About Guidehealth
WHO IS GUIDEHEALTH?
Guidehealth is a data-powered, performance-driven healthcare company dedicated to operational excellence. Our goal is to make great healthcare affordable, improve the health of patients, and restore the fulfillment of practicing medicine for providers. Driven by empathy and powered by AI and predictive analytics, Guidehealth leverages remotely-embedded Healthguides™ and a centralized Managed Service Organization to build stronger connections with patients and providers. Physician-led, Guidehealth empowers our partners to deliver high-quality healthcare focused on outcomes and value inside and outside the exam room for all patients.
131 Job openings in Guidehealth
Remote Quality Improvement Data Coordinator - Medicare Advantage
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 More...
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 More...
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 More...
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 More...
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 More...
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 More...
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 More...
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 More...
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 More...
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 More...
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 More...
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 More...
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 More...
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 More...
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 More...
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 More...
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 More...
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 More...
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 More...
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 More...
