GuideWell Source

Actuary

• Responsible for supporting Actuarial Management
• Senior Actuarial Analysts participate in the Actuarial Rotation program which provides the opportunity to rotate to a different team approximately every 3 years.
• Support and analyze pricing, trend analytics, gross margin reporting, and financial reporting related to ACA, Medicare, Group, Reserves, Segment, and other teams
• Actuarial representation on cross-functional workgroups as an active participant
• Segmentation support

Senior Actuarial Analyst

Risk

• Manages a team through providing oversight, strategy implementation and execution for Medicare Risk Adjustment Programs.
• Oversee the end-to-end strategy for risk adjustment programs, including prospective and retrospective processes.
• Partner with actuarial and finance teams to support bid development, producing defensible risk score projections, trend analysis, and revenue assumptions.
• Manage work to produce customer value by planning and forecasting, setting objectives and priorities, establishing goals, clarifying accountabilities, assigning work and utilizing management and financial controls.
• Lead analysis, provide recommendations, and represent Analytics.
• Work closely with leaders across business areas to drive results across the business.
• Manage levels of performance and assist with employees’ professional growth by planning and building an effective organization; communicating effectively; coordinating with others; maintaining employee morale; motivating, recognizing and rewarding others; coaching and developing others, and engaging in self-development.
• Manage business and public relationships and situations to obtain better business outcomes; communicate effectively and coordinate with others.
• Develop, prioritize and implement strategy; set policies and procedures and manage creativity and innovation with primary goal of impacting health business.

Senior Manager, Health Business Analytics – Medicare Risk Adjustment

Events

• Assist in leading and executing community-facing senior focused events.
• Manage the assigned events in accordance to compliance regulations, including logistical support, onsite management, and presentation facilitation.
• Develop recommendations for new partnerships and venues for community-based events.
• Conduct research and analyze data to identify new and repeat opportunities.
• Manage the activation compliance standards for all field marketing activities within market.
• Serve as liaison with sales channel managers for Compliance Coaching for agents.

Medicare Community Event Manager

Director

• Lead and elevate the in-house creative organization: oversee a multidisciplinary creative team including design, copywriting, video production, translations, and print production. Set creative direction, ensure high standards of craft, and cultivate a culture of innovations, collaboration, and professional growth.
• Partner on enterprise creative strategy and campaign development: collaborate with Sr. Director of Brand & Creative to define enterprise creative strategy. Partner with the advertising agency to establish creative platforms, then lead the in-house execution of campaign assets across channels.
• Own brand standards, naming, and visual identity systems: lead the development, governance, and evolution of brand guidelines, naming systems, and visual identity frameworks for new companies, products, and enterprise initiatives. Ensure consistency and clarity across all touchpoints.
• Integrate emerging technologies and modern creative workflows: champion the adoption of AI and new creative technologies to improve efficiency, quality, and speed-to-market. Establish modern creative processes, tools, and best practices.
• Expand and modernize enterprise video production capabilities: oversee internal communications video production and scale capabilities to support enterprise-wide external channels, including organic social and the new podcast. Ensure video content aligns with brand strategy and meets evolving audience expectations.
• Integrate and elevate enterprise communications creative needs: lead the consolidation and creative oversight of all enterprise communications assets, ensuring internal messaging, leadership communications, and event production meet the highest standards. Partner with Communications leadership to proactively identify creative needs, streamline workflows, and elevate the quality, consistency, and impact of all communications assets produced across the organization.

