Full-Time

Vice President Customer Experience

CX, & Engagement

GuideWell Mutual

GuideWell Mutual

201-500 employees

Mutual holding company enabling integrated health

No salary listed

Jacksonville, FL, USA

In Person

Category
Customer Experience & Support (1)
Requirements
  • Bachelor’s degree in Business, Marketing, Human-Centered Design, Psychology, Behavioral Science, or a related field or additional related work experience
  • 10+ years of progressive experience in customer experience, health engagement, or related disciplines, with at least 5 years at a senior leadership level
  • Deep expertise in CX methodology, including journey mapping and human-centered design
  • Proven ability to influence at the executive level and drive change across matrixed organizational structures without direct authority
  • Strong command of CX technology and data platforms, including CRM and AI-enabled service channels
Responsibilities
  • Lead the design of experiences that reflect the reality that most member interactions are connected to health — getting care, managing a condition, navigating a care transition, or working toward better well-being. Ensure those interactions are designed with that context in mind, not just as transactional service moments
  • Partner with clinical, medical management, and population health teams to design engagement strategies for members managing chronic conditions or complex care needs — ensuring that the experience of being supported feels proactive, personal, and connected
  • Develop experience models that move members from passive coverage-holders to active participants in their own health — leveraging data, behavioral science, and community connection to drive meaningful engagement
  • Identify and redesign the friction points that occur when members move between care settings, coverage changes, or life stages — moments where disengagement is most likely and the cost of failure is highest
  • Lead the human-centered design of end-to-end member, customer, and provider journeys across digital and non-digital channels — prioritizing the highest-impact moments across the full arc of a member’s health and coverage experience
  • Partner with Product, Technology, Operations, and Clinical teams to translate journey insights into concrete improvements in processes, platforms, and policies
  • Design specific interventions for critical milestones — enrollment, first use of benefits, a significant diagnosis, care completion, renewal — to reduce friction and increase both loyalty and health engagement
  • Champion the application of AI and automation to reduce friction and surface timely, relevant health support — while ensuring that human connection remains accessible and high-quality for members who need it most
  • AI for predictive personalization, ensuring members receive the right support — whether that’s a service resolution, a care reminder, or a connection to a community resource — before a breakdown occurs
  • Partner on the implementation of AI-enabled service channels, including intelligent routing and advanced self-service tools, calibrated to the sensitivity of healthcare interactions
  • Lead the overarching strategy for CRM and outbound communications throughout the member relationship — spanning service moments, care milestones, condition management touchpoints, and well-being programming
  • Partner with Marketing and Communications to ensure a unified external narrative and brand experience across all member touchpoints — one that reflects our identity as a health company, not just an insurance company
  • Develop communication cadences that anticipate member needs — particularly at key health and coverage moments — moving beyond reactive service to proactive relationship building that supports better health decisions
  • Develop and own an enterprise CX strategy that spans GuideWell, Florida Blue, and Triple-S — aligned to overall business strategy and differentiated from national competitors
  • Establish a shared CX vision and framework that creates consistency across business units while honoring market-specific contexts, including Florida, Puerto Rico, and various commercial and government segments
  • Serve as an executive-level champion for the member perspective in business planning, product development, operational design, and clinical program strategy
  • Lead a cross-functional CX governance structure, including executive stakeholder alignment, steering committees, and accountability frameworks
  • Provider Mandate: Extend the CX mandate beyond members to include the provider experience — recognizing that clinician satisfaction and operational ease directly influence the quality and continuity of member care
  • Operational Improvement: Partner with Network Management and Provider Relations to identify and reduce friction in credentialing, contracting, claims, and clinical communication
  • Build a high-performing CX function from the ground up: recruit, develop, and retain top-tier talent across journey design, CRM, health engagement, and CX program management
  • Develop enterprise CX training programs and competency models that embed member-centric, health-outcome-oriented thinking across business units, call centers, and clinical teams
  • Partner with Human Resources to connect CX outcomes — including health engagement and activation metrics — to performance management, recognition, and culture programs
  • Establish a CX center of excellence that serves as an internal resource, thought partner, and standard-setter across the GuideWell enterprise
Desired Qualifications
  • Experience in health insurance, managed care, healthcare services, or population health — with working knowledge of CAHPS, HEDIS, CMS Star Ratings, and health engagement metrics
  • Familiarity with multi-market and multicultural member populations, including Spanish-speaking and Caribbean market contexts
  • Familiarity with behavioral economics or health behavior change frameworks as applied to member engagement
  • Certification in CX methodology (CCXP or equivalent) or design thinking (IDEO, Stanford d.school, or similar)
  • Able to set a compelling long-term direction while building the processes and accountability structures to execute it
  • Genuinely motivated by improving the lives of the members we serve — and skilled at translating that motivation into organizational systems and behaviors that hold up under operational pressure
  • Understands that improving health outcomes requires meeting people where they are — designing for the full range of health literacy, life circumstance, and cultural context represented in our membership
  • A team builder who creates followership across functions and levels — without relying on hierarchy or authority to drive alignment
  • Comfortable with ambiguity and energized by the opportunity to build — not just manage — a function

