GuideWell Source

IT Support

• Provides subject-matter-expertise and management across many technical disciplines, capabilities, services, technologies, domains or systems.
• Manages other people managers and provides leadership coaching to other managers.
• Proactively identifies, implements and manages process improvements and agile solutions within functional area.
• Leads cross-functional discussions/initiatives to anticipate and mitigate issues and achieve required outcomes within required timeframes.
• Sets, articulates and oversees achievement of goals for multiple work units/sub-units/functions.
• Responsible for direct oversight of staff, tactical execution and implementation of operational plans.
• Provides thorough subject matter expertise across several technical capabilities/disciplines/systems/services/domains and provides input and recommendations into enterprise strategy typically through providing subject matter expertise to IT Director or higher.
• Prepares thorough and articulate executive summaries for senior leadership so that subsequent questions are not required.
• Participates in ad hoc workgroups supporting IT strategy.
• Influences, interacts and makes decisions impacting across assigned disciplines, capabilities, services, technologies, domains or systems.
• Collaborates decisions with senior IT leadership.
• Ensures adherence to practices, procedures, precedents, policy and senior leadership direction.
• Tracks and ensures that expenses fall within budget.

Senior IT Manager

Manager

• Case Management process includes assessing the member’s health status and care coordination needs. Can include inpatient review and discharge planning, as well as possible outpatient management.
• Contact with patient, family, physicians, additional health care providers, and community resources. Contact with provider business offices and with the employer/client may also be required.
• Identification of alternative treatment plans, which would have to be approved by all parties. These alternative care plans will be based on quality care within cost containment guidelines, allowing available claims dollars to be used in the most judicious manner possible.
• Assessment of the clinical status and resultant sequela to coordinate the most appropriate service to meet the individual’s health care needs. The Case Manager will then monitor the health status and the impact of the treatment plan for each client. The Case Manager will be responsible for altering the care plan as deemed appropriate by the dynamic, ever-changing client needs.
• Identification of services, resources, providers, and facilities that could best serve members in a timely and cost-effective manner, to promote optimum value for the client and reimbursement source.
• Development and implementation of Case Management goals, both short and long term, with documented care plans.
• Utilize technology/resources to evaluate the cost-effectiveness of the elected treatment plan, pre-implementation and post-implementation. This outcome measurement will be used in determining the effective results and in establishing future patient-centered care plans.
• Accurate and timely reporting as deemed appropriate by each client member.
• Medical record review to determine medical necessity of requested services.
• Interpreting individual health plans and authorizing/coordinating care in accordance with plan provisions.

Case Manager, RN

Digital Marketing

• Design, implement and continuously improve digital marketing and SEO strategies
• Develop and execute upon a framework for determining keyword and content prioritization; partner with segment owners, copywriters and other internal stakeholders to develop and implement content that supports SEO efforts
• Monitor and analyze performance using platforms such as Google Analytics and Conductor; provide insights to internal stakeholders and identify opportunities and areas for improvement using dashboards and reports created in Looker Studio
• Research and identify technical fixes and opportunities that will drive improved SEO; partner with IT to ensure improvements are implemented correctly
• Stay up-to-date on ever-changing marketing trends in order to understand and leverage best practices for digital marketing and SEO
• Support the Assistant Digital Marketing Manager in the organization and prioritization of incoming requests for the digital marketing team and implement those requests or assign them to other team members as needed. Works within the team’s project management and content management systems to ensure incoming requests are being managed in a timely and accurate manner.
• Assist other digital marketing team members with digital marketing tasks and projects as needed
• Ensure partners, stakeholders and requestors have a strong understanding of the digital marketing team’s processes and requirements and follow them, providing all necessary assets for each submitted request
• Ensure consistency of content, design, imagery, and visual components across GuideWell brand websites
• Manage, organize and update team documents, including standard operating procedures and copy decks for key sections of the site, as needed

