Guidehealth

As outlined below provide quality improvement focused work for all delegated entities and support for ACO quality reporting for all contracted ACOs.WHAT YOULL BE DOINGWork in a fully remote environment and virtually engage with company and team in your daily work.Subject Matter Expert المزيد...

As a Claims Analysts you will play a key role in Guidehealths expansion and growth.  You will be responsible for the adjudication of claims that require high level review and investigation according to plan requirements.  Maintain an average daily quantity and quality produc المزيد...

As a registered nurse with an Illinois nursing license you will work remotely to enhance the quality of member management maximize both satisfaction and cost effectiveness and assist in navigating the health care system as a collaborative health partner in their health care team. As a المزيد...

The Client Business Manager at Guidehealth supports client success by assisting with client onboarding operational support and service delivery. In this role youll work closely with clients health plans and internal teams to ensure seamless operations build strong relationships and co المزيد...

As the Manager Claim Operations you will play a key role in Guidehealths expansion and growth.  You will provide operational oversight to the claims production and the inventory and reporting teams to ensure all required KPIs and Metrics are being met.  This role will report المزيد...

WHAT YOULL BE DOINGUnderstand and stay current with client contract criteria and requirements ensuring client services are compliant as well as meet client expectations. Ensure accuracy of claims processing and contract logic builds through internal audit processes.Perform target المزيد...

WHAT YOULL BE DOINGUnderstand and stay current with client contract criteria and requirements ensuring client services are compliant as well as meet client expectations. Ensure accuracy of claims processing and contract logic builds through internal audit processes.Perform target المزيد...

WHAT YOULL BE DOINGUnderstand and stay current with client contract criteria and requirements ensuring client services are compliant as well as meet client expectations. Ensure accuracy of claims processing and contract logic builds through internal audit processes.Perform target المزيد...

WHAT YOULL BE DOINGUnderstand and stay current with client contract criteria and requirements ensuring client services are compliant as well as meet client expectations. Ensure accuracy of claims processing and contract logic builds through internal audit processes.Perform target المزيد...

As a Contractual Compliance Coordinator you will ensure the accuracy of the required reporting and procedural and financial claims processing requirements set forth by the client and Health Plan contract requirements for the Value Based Care lines of business. This position is respons المزيد...

The Manager Clinical Care is primarily responsible for the daytoday operations of an integrated multidisciplinary clinical and clinical support structure that will effectively monitor support and lead Value Based clinical initiatives. This includes but is not limited to case managemen المزيد...

As a Contractual Compliance Coordinator you will ensure the accuracy of the required reporting and procedural and financial claims processing requirements set forth by the client and Health Plan contract requirements for the Value Based Care lines of business. This position is respons المزيد...

As a Contractual Compliance Coordinator you will ensure the accuracy of the required reporting and procedural and financial claims processing requirements set forth by the client and Health Plan contract requirements for the Value Based Care lines of business. This position is respons المزيد...

As a Contractual Compliance Coordinator you will ensure the accuracy of the required reporting and procedural and financial claims processing requirements set forth by the client and Health Plan contract requirements for the Value Based Care lines of business. This position is respons المزيد...

As a Contractual Compliance Coordinator you will ensure the accuracy of the required reporting and procedural and financial claims processing requirements set forth by the client and Health Plan contract requirements for the Value Based Care lines of business. This position is respons المزيد...

As a Contractual Compliance Coordinator you will ensure the accuracy of the required reporting and procedural and financial claims processing requirements set forth by the client and Health Plan contract requirements for the Value Based Care lines of business. This position is respons المزيد...

As a Contractual Compliance Coordinator you will ensure the accuracy of the required reporting and procedural and financial claims processing requirements set forth by the client and Health Plan contract requirements for the Value Based Care lines of business. This position is respons المزيد...

As the Manager Claim Operations you will play a key role in Guidehealths expansion and growth.  You will provide operational oversight to the claims production and the inventory and reporting teams to ensure all required KPIs and Metrics are being met.  This role will report المزيد...

As a Contractual Compliance Coordinator you will ensure the accuracy of the required reporting and procedural and financial claims processing requirements set forth by the client and Health Plan contract requirements for the Value Based Care lines of business. This position is respons المزيد...

As a Contractual Compliance Coordinator you will ensure the accuracy of the required reporting and procedural and financial claims processing requirements set forth by the client and Health Plan contract requirements for the Value Based Care lines of business. This position is respons المزيد...