Senior Director, Integrated Creative

Artificial Intelligence

• Co-Develop and execute a comprehensive AI strategy, aligned with organizational goals and objectives.
• Collaborate with senior leadership to identify opportunities for AI-driven innovation and growth.
• Lead cross-functional teams to identify business problems and develop AI-powered solutions.
• Work with stakeholders to prioritize AI projects, ensuring alignment with business objectives and strategic priorities.
• Work closely and collaborate with the technology organization to ensure solutions developed align with the business aspirations and can scale across the enterprise.
• Build, lead, and manage a high-performing team to deploy and drive adoption of AI strategies across the organization.
• Collaborate with external partners and vendors to leverage their expertise, technologies, and services to enhance the AI Factory.
• Develop and implement AI governance policies, procedures, and standards to ensure compliance with regulatory requirements and organizational values.
• Identify and mitigate AI-related risks, such as bias, data quality, and security - internally and with third parties.
• Ensure the AI Factory infrastructure and operations meet the company's security and compliance standards, protecting sensitive data and AI models.
• Develop and execute a deployment strategy to ensure AI solutions are integrated into business operations.
• Drive adoption and usage of AI solutions across the organization, ensuring successful change management while coordinating closely with the Technology Organization.
• Develop and track key performance indicators (KPIs) to measure the effectiveness and ROI of AI investments.
• Analyze and report on AI solution performance, identifying areas for improvement.
• Collaborate with data scientists and engineers within the Technology organization to develop, deploy, and manage AI models, ensuring seamless integration with business applications.

VP, AI Factory

QA Engineer

• Serve as a liaison between internal clients and functional departments.
• Help clients achieve their objectives by serving as a resource.
• 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.
• Monitor and evaluate the effectiveness of solutions, policies, practices and processes.
• Recommend improvements to achieve and deliver high quality, value-added services.
• Develop, implement, administer and revise policies, procedures and programs.
• Research, analyze, maintain, modify, validate and prepare data, information and content.
• Produce, edit and distribute a variety of business documents.
• Create, present and/or facilitate meetings, webinars, trainings, etc.
• Represent assigned function at external hearings, mediations, audits, meetings, etc.
• Participate on or lead large, complex departmental and/or divisional projects.
• Develop and build internal and external partnerships.

Utilization Management RN

Operations

• Serve as a liaison between internal clients and functional departments;
• Identify risks, evaluate controls and prepare findings and recommendations.
• Ensure through audits that the organization’s programs are consistently administered.
• Monitor and evaluate the effectiveness of solutions, policies, practices and processes.
• Develop, implement, administer and revise policies, procedures and programs.
• Research, analyze, maintain, modify, validate and prepare data, information and content.
• Produce, edit and distribute a variety of business documents.
• Create, present and/or facilitate meetings, webinars, conference calls, training programs, etc.
• Participate on or lead larger, more complex departmental and/or divisional projects.
• Develop and build internal partnerships to improve communication, coordination and collaboration.

Specialist IIIa – Process Improvement

Vice President

• Translate ambiguous CEO-level questions into structured analyses, decision frameworks, and recommendations.
• Synthesize insight across healthcare delivery, healthcare economics, healthcare policy, and technology to inform enterprise direction.
• Stress-test strategies, business cases, and investment theses originated elsewhere in the enterprise, providing an independent OCEO perspective.
• Maintain a forward-looking view of market, regulatory, payment, and technology shifts that could create opportunity or risk for the enterprise.
• Lead early-stage opportunity identification and shaping for new ventures, partnerships, and acquisitions.
• Develop investment theses, term-level economic models, and risk/return framings in partnership with Corporate Development, Strategy, and Finance.
• Coordinate diligence workstreams on priority opportunities and synthesize findings into CEO- and Board-ready materials.
• Frame integration, value-capture, and operating-model implications for inorganic moves before formal transition to business owners.
• Architect and prototype new models of healthcare delivery that integrate clinical, economic, technological, and behavioral levers.
• Partner with the Innovation, AI Factory, and Behavioral Science functions to translate early ideas into testable concepts and pilots.
• Define success metrics, learning agendas, and stage-gates for early-stage initiatives, ensuring disciplined progression or sunset decisions.
• Bridge incubated work into operational ownership when initiatives reach scale.
• Identify where technology — including AI, data, and digital enablement — can fundamentally reshape delivery, economics, or experience.
• Coordinate closely with the AI Factory and Transformation functions on enterprise-priority initiatives where technology is a primary lever.
• Maintain an informed perspective on emerging technology, regulatory developments, and competitive moves relevant to healthcare.
• Lead confidential, high-priority projects on behalf of the CEO that do not naturally sit in a single business or function.
• Convene the right internal and external talent to advance each initiative without standing up permanent structure.
• Manage discrete OCEO budget allocations to commission analyses, engage advisors, and accelerate priority work.
• Prepare CEO-, ELT-, and Board-level materials that distill complex issues into clear, defensible recommendations.
• Peer support to leadership — serving as a trusted thought partner and peer support leader to members of the Executive Leadership Team (ELT) and Senior Leadership Team (SLT) on issues that cross their portfolios.
• Help leaders pressure-test strategies, navigate inter-dependencies, and access OCEO resources to advance their priorities.
• Reinforce alignment between business-unit execution and enterprise direction without taking over operational accountability.

