GuideWell Source
GuideWell Source
GuideWell Source face parte din familia GuideWell și activează în domeniile furnizării de servicii medicale, asigurărilor de sănătate și consultanței. Compania dezvoltă și introduce pe piață soluții de sănătate, inclusiv modele de îngrijire concepute pentru îmbunătățirea rezultatelor pacienților și consolidarea implicării consumatorilor. Serviciile sale includ, de asemenea, sprijin administrativ și procesarea solicitărilor pentru programele Medicare și Medicaid statale și federale, ajutând organizațiile din domeniul sănătății să gestioneze operațiuni complexe, cu accent pe fiabilitate și excelență operațională.

VP, Health Services Analytics — GuideWell Source (Remote, Florida)

GuideWell Source seeks a Vice President to lead Health Services Analytics strategy, AI modernization, cloud migration, and enterprise performance measurement. The role focuses on improving member outcomes, affordability, and experience through analytics-driven operating models and technology.

Descriere

  • Make analytics the foundation of a data-driven Health Services Operating System
  • Deploy a unified KPI and operating performance dashboard
  • Identify automation and AI opportunities across analytics functions
  • Improve Health Services Operations processes to advance member outcomes and reduce administrative and medical costs
  • Convert data, advanced analytics, and AI insights into measurable business results
  • Drive adoption of the Analytics Domain architecture across Health Services Analytics
  • Lead the transition from legacy platforms to modern cloud solutions
  • Set the Health Services Analytics North Star and phased delivery strategy
  • Create and govern the analytics operating model, intake and prioritization processes, data product strategy, governance, enterprise metrics, transformation layer, and AI enablement roadmap
  • Deliver the analytics product roadmap and measure realized value
  • Participate in governance forums supporting operational engines
  • Maintain a structured management system covering team meetings, one-on-ones, skip-level discussions, roadmap updates, and operating cadences
  • Create and maintain a comprehensive KPI inventory for Health Services Operations
  • Deliver the unified KPI and operating performance dashboard as the authoritative source of truth
  • Own a standardized transformation layer covering metric definitions, data pipelines, business logic, enrichment, and quality controls
  • Redirect analytics work toward predictive modeling, AI-enabled workflows, advanced analytics, and proactive intelligence
  • Create and carry out the AI enablement roadmap
  • Launch automated reporting, self-service dashboards, and decision-support tools
  • Lead predictive modeling and AI/ML use-case development
  • Own TCOC connectivity analytics and measure, monitor, and validate affordability opportunities
  • Support subfunction lever playbooks with definitions for KPIs, cost categories, cost mechanisms, and analytics cadences
  • Build, lead, and grow the Health Services Analytics team
  • Set the staffing model, workforce composition, onshore/offshore/vendor mix, and productivity standards
  • Strengthen, reorganize, and rebuild the analytics talent pyramid
  • Create leadership development plans, talent assessments, and performance management processes
  • Report to the COO of Health Services and collaborate with the Chief Data Officer

Cerințe

  • Bachelor’s degree in actuarial science, statistics, mathematics, data science, computer science, business, or a related quantitative discipline, or equivalent additional relevant work experience
  • At least 15 years of progressively responsible experience in healthcare analytics, actuarial science, data science, or enterprise analytics leadership
  • At least 8 years of senior leadership experience managing analytical teams and enterprise-scale programs
  • Proven success designing and implementing analytics operating models
  • Executive presence and the ability to influence senior leaders across functions
  • Ability to turn analytical findings into measurable business outcomes
  • Fellow of the Society of Actuaries or an equivalent advanced credential preferred
  • Master’s degree or higher in a quantitative or business field preferred
  • Experience working within a health insurance payer organization preferred
  • Experience collaborating with enterprise data organizations preferred
  • Experience applying process improvement methods such as LEAN or Six Sigma preferred
  • Experience creating recruiting strategies, talent programs, and employee development initiatives preferred
  • Experience integrating AI-enabled analytics solutions into business workflows preferred

Beneficii

  • Medical, dental, vision, life, and global travel health insurance
  • Income protection through life insurance and short- and long-term disability programs
  • Leave programs designed to support personal circumstances
  • Retirement Savings Plan with an employer match
  • Paid time off, volunteer time off, 10 holidays, and 2 well-being days
  • Additional voluntary benefits
  • Comprehensive wellness program
  • Potential eligibility for incentive or commission compensation
  • Annual performance reviews with pay-for-performance consideration for base salary increases

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