GuideWell Source

Artificial Intelligence

• Collaborate with teams across the enterprise to align AI initiatives with business goals and priorities
• Facilitate integration and collaboration, and identify opportunities for AI-driven solutions across the enterprise, its affiliates, and subsidiaries
• Oversee management, and adoption of a Responsible AI framework, partner with stakeholders to establish policies, rules, and standards
• Own the enterprise AI inventory, including intake, tracking, and portfolio management of AI solutions
• Evolve and lead the enterprise AI Governance Framework, encompassing policies, standards, and operating mechanisms for responsible and compliant AI use
• Develop and maintain AI risk management lifecycle, including risk taxonomies, assessment processes, and monitoring practices
• Oversee AI inventory management, including registration, risk scoring, model lifecycle tracking, and compliance reporting
• Partner with Legal, Compliance, Privacy, Cybersecurity, and Audit to translate regulatory requirements into actionable enterprise processes
• Lead documentation and audit readiness for internal and external examinations
• Develop and deliver AI governance content and reporting for senior leadership and governance bodies

Director, AI Governance – Business Integration

Community Manager

• The Community Social Worker (CSW) will work in coordination with the Care Team and other stakeholders by utilizing targeted member outreach to identify and address member's social determinates of health and need for community resources.
• Engage/consult members and complete appropriated social work assessment(s) to determine the nature of a member's situation by conducting telephonic/virtual interviews to assess and determine member's medical, psychological, emotional, financial, and social status.
• Responsible for identifying barriers to the members care plan.
• Assist members with exploring community resources and referring members to appropriate community resources.
• Operate as a member advocate utilizing skills that respect issues of cultural considerations for every patient and family.
• The CSW will maintain and manage their own member caseload for members received from a daily worklist and serve as a consultant for referrals sent from numerous sources on cases managed by other Care Team members.
• Determine member's discharge status and identify and coordinate any additional needs and services that require ongoing Care Coordination services and resources.
• Use a standardized, evidence based social need/SDoH assessment tool to evaluate and identify member needs.
• Identify and screen high risk members that would benefit from coordination of community health related services, behavioral change counseling and refer members to appropriate care programs and other members of the care team.
• Assess member’s end of life planning and provide appropriate resources and referrals.
• Coordinate care for members as appropriate based on care/treatment plan and benefit limitations.
• Educate members and assist with formulating strategies/goals to help prevent disease, disability and or pre-mature death.
• Provide consultation to RN care managers, dieticians, pharmacists and LCSWs (behavioral health).
• Collaborate and provide consultation support to external stakeholders.

Community Social Worker

General

• Partner with senior executives and cross-functional teams to identify high-impact opportunities where behavioral science can advance core business priorities
• Consult with stakeholders on business challenges, applying behavioral insights to improve decision-making, adoption, engagement, member experience, affordability, and health outcomes
• Support enterprise transformation and change management efforts, including the adoption and ethical implementation of AI and emerging technologies
• Develop frameworks and playbooks that make behavioral science accessible and actionable across the organization
• Conduct literature review and analyze qualitative/quantitative data to uncover behavioral patterns, decision-making barriers, and opportunities for improvement
• Design and lead experiments: randomized controlled trials, A/B tests, quasi-experimental studies, and field experiments
• Develop behaviorally informed interventions including messaging and engagement strategies, incentive designs, and digital experience enhancements
• Diagnose behavioral barriers to technology adoption and design solutions to improve uptake
• Partner with product, analytics, operations, and business teams to implement, test, refine, and scale solutions
• Own measurement and evaluation frameworks to assess impact and build the evidence base for what works
• Build internal capability through workshops, presentations, practical frameworks, tools, and one-on-one consulting
• Stay current on emerging behavioral science research and translate findings into enterprise applications
• Represent the organization externally through conferences, publications, industry partnerships, and speaking engagements as appropriate

Senior Behavioral Scientist

Communications

• Provide strategic communications direction and tactical support as a practitioner, planner, and internal consultant focused on business units and/or functional areas.
• Help drive and influence strategic thinking/direction of business leaders, partners and stakeholders regarding communications plans for program, product, service or capability launches, or enhancements.
• Develop, implement, and measure the effectiveness of multifaceted, multi-audience integrated communication plans and tactics that support business-critical initiatives.
• Integrate communication projects with other enterprise teams and take appropriate actions to partner with them.
• Work collaboratively with Sr. Director Strategic Communications & Reputation/Sr. Director Enterprise Communications/Dir. of Internal Comms to continuously improve the communications function.
• Demonstrate success in gaining leaders and internal business partner buy-in for strategic initiatives.
• Own end-to-end development of integrated messages across multiple communication channels.
• Provide broad communications support within the assigned pillar, assisting with editorial calendar management, content coordination, and project tracking.
• Drive collaboration with communications colleagues and other enabling functions to ensure integrated planning and execution.
• Track, analyze, and report on the performance of communications work to assess impact and inform future communications decisions.