GuideWell Mutual Holding Corporation is a not-for-profit mutual holding company that acts as the parent to a family of companies focused on transforming health care. It builds an integrated ecosystem of health-related products and services, collaborates with partners, and advocates for better health to help people navigate the changing health landscape and enjoy a better experience. Its approach emphasizes improving efficiency and delivering high-quality care rather than pursuing profit. The goal is to shape the future of health by coordinating services and innovations that improve outcomes and access across the health system.

Company Size

201-500

Company Stage

N/A

Total Funding

N/A

Headquarters

Jacksonville, Florida

Founded

2011

Simplify Jobs

Simplify's Take

What believers are saying

  • New CEO Pieninck brings 8+ years leading CareFirst (3.5M lives) with proven cost management and equitable care focus.
  • National scale and Puerto Rico presence position GuideWell to capture integrated care and population health opportunities.
  • Strong culture and Great Place to Work certification enable talent retention and operational continuity post-transition.

What critics are saying

  • Pieninck's regional CareFirst experience may not translate to managing 36M-member national enterprise complexity.
  • Predecessor Pat Geraghty departed December 2025, removing 14-year institutional knowledge three months into Pieninck's tenure.
  • Triple-S Management (Puerto Rico subsidiary) faces fiscal control board oversight, hurricane costs, and population decline pressures.

What makes GuideWell Mutual unique

  • Serves 36 million customers across 50 states, Puerto Rico, and U.S. Virgin Islands with integrated Blue Cross Blue Shield network.
  • Mutual holding structure with policyholder ownership aligns incentives toward member value over shareholder returns.
  • Internally built generative AI tool (GuideWell Chat) reduces reliance on third-party vendors for employee productivity.

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Benefits

Health Insurance

Dental Insurance

Vision Insurance

Life Insurance

Disability Insurance

401(k) Retirement Plan

401(k) Company Match

Paid Vacation

Unlimited Paid Time Off

Wellness Program

Company News

The Port Arthur News
Aug 4th, 2025
GuideWell appoints Brian D. Pieninck president & CEO

JACKSONVILLE, Fla., Aug. 4, 2025 /PRNewswire/ - GuideWell Mutual Holding Corporation has appointed Brian D. Pieninck as its next president and chief executive officer (CEO), effective Oct. 1.

