Jobs at Guidehealth

Manages full-cycle, high-volume healthcare recruiting across clinical, administrative, operations, and shared-services roles. Responsibilities include partnering with hiring managers, sourcing and assessing candidates, maintaining talent pipelines, coordinating interviews, evaluating licensure and credentialing requirements, ensuring compliant and candidate-centered communication, updating SmartRecruiters records, and improving recruiting processes using technology and AI-supported workflows.

Manage full-cycle, high-volume recruiting for healthcare and corporate roles in a fully remote environment. Responsibilities include partnering with hiring managers, sourcing and assessing candidates, maintaining talent pipelines, coordinating interviews, evaluating licensure and credentialing requirements, ensuring compliant and candidate-centered hiring, maintaining accurate ATS records, and improving recruiting processes through technology and AI-supported workflows.

Manage full-cycle, high-volume recruiting for healthcare and related roles in a fully remote environment. Responsibilities include partnering with hiring managers, sourcing and assessing candidates, maintaining talent pipelines, coordinating interviews, evaluating licensure and credentialing requirements, ensuring compliant candidate communication, updating SmartRecruiters records, and improving recruiting processes. The role requires balancing speed, quality, compliance, and candidate experience while using recruiting technology and AI-supported workflows responsibly.

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.

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.

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.

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.

Provide remote (and occasional in-person) patient navigation and care coordination to connect high-risk patients with medical, behavioral health, and community resources, document in EHRs, support value-based care metrics, escalate clinical or social needs, and improve outcomes through outreach, education, and workflow-driven interventions.

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.

The Remote RN Case Manager enhances member care through outreach, assessments, documentation, and collaboration with healthcare providers to ensure effective patient outcomes.