminations and additions, ensuring accurate data.
  • Handle the EWOC mailbox for team compliance and reporting.
  • Review provider contracts for legal and rate clarifications.
  • Distribute various documents to providers and internal business partners.
  • Perform Group Roster Validation and complete the Termination Planning Tool.
  • Conduct member moves and communicate with other Blue plans.
  • Review and change network assignments in various systems.

Requirements

  • Military members must be within 180 days of transition from active duty.
  • Approximate 120-day commitment, flexible based on need.
  • Comfortable working in a remote setting.
  • Grade Officers (E1-E5).

Nice-to-haves

  • Bachelor's degree in finances.
  • Working knowledge of CPT-4 and ICD-9, HCPCS, revenue codes, medical terminology, insurance terminology, and contract terminology.
  • Solid understanding of provider reimbursement methodologies.

Benefits

  • Competitive salaries and benefits.
  • Work-life balance.
  • Flexible work arrangements.
  • Opportunities for growth and development.
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