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
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 More...
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 More...
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 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...
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 More...
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 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 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...
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...
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...
