Senior Manager, Federal IDR Operations

Florida Blue; Jacksonville (FL); On-site; USD 109,000 - 178,000; Full time

Benefits offered by this job

Health insurance

Retirement plan

Paid time off

Wellness program

Volunteer time off

Job summary

Florida Blue seeks a Senior Manager for Federal Independent Dispute Resolution (IDR) to lead the end-to-end IDR operation, aligning strategy with Network priorities and ensuring regulatory compliance across Legal, Claims, IT, and Compliance.

You will manage a $30M+ budget, coach IDR specialists, own IDR technology requirements, and report findings to senior leadership on performance and financial exposure.

Qualifications

• 6+ years in health insurance or related field, with 3+ years in people leadership
• Bachelor's degree in business/healthcare administration/finance; advanced degree preferred
• Working knowledge of the No Surprises Act and IDR/arbitration process
• Experience managing large budgets, forecasting, and vendor performance
• Experience as a product owner for technology solutions
• Strong analytical, influencing, and stakeholder management skills

Responsibilities

• Lead, coach, and develop a team of IDR specialists
• Plan, organize, and direct department activities to meet regulatory KPIs
• Own IDR technology requirements and partner with IT on automation
• Oversee vendor programs and contract compliance
• Integrate IDR initiatives with Network and Policy teams
• Manage budgets and forecast IDR-related expenses
• Provide executive reporting on IDR performance and financial exposure
• Collaborate with stakeholders across the enterprise to mitigate risks

Skills

Team leadership

Operational performance

Product ownership

Vendor management

Cross-functional collaboration

Financial management

Forecasting

Executive communication

Education

Bachelor's degree in business/healthcare administration/finance

Advanced degree preferred

Job description

Florida Blue seeks a Senior Manager for Federal Independent Dispute Resolution (IDR) to lead the end-to-end IDR operation, aligning strategy with Network priorities and ensuring regulatory compliance across Legal, Claims, IT, and Compliance.

You will manage a $30M+ budget, coach IDR specialists, own IDR technology requirements, and report findings to senior leadership on performance and financial exposure.