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Director, Issue Management
GuideWell SourceFlorida Blue health insurance director leading enterprise issue management and process improvement. Governing systemic issue resolution, operational KPIs, cross-functional change, and leadership development.
Posted 8/15/2026full-timeJacksonville • Florida • 🇺🇸 United StatesLead💰 $126,000 - $204,800 per yearWebsite
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in strategic planning, issue management, and operational processes within the health insurance sector. Proven ability to lead cross-functional teams, develop business plans, and ensure compliance with regulations while driving continuous improvement initiatives.
Highest-signal resume keywords
Strategic PlanningIssue ManagementOperational ProcessesCompliance RequirementsCustomer Experience Management
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Business Plan DevelopmentTactical Plan ExecutionProcess ImprovementKPI Performance ReportingRoot Cause AnalysisProject Portfolio ManagementControls DevelopmentHealth Insurance KnowledgeIssue ResolutionTalent Development
Soft Skills
CoachingLeadershipCommunicationCollaborationStakeholder Engagement
Tools & Technologies
Microsoft WordMicrosoft ExcelMicrosoft PowerPoint
Industry Keywords
Health BusinessComplianceLegal BackgroundCommercial Market SegmentGovernment Market SegmentHealth ProductsAncillary ProductsOperational HealthContinuous ImprovementVisual Management Systems
About the role
Key responsibilities & impact- Facilitate and lead strategic planning for provider servicing, engagement, and enablement
- Lead, direct, and manage multiple business function areas
- Formulate and implement issue management strategies
- Identify and communicate medical cost management initiatives
- Define and lead a multi-tier issue management organization
- Own the systemic issue pipeline and ensure recurring and high-impact issues are identified, root-caused, documented, and resolved
- Govern continuous improvement and visual management systems, including daily huddles, tier boards, standard work documentation, and process adherence
- Drive cross-functional and upstream accountability and close upstream process changes with stakeholders
- Represent issue management priorities in cross-functional forums
- Report operational health, KPI performance, issue trends, and outsourced partner performance to enterprise leadership
- Build organizational capability through coaching, talent development, and succession planning
Requirements
What you’ll need- 6+ years of related work experience in health business, compliance and legal background, customer experience management, or issue resolution and process improvement
- 3+ years of direct supervisory/management experience
- Related Bachelor’s degree or additional related equivalent work experience
- Experience developing and executing strategies, business plans, and tactical plans
- Knowledge of operational processes for the health insurance business
- Experience developing and executing business tactical plans in compliance with laws and regulations
- Strong knowledge of Commercial and Government market segments, health and ancillary products, and compliance requirements
- Preferred: experience overseeing work activities and delivering results across external parties
- Preferred: ability to develop and oversee project portfolios and process improvement programs
- Preferred: experience developing and overseeing effective controls
- Proficiency in Microsoft Word, Excel, and PowerPoint
- Ability to travel to multiple locations for meetings, events, and conferences
- Ability to perform sedentary work and occasionally exert up to 10 pounds of force
Benefits
Comp & perks- Medical, dental, vision, life and global travel health 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
- Comprehensive wellness program
- Competitive pay
- Opportunities for incentive or commission compensation
- Annual reviews with pay for performance considerations for base pay increases