Jobs at Guidehealth

Leads technical onboarding and integration projects for clinical and claims data, EMR systems, healthcare vendors, APIs, and SFTP feeds. Coordinates internal, client, and vendor stakeholders; translates healthcare requirements into technical workflows; documents data flows and implementation procedures; performs data QA and validation; troubleshoots integration issues; and manages go-live execution and post-implementation support.

Leads technical onboarding and integration of clinical, claims, EMR, payer, and vendor data. Coordinates APIs, SFTP feeds, ETL pipelines, system deployments, documentation, data QA, troubleshooting, go-live planning, and post-implementation support. Acts as the technical liaison among clinical, business, engineering, vendor, and client stakeholders while translating requirements into configurations and workflows.

Leads technical onboarding and integration projects for clinical and claims data, healthcare vendors, EMR systems, APIs, SFTP feeds, and third-party platforms. Coordinates internal and external stakeholders, translates healthcare requirements into technical workflows, documents integrations, performs data QA and validation, troubleshoots issues, and manages go-live and post-implementation support. The role requires healthcare data standards expertise, scripting, cloud familiarity, and strong project communication skills.

Leads technical onboarding and integration of clinical and claims data for healthcare practices, payers, and vendors. Manages EMR, API, SFTP, ETL, and third-party integrations; translates clinical requirements into technical workflows; documents data flows and implementation procedures; performs data QA and validation; troubleshoots integration issues; and coordinates go-live execution and post-implementation support.

Leads technical onboarding and integration of clinical and claims data for healthcare practices, payers, and vendors. Manages EMR, API, SFTP, and third-party integrations; translates clinical requirements into technical workflows; creates documentation and data-flow diagrams; performs data QA and validation; troubleshoots issues; coordinates stakeholders; and manages go-live planning, deployment, and post-implementation support.

Leads healthcare data and technical integration projects for practices, payers, vendors, and AI-driven solutions. Responsibilities include managing EMR, API, SFTP, and third-party integrations; translating clinical requirements into technical workflows; documenting data flows and procedures; performing data QA and validation; troubleshooting issues; and coordinating go-live planning, implementation, and post-launch support.

Provides remote nursing case management for patients with complex and chronic conditions. Builds personalized care plans, coordinates care across providers, addresses medical, behavioral, and social needs, educates and advocates for patients, and collaborates with interdisciplinary teams. Requires regulatory compliance, independent remote work, and use of multiple EMR systems. Minimal travel of 5% to 10% is required for team activities, training, and development.

Engages patients remotely and in person to provide non-clinical care navigation, peer support, education, referrals, and connections to medical, behavioral health, and community resources. Assesses social and health needs, coordinates follow-up, closes care gaps, documents activities in EHR systems, escalates concerns, and supports population health, quality performance, risk adjustment, and value-based care outcomes.

Engages patients remotely and in person to provide nonclinical care navigation, peer support, education, referrals, and community resource connections. Assesses medical, behavioral, social, and financial needs; coordinates follow-up; supports care-gap closure, quality measures, risk adjustment, and value-based care goals. Documents interactions in EHR systems, escalates concerns to clinical teams, and collaborates with providers, caregivers, and community organizations while maintaining HIPAA compliance.

Remote role managing quality improvement (QI) measures for commercial and government payers: perform patient outreach, abstract quality data from EMR/claims, manage lists and reporting, ensure NCQA/HEDIS compliance, prioritize work to meet reporting deadlines, communicate performance and improvement strategies, and collaborate with providers, payers, and internal teams.

Remote coordinator responsible for managing quality improvement (QI) measures and patient outreach to close care gaps. Collects and abstracts data from EMRs, claims, and provider outreach; manages multiple systems, ensures NCQA/HEDIS adherence, prioritizes reporting deadlines, communicates performance and improvement strategies, and collaborates with payers, providers, and internal teams.

Work remotely as a subject matter expert on quality improvement measures (NCQA/HEDIS) for commercial and governmental payers. Conduct patient outreach, abstract and validate quality data from EMR/claims/provider sources, manage multiple systems and reporting, prioritize deadlines, and communicate performance and improvement strategies with internal teams and customers.

Remote role managing Medicare Advantage quality measures: perform patient outreach, abstract quality data from EMR/claims, manage multiple systems (EMR, payer portals, Guidehealth apps), prioritize reporting deadlines, communicate performance and improvement strategies with payers, providers, and internal teams.

Provide remote care management for patients with complex and chronic conditions: build relationships, develop personalized care plans addressing medical and social needs, coordinate across providers, educate and empower members, use data for insight, maintain regulatory compliance, and occasionally travel (up to 10%).

Lead technical onboarding and integration of clinical and claims data, manage EMR/API/SFTP integrations, design data flows and documentation, perform data QA/validation, troubleshoot issues, and manage go-live and post-implementation support.

Own the end-to-end lifecycle for an in-house conversational automation product (Rose). Partner with clinical operations to prioritize use cases, manage projects from requirements to deployment, analyze performance data, ensure regulatory and clinical compliance, conduct call audits, drive adoption, and communicate status and risks to senior leadership.