VP Health Services Analytics

Job not on LinkedIn

🔥 13 hours ago

🐊 Florida – Remote

🐊 Florida – Remote

⏰ Full Time

🔴 Lead

👔 Vice President

🦅 H1B Visa Sponsor

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👻 Ghost score 16%

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GuideWell Source

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

🏥 Healthcare

💼 Consulting

⚕️ Healthcare Insurance

Healthcare • Consulting • Healthcare Insurance

GuideWell Source is a company within the GuideWell Family that focuses on accelerating innovative health solutions to market, transforming and reshaping the health industry. It specializes in healthcare delivery, providing new models and superior outcomes for patients. The company emphasizes consumerism in healthcare, engaging clients in meaningful ways. GuideWell Source offers healthcare insurance, protecting employers and consumers with coverage plans and services. The company also provides administrative and claims processing services for state and federal Medicare and Medicaid programs, establishing itself as a trusted business partner in the healthcare sector with a focus on operational excellence.

📋 Description

• Position analytics functions as the engine behind the data-driven Health Services Operating System • Implement a Unified KPI & Operating Performance Dashboard • Capture automation and AI-driven efficiencies within analytics functions • Identify business process improvement opportunities across Health Services Operations to improve member health outcomes, reduce administrative and medical expense, and improve member experience • Translate data, advanced analytics, and AI-powered insights into measurable business outcomes • Ensure adoption of Analytics Domain architecture within Health Services Analytics • Lead migration from legacy platforms to modern cloud-based solutions • Define and own the Health Services Analytics North Star and phased implementation strategy • Establish and govern a unified analytics operating model, intake process, prioritization framework, data product strategy, governance model, enterprise metrics, transformation layer, and AI enablement roadmap • Implement an Analytics Product Roadmap and track value realization • Participate in operating rhythm governance forums for operational engines • Operate a disciplined management system including staff meetings, 1:1s, skip-levels, roadmap revisions, and structured operating rhythms • Design, build, and maintain a comprehensive Health Services Operations KPI inventory • Deliver the Unified KPI & Operating Performance Dashboard as the single source of truth • Build and own a standardized transformation layer with metric definitions, pipelines, business logic, enrichment layers, and quality checks • Shift work toward advanced analytics, predictive models, AI-enabled workflows, and proactive intelligence • Develop and execute the AI enablement roadmap • Implement automated reporting, self-service dashboards, and decision-support tools • Lead predictive model and AI/ML use-case development • Own TCOC connectivity analytics and quantify, track, and validate affordability opportunities • Support subfunction lever playbooks with KPI, cost category, cost mechanism, and analytics cadence definitions • Build, lead, and develop the Health Services Analytics team • Define staffing model, workforce mix, onshore/offshore/vendor split, and productivity expectations • Upskill, restructure, and rebuild the analytics talent pyramid • Establish leadership development plans, talent assessments, and performance management systems • Report to the COO of Health Services and partner with the Chief Data Officer

🎯 Requirements

• Bachelor’s degree in actuarial science, Statistics, Mathematics, Data Science, Computer Science, Business, or a related quantitative field or additional related work experience • 15+ years of progressive experience in healthcare analytics, actuarial science, data science, or enterprise analytics leadership • 8+ years of senior leadership experience overseeing analytical teams and enterprise-scale initiatives • Demonstrated experience designing and implementing analytics operating models • Strong executive presence with the ability to influence cross-functional senior leadership • Demonstrated ability to translate analytical insights into measurable business outcomes • Fellow of the Society of Actuaries (F.S.A.) or equivalent advanced credential (preferred) • Advanced degree (master’s or higher) in a quantitative or business discipline (preferred) • Experience within a health insurance payer organization (preferred) • Experience partnering with enterprise data organizations (preferred) • Experience with process improvement methodologies (LEAN, Six Sigma, etc.) (preferred) • Experience developing recruiting strategies, talent programs, and team members (preferred) • Experience implementing AI-enabled analytics solutions into business workflows (preferred)

🏖️ Benefits

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