GuideWell Source

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

• Support and analyze activities related to the Direct Pay, Local Group and National Accounts Market Segment and all lines of business
• Maintenance and improvement of Actuarial analyses such as trend setting, gross margin reporting, and financial forecasting
• Rate analysis and development
• Actuarial representation on cross-functional workgroups as an active participant
• Forecast/variance analysis and reporting
• Product development support
• Segmentation support

Managing Actuary

Consultant

• This role will provide critical support to GuideWell's Inter-Plan Executive Office focused on BCBSA Inter-Plan Programs Compliance.
• Facilitate resolution of BCBSA Inter-Plan Executive Escalations.
• Perform audits to ensure compliance with organizational policies, contractual obligations, laws and government regulations.
• Research, analyze, maintain, modify, validate and prepare data used in business decisions.
• Create, present and facilitate meetings, webinars, conference calls, training programs for internal and external audiences.

Association Affairs Consultant II

Procurement

• Vendor Management Framework: Create a comprehensive framework, including policies, procedures, and standards, and establishing a vendor governance structure with defined roles and responsibilities.
• Vendor Performance and Risk Management: Conduct thorough analysis of vendor performance, risk, and compliance to inform strategic decision-making, and implement programs for vendor performance management, risk assessment, mitigation, and monitoring. Work with the GuideWell risk teams to ensure continuity.
• Leadership and Collaboration: Provide leadership, coaching, and guidance to the vendor management team, and collaborate with cross-functional teams, including procurement, finance, and operations, to ensure alignment and effective vendor management.
• Reporting and Insights: Develop and implement reporting frameworks to measure vendor performance, track key performance indicators (KPIs) and service level agreements (SLAs), and provide regular updates and insights to senior leadership and other key stakeholders on vendor performance and program effectiveness.
• Strategic Relationships and Cost Optimization: Foster strategic relationships with key vendors to drive business value, innovation, and cost savings, and identify operational improvement and efficiency opportunities stemming from vendor-led services and contracts.
• Budget Management and Compliance: Developing and managing the vendor management budget, ensuring effective allocation of resources, and ensuring compliance with regulatory requirements and industry standards.

Senior Director, Vendor Management

Operations

• Own the end-to-end customer delivery experience, ensuring all infrastructure and operations services are delivered on time, within scope, and to the highest quality standards.
• Serve as the executive escalation point for customer issues, driving rapid resolution and proactive communication.
• Establish and maintain strong relationships with key customer stakeholders, acting as a trusted advisor and strategic partner.
• Define, monitor, and report on customer satisfaction metrics (CSAT, NPS, SLAs/OLAs), continuously implementing improvements to elevate the customer experience.
• Champion a customer-first culture across all delivery teams.
• Lead the governance and oversight of large, complex infrastructure and operations projects from initiation through closure.
• Develop and implement program management frameworks, delivery methodologies, and best practices (ITIL, PMI, Agile/SAFe) to ensure consistent, repeatable delivery.
• Manage project portfolios with budgets ranging from $5M–$50M+, ensuring financial accountability and ROI realization.
• Partner with PMO, Architecture, Engineering, and Business stakeholders to align project scope, resources, timelines, and risk mitigation strategies.
• Drive successful outcomes for data center migrations, cloud transformations, network modernization, and other major infrastructure initiatives by partnering with area leaders
• Define and execute the strategic roadmap for Infrastructure & Operations delivery capabilities, aligned to broader organizational objectives.
• Lead, mentor, and develop a high-performing team of delivery managers, program managers, and operations professionals.
• Establish operational KPIs and scorecards; hold teams accountable to performance targets.
• Drive continuous improvement initiatives leveraging automation, process optimization, and emerging technologies.
• Oversee vendor and partner relationships, ensuring contractual compliance and performance alignment.
• Partner with Product, Engineering, Sales, Finance, and Business Unit leaders to align delivery capabilities with organizational priorities.
• Present delivery performance, program status, and strategic recommendations to C-suite and Board-level stakeholders.
• Collaborate with Sales and Pre-Sales teams during customer engagement cycles to ensure delivery commitments are realistic and achievable.
• Drive organizational change management efforts associated with large transformation initiatives.