PR Newswire
May 2nd, 2025
Florida Blue Foundation Honors Nine Nonprofits From Across The State For Innovation And Community Impact During 20Th Annual Sapphire Awards

ORLANDO, Fla., May 2, 2025 /PRNewswire/ -- The Florida Blue Foundation, the philanthropic affiliate of Florida Blue, is proud to announce the nine finalists for the 2025 Sapphire Awards, recognizing outstanding programs, organizations, and individuals making a significant impact in community health across Florida.2025 Sapphire Award WinnersAt its annual Community Health Symposium and Sapphire Awards on May 1 in Orlando, the Florida Blue Foundation announced the winners who will share $525,000 to continue their local impact work. This year's symposium theme highlighted the power of technology, innovation, and AI in improving health outcomes for many in the state."We are thrilled to celebrate the 20th anniversary of the Sapphire Awards and recognize the outstanding contributions of these programs, organizations and individuals," said Florida Blue Foundation Executive Director, Susan Towler. "Each of the honorees is dedicated to innovation that improves the lives of Floridians, and we are honored to support their inspiring work."Below are the programs that were honored:The Family Navigator program, led by Alzheimer's Community Care ( West Palm Beach , Palm Beach County ) provides a lifeline of support, tools, and resources to family caregivers, empowering them to care for their loved ones at home. The program has served 3, 846 patients and caregivers and has achieved an 85% success rate. The Family Navigator program received a first-place award and $100,000. Watch their video., ) provides a lifeline of support, tools, and resources to family caregivers, empowering them to care for their loved ones at home

PR Newswire
Mar 31st, 2025
Guidewell / Florida Blue Ceo Pat Geraghty To Step Down At Year End

Tenure Marked by Dramatic Growth, Industry Leadership, and Statewide Community ImpactJACKSONVILLE, Fla., March 31, 2025 /PRNewswire/ -- Pat Geraghty will retire from his role as president and chief executive officer of GuideWell and Florida Blue on December 31, 2025, after serving since 2011, the company announced today. During his tenure, Geraghty, 65, led the transformation of Florida's largest health insurer into GuideWell, a comprehensive health solutions enterprise, with a significant presence in Puerto Rico and across the country while also expanding Florida Blue's reach and impact across the state.GuideWell & Florida Blue President & CEO, Pat GeraghtyThomas G. Kuntz, Chairman of the GuideWell and Florida Blue Boards of Directors, stated, "Pat Geraghty's visionary leadership has transformed our organization and positioned us as a national leader in the evolution of health care. His commitment to members, employees, and the communities GuideWell serves has been extraordinary. Under his guidance, the company has grown from $8 billion to $32 billion in revenue while maintaining a strong mission focus. He has strengthened the company immeasurably and his dedication to our values and to helping people and communities achieve better health has had a profound impact on our culture, the health insurance industry, and the communities where GuideWell and its companies operate.""Being entrusted with the leadership of GuideWell / Florida Blue has been the highlight of my career," said Geraghty

South Florida Hospital News and Healthcare Report
Mar 12th, 2025
GuideWell and Florida Blue Appoint Julia M. Brown to Board of Directors

GuideWell and Florida Blue appoint Julia M. Brown to board of directors.

PR Newswire
Oct 15th, 2024
Accesshope And Webtpa Join Forces To Bring Virtual Cancer Care Support To More Employers

Collaboration expands WebTPA's cancer care solution to give employers and their employees access to expertise from top cancer specialists across the U.S. DUARTE, Calif. and SAN FRANCISCO, Oct. 15, 2024 /PRNewswire/ -- AccessHope, LLC, a cancer support services company, and WebTPA Employer Services, LLC, a healthcare benefits administrator with 30+ years of experience managing custom health plans and serving over 3.1 million members, today announced they have launched a collaboration to extend AccessHope's services to WebTPA's self-insured employers and their plan members. Eligible members will now have access to remote expertise from National Cancer Institute (NCI)-Designated Comprehensive Cancer Center subspecialists knowledgeable in the latest cancer discoveries and clinical trials. These specialists will be available to review cancer diagnoses, treatment plans and personalized precision medicine opportunities, providing expertise that can support treating oncologists and their patients at any point in their cancer journey