VP – Office of the CEO

Account Manager

• Develop and maintain strong partnerships with assigned accounts and their business partners as well as other key influencers, per Account Management plan
• Achieve an understanding of client’s organization and business processes, both formal and informal
• Educate accounts on BCBSF , and other plans when appropriate sales process, products, policies and procedures, assistance in effective implementation and ongoing execution
• Communicate state and federal legislation impacts. Assist the accounts with implementing procedures for the legislative plans
• Act as liaison or key point of contact between account, business partner, TPA’s, reinsurers, BCBSF and other BCBS plans manage the coordination of reinsurance and other cross company services when appropriate
• Develop and maintain relationships to meet the client’s expectations and requirements. These relationships are with both management and staff positions with a multitude of internal stakeholders
• Build strong partnerships with individuals within and outside the sales organization who support servicing and selling of our products
• Provide leadership to various work teams assigned to enrollment functions, Non-Standard Benefit design and administration, and complex issue resolution in order to ensure the effective administration and service to assigned accounts
• Manage and conduct the development, coordination and distribution of enrollment materials, enrollment/education meetings, administrative requirements
• Through the Alliance platform, work with and coordinate with other Blue Partners during the account management and service processes.
• Represent BCBSF in competitive (multiple insurers offered) enrollment situations and influence selection of BCBSF as the employee’s insurance choice
• Develop and implement account tactical plans based on needs analysis and continually update strategy as situation changes
• Coordinate account management to support the BCBSF conservation processes including periodic onsite account meetings with decision makers and other key individuals, as well as employees in multiple locations throughout the country.
• Manage resolution of complex account and business issues in collaboration with sales an d sales support staff
• Monitor account management to provide value added impact for renewal decision making
• Coordinate group specific analytical tools, e.g., reports, health care assessments, member surveys for the purpose of interpretation and presentation of suggested strategies for wellness initiatives and overall cost savings
• Coordinate the complete internal implementation/renewal process for specific assigned inventory
• Facilitate and coordinate multiple projects and tasks with external community partners and internal organizational partners to promote and enhance health and wellness programs in order to increase the quality of life of our customers, thereby assisting with regional and sales goals by adding value to our customer benefits and exceeding customer expectations
• Utilize influence, conflict resolution and problem solving skills with internal key stakeholders to innovate, enhance, and implement processes and systems capabilities in order to met the unique needs of the accounts
• Develop and manage Account Management plan, in partnership with Account Manager towards the profitable renewal and conservation of assigned accounts
• Manage own personal and professional development
• Identify and implement opportunities for improvement with company process and procedures
• Identify opportunities to mentor and coach others to achieve results
• Manage time, territory, costs and administrative requirements by effectively planning and carrying out plans to ensure that support activities are achieved at reasonable cost
• Comply with state and regulatory requirements and corporate policies and procedures

Account Management Specialist III

Procurement

• Serve as a strategic liaison between our Procurement and Legal teams.
• Drive the development, negotiations, and management of our Master Service Agreements.
• Conduct thorough reviews of contracts, addenda, amendments, and other procurement documents.
• Negotiate contract terms and conditions with suppliers.
• Provide expert guidance to Sourcing teams in drafting Master Service Agreements (MSA) and Statements of Work (SOW).
• Facilitate initial negotiations between GuideWell and suppliers on contract Terms & Conditions.
• Serve as the primary point of contact between Procurement and Legal teams.
• Identify and mitigate potential legal or regulatory risks in procurement transactions.
• Develop and deliver training programs for the procurement team on regulatory considerations, contract negotiations, and procurement policies.
• Support resolution of contractual disputes with vendors.