Digital Marketing Associate, SEO

• Provide subject-matter-expertise and management within assigned area
• Proactively identify, implement, and manage process improvements and agile solutions within functional area
• Lead cross-functional discussions/initiatives to anticipate and mitigate issues and achieve required outcomes within required timeframes
• Set, articulate, and oversee achievement of goals for assigned work-unit/sub-unit/function
• Provide direct oversight of staff, tactical execution, and implementation of operational plans
• Provide thorough subject matter expertise within assigned area and make recommendations to senior leadership to contribute to IT strategy
• Prepare thorough and articulate executive summaries for senior leadership
• Participate in ad hoc workgroups supporting IT strategy
• Influence, interact, and make decisions impacting across assigned disciplines, capabilities, services, technologies, domains, or systems
• Collaborate with senior IT leadership
• Ensure adherence to practices, procedures, precedents, policy, and senior leadership direction
• Track and ensure that expenses fall within budget

IT Manager

Proposal Manager

• Manage internal and external relationships with subject matter experts and Sr. Leaders throughout the organization.
• Lead, develop, and manage strategic content, information resources and automation tools to support the proposal development process for informal proposals, formal Requests for Proposals (RFPs), and Requests for Information (RFIs).
• Service highly complex group specific major account bid situations in Employer Markets (National/Major 500+, Public Sector 300+, Corporate Accounts and Local Market).
• Develop project plans for proposal team, manage activity and prioritize to the timeline.
• Coordinate review of key documents and perform a percentage of quality reviews of all proposals.
• Coordinate meetings with internal partners to monitor status, document implementation progress and resolve issues.
• Ensure BCBSF process and plan changes are incorporated into implementation materials and processes.
• Build and manage effective business relationships to understand impact of product/ process/program changes that impact the implementation process.
• Establish and maintain strategic relationships with key internal partners.
• Communicate non-standard Account requests to impacted departments.
• Facilitate the work required to coordinate with internal partners to brainstorm and/or develop alternative solutions to account requests that may otherwise require manual processing.
• Engage in relationships with external partners during finalist presentation, including group decision makers, group benefit administrators, agents/brokers and consultants.
• Participate in face-to-face meetings with the group as well as through conference calls developing and/or framing expectations and ensure understanding of benefit application, enrollment timelines, etc.
• Communicate group needs and specifics to Senior Leadership and key internal stakeholders including progress made, plans determined and issues identified and resolved.
• Manage and track resolution of barriers and issues during implementation and through post-implementation period.
• Develop action plans for key issues.
• Track completion of post implementation activities.
• Accountable for process improvement / continuous improvement initiatives identified during implementation.

Proposal Lead

Product Marketing

• Provide support to the Senior Director GTM Strategy and Local Solutions to develop Go-To-Market strategies for Commercial Markets, under 65 segment
• Conduct background research, gather corporate and business strategies, and commission stakeholder research to understand the market
• Synthesize internal and external insights to develop GTM strategy, facilitate modeling and scenario planning, and define tactical performance and ROI goals
• Facilitate strategic integration and alignment across teams, review and validate tactical plans, and ensure alignment with GTM strategies and corporate goals
• Monitor and evaluate the effectiveness of GTM execution, advise on tactical plan adjustments, and integrate performance insights into future strategy
• Develop and maintain knowledge of at least one Commercial Markets segment, including requirements, processes, market landscape, competition, and applicable health rules
• Tie work back to company, segment, and sales goals ensuring alignment with KPIs and driving measurable impact on business outcomes