Enterprise Communication Generalist

Project Manager

• The CMX Project Manager specializes in planning, managing, and executing project campaigns, and drives process excellence, continuous improvement, and operational efficiency across the CMX department.
• Lead cross-functional project planning, execution, and delivery for high-visibility, strategic initiatives.
• Create and manage project plans, including milestones and deadlines, tasks, responsible parties, and status updates.
• Manage project campaign budgets and monitor progress through campaign completion.
• Recommend strategies to increase campaign performance and process improvements.
• Develop and maintain standardized operational processes, SOPs, and governance frameworks.
• Develop and maintain CMX dashboards, KPI tracking, and performance reporting.
• Collaborate with CMX leaders to improve coordination and reduce duplication.

CMX Project Manager

• Provide strategic communications direction and tactical support, serving as a practitioner, planner, and internal consultant focused on business units and/or functional areas.
• Help drive and influence strategic thinking/direction of business leaders, partners and stakeholders regarding communications plans for program, product, service or capability launches, or enhancements that have a reputational and/or business impact.
• Develop, implement, and measure the effectiveness of multi-audience integrated communication plans and tactics that support business-critical initiatives.
• Anticipate when there is a need to integrate communication projects with other enterprise teams and takes appropriate action to partner with them.
• Collaborate with Senior Directors to continuously improve the communications function.
• Leverage AI-assisted tools to work smarter and faster, apply measurement and analytics to assess the impact of work, and maintain high standards of quality before executive reviews.
• Own end-to-end development of integrated messages across multiple communication channels.

Enterprise Strategy Communication Generalist

Business Operations

• Provide analysis and reporting to support the clinical department within Communitas:
• Primary focus on continuous improvement to support needs and demands of clients.
• Update process and procedures and overall administrative tasks.
• Assist with clinical implementation as requested by Leadership.
• Support training initiatives and tasks as needed within Communitas.
• Assess situations quickly and create short-term solutions with long-term plans for improvement based on input from others combined with discoveries from data analysis.
• Address points of escalation by identifying root cause and analysis related to the day-to-day operations within Communitas.
• Generate reports and data to identify trends and strategically partner with department leaders with a focus on current triggers including processes, procedures, and impact.
• Enable growth and capabilities through streamlining processes and systems.
• Participate in calls and meetings as requested with clients and leadership and serve as a Subject Matter Expert reading and reporting data in order to make necessary decisions.

Business Operations Analyst

Financial Planning and Analysis

• GuideWell is seeking a clinically fluent, performance-driven Clinical Finance Director to serve as a dedicated financial partner and industry-benchmarking authority for its portfolio of care delivery assets.
• The Director will operate as an embedded financial strategist within the Care Delivery business, benchmarking clinic financial and operational performance against industry standards (MGMA, HFMA, Kaufman Hall), driving margin improvement at the asset level, and ensuring the GuideWell clinic portfolio performs at or above peer benchmarks across key clinical finance KPIs including provider productivity, revenue cycle efficiency, staffing ratios, and contribution margin.
• Serve as the organization’s subject matter expert on primary care and specialty clinic financial benchmarks.
• Define and maintain a comprehensive clinic-level financial KPI framework calibrated to industry standards, covering: provider productivity (wRVUs, visits/physician/year), revenue cycle health, staffing efficiency, facility cost as a percent of revenue, and operating margin by site and service line.
• Conduct regular gap analyses comparing GuideWell clinic performance to industry medians and best-practice benchmarks.
• Serve as the primary financial advisor to asset-level operational and clinical leaders.
• Monitor and assess clinic-level financial performance, including revenue cycle health, provider productivity, staffing efficiency, and contribution margin by site.
• Define the financial strategic priorities for the Care Delivery portfolio and direct the enterprise FP&A team on how to align planning, forecasting, and reporting activities to those priorities.
• Partner closely with the enterprise FP&A team to ensure the right data, models, and analyses are being produced to support asset-level decision-making.

Clinical Finance Director – Care Delivery Assets

Security Engineer

• The Principal Cybersecurity Architect is responsible for driving enterprise-wide technology security strategy and providing technical expertise to business areas and project teams with an emphasis on implementation of innovative, leading-edge security technology solutions.
• Proven Track Record of accomplishments and experience leading the design and deployment of AI Architectures (both On-Premise and Public Cloud) and driving and deploying Secure Cloud Adoption on an enterprise scale from Foundational Security Controls to Cloud migrations.
• Extensive experience migrating from a large scale onprem datacenter to the cloud while maintaining the proper levels of security, compliance and regulatory adherence.
• Bridging gaps between data scientists, engineers, AI Architects, Cloud Architects, Data Protection professionals, legal, and executive teams.
• Promoting secure-by-design principles across AI and Cloud initiatives.
• Leading security teams and establishing governance frameworks for AI and Public Cloud adoption.

Principal Cloud and AI Security Architect

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

• 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.