Procurement Contract Manager

Manager

• This key position is responsible for assisting members within a geographical (local, statewide and/or other) area make effective health care choices for self-management of their acute and /or chronic condition(s).
• Utilizing a member-centric approach they assist members and their families understand and manage their disease process by: reinforcing the physicians' plan of treatment, promoting healthy behaviors and lifestyle changes, and providing education and tools to promote self-management to improve health outcomes and reduce overall costs.
• Individual care plans are developed in collaboration with the Physician, Member/Care Giver, Families and the Care Team.
• Ongoing coaching, monitoring and evaluation of care plans will be done face to face with the member, telephonically, digital engagement or electronically through email and member and provider portals.
• Engage Members telephonically, using digital engagement tools and/or face to face at Florida Blue Retail Centers, hospitals, etc. with a focus on health coaching and member education. Facilitate access to care and resources to meet the member’s health care needs. Provide education and tools to promote self-management.
• Plan, implement, coordinate and monitor Case Management activities that may include acute and non-acute services, outpatient services, behavioral health and / or community resources.
• Facilitate care for high risk members across the continuum of the health care experience, including care transitions, coordination of community and social service and coordinating with other value-based organizations, providers as needed.
• Close gaps in care
• Conduct Medication Reconciliation
• Collaborate with Member, Member’s Physicians, Plan Medical Directors, Managers, Local, Regional and Specialty team members as well as other functional areas to assist the member to meet their health care goals.
• Promote healthy lifestyles, assist in strengthening the patient-physician relationship, encourage behavior and lifestyle changes to realize a better quality of life, for individuals with identified chronic conditions, costly and/or catastrophic illnesses.
• Assist Members and their physicians to navigate through the health continuum, educate regarding benefits, identify candidates for Care Programs and provide information pertaining to the network and network access.

Managed Care Case Manager, RN

Product Manager

• Plan and oversee large‑scale transformation initiatives, including the definition, design, development, implementation, and integration of people, processes, and technology that lead to measurable experience and administrative cost outcomes.
• Gather business insights and assess impacts to build a product strategy for AI Chatbots and Agent AI, including product vision, high‑level functionality, and business case creation.
• Prioritize and maintain the product backlog in alignment with product vision and strategy.
• Serve as the lead, partnering closely with Executive Sponsors, Business Leads, segment leadership, and IT partners; act as a thought leader on applying user experience (UX) and AI‑driven solutions to business problems.
• Lead experience metric definition to translate user expectations into KPIs and operational metrics for products.
• Lead cost/benefit assessments to define potential financial, business, and industry impacts of initiatives.
• Manage risk by establishing project management processes (status reporting, dependency tracking, steering updates).
• Guide initiatives through governance, steering, and formal gate processes.
• Mentor junior team members and contribute to the maturity of the product management discipline.