Go-to-Market Strategy Consultant

Threat Intelligence Specialist

• Performs comprehensive threat analysis of cyber alerts and events. Applies the appropriate mitigations and remediations in response to cybersecurity events and trends.
• Respond to reports and alerts from cybersecurity detective and protective systems and tools.
• Correlate and analyze threat data from various sources to establish the identity of malicious users or actors active in the computing environment.
• Conducts industry research and technical evaluation of threat intelligence from multiple sources with specific emphasis on actor Techniques, Tactics and Procedures (TTPs)
• Participates in assessments and development of cyber threat profiles of current events based on collection, research, and analysis of open-source information
• Assist with implementation or tuning of appropriate security controls and solutions to mitigate risk and vulnerabilities, as well as safeguard our systems and data.
• Creates and coordinates completion of detailed security reports to fulfill audit, management or business owner requirements.
• Contributes to the design, configuration, documentation, and implementation of security monitoring program.
• Supports corporate initiatives to improve security monitoring and cybersecurity operational processes

Cyber Threat Hunter

Frontend Engineer

• Design, develop, and maintain complex IT solutions
• Write code for moderately complex system designs and review code developed by others
• Drive programming standards and write detailed technical specifications
• Perform unit testing, debugging, and resolve issues
• Research vendor products and conduct gap analysis
• Ensure IT controls and SDLC guidelines are followed
• Support application transition throughout the Product Development life cycle
• General physical demands: Sedentary work; exerting up to 10 pounds of force occasionally.

Advanced IT Developer, ReactJS/NodeJS

Architect

• IT Application Architects provide architectural oversight for design and development of applications.
• Responsible for ensuring quality and consistency of the applications architecture across the system and providing technical guidance to the development teams.
• Define application architectures and recommends courses of action to ensure technology is consistent, usable, secure and adds value to the business.
• Serves the company as an advisor on best practices and stays current on business initiatives and objectives.
• Researches and evaluates new technology and development tools to remain abreast of current and emerging technology.
• Lead efforts, oversee work results, providing formal training and serve as a subject matter expert for development teams.
• Accountable for adhering to enterprise architecture standards, ensuring integration technology standards and best practices are maintained across the organization and contributing to architecture strategy-setting.
• Define project-level application architectures in line with business area guidelines and strategies.
• Define detailed technical designs usable by project team programmers. Review code developed by Developers to ensure code is consistent with architecture design. Troubleshoots, recommends and executes action plans for issue resolution.
• Selects and designs tools that allow reuse of design components and patterns between projects. Develops actual working solutions or prototypes based on their own designs and resolves any issues that arise.
• Provide day-to-day technical direction to project team while also prioritizing and resolving technical issues affecting and deliverables, escalating technical issues when required. Facilitates project handoffs including preparing documentation, educating and supporting to ensure smooth transitions.

IT Application Architect

Actuary

• Support and analyze activities related to the Direct Pay, Local Group and National Accounts Market Segments and all lines of business
• Increase knowledge of actuarial science and insurance theory & practice, progressing to the FSA designation
• Rate analysis and development
• Forecast/variance analysis and reporting
• Claim trend analysis

Actuarial Analyst

Data Scientist

• Writes advanced programs for data extraction using SQL; joins multiple tables together, uses complex subqueries and aggregates data to eliminate the need for manual manipulation.
• Reverse-engineers existing programs in order to understand and document the rules behind data extraction.
• Makes use of advanced R, Python or related programming skills to manipulate and analyze very large datasets, prototype complex operational reports, run simulations and/or statistical analysis, and turn Big Data into business-consumable metrics.
• Proactively seeks training and builds knowledge/experience of tools, languages and data sources.
• Analyzes data and applies advanced statistical tools and techniques to derive insights and identify areas of opportunity.
• Produces advanced spreadsheets, documents and presentations that are easy to follow (e.g. Excel and PowerPoint).
• Initiates and participates in the peer reviewing of work to ensure the quality of deliverables; leads peer review sessions for major deliverables.
• Serves as a resource and subject matter expert for one or more data sources within the Health Business; can provide advice and guidance on the proper use of data.
• Provides guidance and mentorship to other team members.
• Assists in the analysis, mapping and documentation of processes and programs in achieving stated goals. Provides recommendations if corrections are needed.
• Engages in long-term mentorship and development of other team members as required.
• Communicates effectively with internal customers and business partners; able to present and communicate analysis results to the business.