Senior Director – Infrastructure & Operations Delivery

IT Support

• Define and own the enterprise-wide technology architecture vision, strategy, and multi-year roadmap, aligned with the company's business strategy and healthcare market evolution
• Translate complex business and clinical goals into coherent, actionable architecture strategies that span applications, data, cloud infrastructure, integration, and security
• Serve as a strategic advisor to the CIO and executive leadership on technology investments, platform decisions, and emerging technology trends relevant to the health plan and payer space
• Monitor the external technology landscape including AI, cloud, interoperability standards, and regulatory shifts to proactively evolve the architecture strategy ahead of business need
• Build, lead, and operate the Enterprise Architecture Office as a center of excellence that partners with product, engineering, and business teams to guide solution design and delivery.
• Establish the Architecture Review Board (ARB), leading governance processes that evaluate proposed solutions against architectural standards before investment and implementation
• Develop and maintain the enterprise architecture repository, including reference architectures, architecture decision records (ADRs), technology standards, and approved patterns
• Define and communicate technology lifecycle policies governing the adoption of new technologies, management of current platforms, and retirement of legacy systems
• Develop and enforce architecture governance frameworks, principles, and guardrails that ensure consistency, reusability, and long-term sustainability across the technology portfolio
• Establish a tiered governance model that balances speed-to-delivery for product teams with appropriate oversight for high-risk, high-complexity, or enterprise-wide architectural decisions
• Partner with engineering leadership to embed architecture standards into the software delivery lifecycle (SDLC), ensuring governance happens by design not as a bottleneck
• Drive architecture compliance reviews for major programs, vendor solutions, and third-party integrations to ensure alignment with enterprise standards and strategic direction
• Own the enterprise cloud architecture strategy, guiding the organization's adoption of cloud-native patterns, multi-cloud or hybrid cloud models, and infrastructure-as-code practices.
• Define reference architectures for cloud infrastructure, platform services, containerization, and orchestration that enable engineering teams to build with speed and confidence
• Partner with Infrastructure and Security teams to ensure cloud architecture decisions align with cost optimization, reliability, performance, and zero-trust security principles
• Define the enterprise data architecture strategy, including data platform design, data mesh or data fabric adoption, interoperability standards, and master data management (MDM) frameworks.
• Own integration architecture standards, including API strategy, event-driven architecture, messaging patterns, and real-time data streaming across the enterprise
• Ensure data architecture supports regulatory requirements specific to the healthcare payer environment, including HIPAA, CMS interoperability mandates, HL7 FHIR, and EDI standards.
• Collaborate with the VP of AI Engineering and Data Science leadership to ensure the data architecture enables scalable, governed AI and analytics workloads
• Define application architecture standards, including microservices patterns, domain-driven design, API-first development, and platform modularity principles.
• Guide teams in making sound build-vs-buy-vs-partner decisions, evaluating vendor platforms and COTS solutions against enterprise architecture standards and strategic fit.
• Establish standards for technical debt management, application rationalization, and modernization prioritization across the application portfolio.
• Partner with the CISO and security engineering teams to embed zero-trust security principles and security-by-design patterns into all architectural frameworks and reference architectures.
• Ensure security architecture considerations — including identity and access management, data encryption, network segmentation, and threat modeling — are embedded into solution design from inception
• Build trusted relationships with business, clinical, and technology leaders across the organization, serving as a strategic bridge between business intent and technology execution.
• Communicate architecture strategy, roadmaps, and governance decisions to executive, board-level, and operational audiences with clarity and conviction
• Mentor and develop senior architects and technical leads across the organization, raising the overall architecture maturity and engineering craft
• Represent the company in external architecture and technology forums, industry groups, and standards bodies relevant to health plan technology

VP Enterprise Architecture

• Conducts analysis on assigned client accounts and internal initiatives related to account performance, growth, retention, and trends
• Provides input on cross-functional teams to gather and integrate evaluations of customers’ environments, performance evaluations, performance problems, and potential alternatives in support of growth and retention
• Validates, analyzes, and interprets information from highly technical areas (e.g. medical informatics, service delivery, and finance) to make effective cost and process decisions resulting in increased satisfaction and retention
• Leverage problem-solving skills and frameworks to develop solutions to client business problems
• Conducts analysis and provides input to customized evaluations, which include the identification, interpretation, and communication of overall account performance against known benchmarks (including new information from Intellimedix and Care Management Sources) and account-specific expectations
• Designs custom analyses using tools like Excel, Tableau, SAS, R, or ZS' proprietary software
• Supports internal stakeholders in providing enhanced analytics and decision support
• Supports external stakeholders in development and implementation of analytic solutions
• Supports and delivers external/internal presentations that demonstrate the value of products
• Integrates qualitative and quantitative information to create insight into client issues
• Ensures messaging and market position are appropriately communicated and understood by the market