Product Manager – AI Channel Solutions

• Develop and maintain strong partnerships with assigned accounts and their business partners as well as other key influencers, per Account Management plan
• Achieve an understanding of client’s organization and business processes, both formal and informal
• Educate accounts on BCBSF , and other plans when appropriate sales process, products, policies and procedures, assistance in effective implementation and ongoing execution
• Communicate state and federal legislation impacts. Assist the accounts with implementing procedures for the legislative plans
• Act as liaison or key point of contact between account, business partner, TPA’s, reinsurers, BCBSF and other BCBS plans manage the coordination of reinsurance and other cross company services when appropriate
• Develop and maintain relationships to meet the client’s expectations and requirements. These relationships are with both management and staff positions with a multitude of internal stakeholders
• Build strong partnerships with individuals within and outside the sales organization who support servicing and selling of our products
• Provide leadership to various work teams assigned to enrollment functions, Non-Standard Benefit design and administration, and complex issue resolution in order to ensure the effective administration and service to assigned accounts
• Manage and conduct the development, coordination and distribution of enrollment materials, enrollment/education meetings, administrative requirements
• Through the Alliance platform, work with and coordinate with other Blue Partners during the account management and service processes.
• Represent BCBSF in competitive (multiple insurers offered) enrollment situations and influence selection of BCBSF as the employee’s insurance choice
• Develop and implement account tactical plans based on needs analysis and continually update strategy as situation changes
• Coordinate account management to support the BCBSF conservation processes including periodic onsite account meetings with decision makers and other key individuals, as well as employees in multiple locations throughout the country.
• Manage resolution of complex account and business issues in collaboration with sales an d sales support staff
• Monitor account management to provide value added impact for renewal decision making
• Coordinate group specific analytical tools, e.g., reports, health care assessments, member surveys for the purpose of interpretation and presentation of suggested strategies for wellness initiatives and overall cost savings
• Coordinate the complete internal implementation/renewal process for specific assigned inventory\
• Facilitate and coordinate multiple projects and tasks with external community partners and internal organizational partners to promote and enhance health and wellness programs in order to increase the quality of life of our customers, thereby assisting with regional and sales goals by adding value to our customer benefits and exceeding customer expectations
• Utilize influence, conflict resolution and problem solving skills with internal key stakeholders to innovate, enhance, and implement processes and systems capabilities in order to met the unique needs of the accounts
• Develop and manage Account Management plan, in partnership with Account Manager towards the profitable renewal and conservation of assigned accounts.
• Manage own personal and professional development
• Identify and implement opportunities for improvement with company process and procedures
• Identify opportunities to mentor and coach others to achieve results
• Manage time, territory, costs and administrative requirements by effectively planning and carrying out plans to ensure that support activities are achieved at reasonable cost
• Comply with state and regulatory requirements and corporate policies and procedures

Systems Engineer

• Deploy, configure, and troubleshoot OpenShift clusters and containerized applications
• Manage and optimize Linux systems (RHEL and CoreOS) across development and production environments
• Develop and maintain automation scripts and playbooks (Ansible, Terraform, or similar tools)
• Monitor system performance, security, and availability; respond to incidents
• Collaborate with development and operations teams to implement infrastructure improvements
• Document configurations, procedures, and runbooks
• Participate in capacity planning and infrastructure upgrades
• Manages system/application environment and ongoing operations (10%)
• Ensures that the technologies are updated with current, stable, and compliant architecture and applications that meet enterprise standards (10%)
• Assists with researching, designing, implementing and testing of technology solutions (10%)
• Proactively monitors and reports performance and utilization of assigned technologies (5%)

Associate IT Systems Engineer

Account Executive

• Develop, coordinate and implement strategies and plans associated with all aspects of renewals for groups of 50-499, including Diversified Business, new sales and renewals.
• Accountable for coordination of marketing service efforts in a manner that facilitates the retention and effective administration activities of assigned accounts by assuring that Florida Blue delivers appropriate service to all group administrators, employees and agents.
• Maintain relationships with key contacts and provide a mutual understanding of the plans, policies and procedures to ensure group’s expectations are met.
• Manage and conduct the development, coordination and distribution of enrollment materials and enrollment educational sessions.
• Build strong partnerships with agents and individuals internal/external to the sales organization who support servicing, renewing and selling of our products.
• Develop and maintain strong partnerships with a specific assigned group of agents.
• Educate agents on Florida Blue sales processes, products, pricing, policies and procedures.
• Act as liaison or key point of contact between agent and Florida Blue.
• Build strong relationships with individuals within and outside the sales organization who support retention of our products.
• Manage the agent through the Florida Blue sales process to achieve retention goals through collateral material, proposal and rating, influencing RFP's, closing/acquisition, objection handling, and enrollment/implementation.
• Create commitment to Florida Blue by moving agent to higher levels (Gold and Blue Diamond).

Senior Actuarial Analyst

Senior Manager, Health Business Analytics – Medicare Risk Adjustment

Medicare Community Event Manager

Senior Director, Integrated Creative

VP, AI Factory

Utilization Management RN

Specialist IIIa – Process Improvement

VP – Office of the CEO

Account Management Specialist III

Procurement Contract Manager

Managed Care Case Manager, RN

Product Manager – AI Channel Solutions

Account Management Specialist III

Associate IT Systems Engineer

Mid Market Account Executive – Renewal