Specialist IIIb - Business Project Management

Florida Blue Group; United States; Híbrido; USD 78.000 - 126.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Medical insurance

Dental insurance

Vision insurance

Life insurance

Global travel health insurance

Disability benefits

Leave programs

Retirement plan with employer match

Paid time off

Volunteer time off

Holidays

Descripción de la vacante

Florida Blue is seeking a Senior Compliance Specialist to apply discipline-specific knowledge in a hybrid work setting. You will liaise with internal clients, manage risks, conduct audits, and drive policy development and program enhancements.

The role requires 5+ years of related experience, a Bachelor’s degree or equivalent, and a track record in AI-driven data analysis and financial planning. The position offers comprehensive benefits and a salary range aligned with market norms.

Formación

• 5+ years related work experience.
• Bachelor’s degree or equivalent work experience.
• Experience leveraging AI solutions to analyze large datasets.
• Experience leveraging AI for project planning and management.
• Experience performing financial analysis including budgeting, forecasting and variance reporting.

Responsabilidades

• Serve as a liaison between internal clients and functional departments; help clients achieve objectives by interpreting, applying and ensuring compliance with laws, regulations, policies and standards.
• Identify risks, evaluate controls and prepare findings and recommendations; implement compliance programs to prevent improper business practices.
• Ensure through audits that programs comply with policies, contracts, rulings, laws and regulations.
• Monitor and evaluate effectiveness of solutions and processes; propose improvements for high quality, value-added services.
• Develop and revise policies, procedures and programs to meet business needs; assist and lead program enhancements.
• Research, analyze and present data for decision-making; prepare reports and findings.
• Produce, edit and distribute business documents (reports, proposals, audits, newsletters, etc.).
• Create and facilitate meetings, webinars and training programs for internal and external audiences.
• Represent function at external hearings and audits; participate in large projects; manage resources and reporting.

Conocimientos

Analytical thinking

Regulatory knowledge

Stakeholder management

Educación

Bachelor's degree or equivalent

Herramientas

AI platforms

Descripción del empleo

Specialists apply discipline-specific or institutional knowledge and skills in the performance of departmental activities which support the Company's operations. Specialists typically prepare for their role by earning a post-secondary degree in a specific field, obtaining certification, or by on-the-job training and work experience. The primary function of the role is applying specialized knowledge and skills as an exempt-level individual contributor.

Job duties include but are not limited to:

• Serve as a liaison between internal clients and functional departments; help clients achieve their objectives by serving as a resource in the interpretation, application and compliance with internal and external laws, regulations, policies, procedures, standards and practices
• Identify risks, evaluate controls and prepare findings and recommendations. Implement compliance programs to prevent illegal, unethical or improper business practices
• Ensure through audits that the organization’s programs are consistently administered in compliance with organizational policies and procedures, contractual obligations, rulings, laws and government regulations
• Monitor and evaluate the effectiveness of solutions, policies, practices and processes to ensure continuous improvement, good client relations and adherence to business requirements. Recommend improvements to achieve and deliver high quality, value-added services
• Develop, implement, administer and revise policies, procedures and programs that meet business needs; assist and/or lead program development and enhancements
• Research, analyze, maintain, modify, validate and prepare data, information and content used in making business decisions. Present findings and articulate results
• Produce, edit and distribute a variety of business documents such as reports, proposals, policies, procedures, audit results, issue papers, marketing materials, newsletters, brochures, etc.
• Create, present and/or facilitate meetings, webinars, conference calls, training programs, education sessions, certifications, etc. for a variety of internal and external audiences
• Represent assigned function at external hearings, mediations, audits, meetings, etc.
• Participate on or lead large, complex departmental and/or divisional projects. Plan, organize, monitor and control projects to ensure the effective use of resources and adherence to project management standards and reporting requirements
• Participate in Company workgroups and initiatives
• Develop and build internal and external partnerships to improve communication, coordination, collaboration and effective working relationships within own department, across the Company and outside of the Company
• Mentor and coach less experienced coworkers on the technical and interpersonal skills needed for effective job performance

Job Requirements:

• 5+ years related work experience
• Related Bachelor’s degree or additional related equivalent work experience

Preferred:

• Demonstrated experience leveraging AI solutions to analyze large, complex datasets, including financial data, and translate findings into actionable insights
• Demonstrated experience leveraging AI solutions to establish and manage project plans, timelines, and deliverables for multifaceted initiatives
• Demonstrated experience performing financial analysis, including budgeting, forecasting, and variance reporting, to support strategic planning and decision-making

General Physical DemandsSedentary work: Exerting up to 10 pounds of force occasionally to move objects. Jobs are sedentary if traversing activities are required only occasionally.

This position offers a hybrid work arrangement which combines flexibility with in-office engagement. Team schedules are determined based on role requirements and business needs. Travel to and from our corporate or regional offices may be required.

What We Offer:

As a Florida Blue employee, you will be at the heart of GuideWell’s vision – to lead the nation in transforming health through compassionate, connected, and technology-enabled care that delivers personalized value and empowered living.

To support your wellbeing, comprehensive benefits are offered. As an employee, you will have access to:

• 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; and
• A comprehensive wellness program

Employee benefits are designed to align with federal and state employment laws. Benefits may vary based on the state in which work is performed. Benefits for intern, part-time and seasonal employees may differ.

To support your financial wellbeing, we offer competitive pay as well as opportunities for incentive or commission compensation. We also conduct regular annual reviews with pay for performance considerations for base pay increases.

Annualized Salary Range: $77,600 - $126,100

Typical Annualized Hiring Range: $77,600 - $97,000

Final pay will be determined with consideration of market competitiveness, internal equity, and the job-related knowledge, skills, training, and experience you bring.

We are an Equal Employment Opportunity employer committed to cultivating a work experience where everyone feels like they belong and can perform at their best in pursuit of our mission. All qualified applicants will receive consideration for employment.