Guidehealth

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...

We are seeking a highly organized and emotionally intelligent Remote Medical Assistant Healthguide Supervisor to lead a team of remote medical assistants Healthguides conducting patient outreach for highly impactable and transitionofcare patients. This role is critical in addressing المزيد...

The Principal Stratgegy and Performance plays a critical role in optimizing internal operations and supporting client delivery by analyzing data identifying opportunities to improve medical cost efficiency and patient engagement and expanding reporting capabilities. This role will be المزيد...

The Sr. Response Analyst role is responsible for the investigation of the referral/authorization episodes to determine approval or nonapproval and respond accordingly to the Home Plans requests.WHAT YOULL BE DOING Review and Finalize 095 and PDC reports of claims sent to the Home 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...

The Inquiries Appeals and Dispute Analyst role is responsible for the investigation of the referral/authorization episodes to determine approval or nonapproval and respond accordingly to the Home Plans requests.WHAT YOULL BE DOINGReview and Finalize 095 and PDC reports of claims sent المزيد...