Guide Healthcare

Analyst

• Developing advanced analyses of health plan and employer data to identify opportunities that enhance care quality, provider performance, and cost efficiency
• Translating data into actionable strategies that support value-based care, population health, and operational excellence
• Partnering with internal teams and clients to refine analytic requirements, ensuring each deliverable drives real-world results
• Building repeatable, intuitive reports and dashboards that highlight trends, benchmarks, and performance improvement areas
• Presenting insights and recommendations to clinical, operational, and executive audiences with clarity and confidence
• Contributing to continuous improvement of Guidehealth’s analytics infrastructure, tools, and data storytelling methods

Senior Medical Economics Analyst

Bilingual

• Working primarily remotely, Healthguides will be working with the patient’s medical practice staff and Guidehealth’s Case Management team, to manage a targeted population of patients.
• Functioning independently and being a highly collaborative team member as an extension of medical practice.
• Assisting the patient in achieving better health outcomes by addressing their questions and concerns, connecting them with the medical practice, partnering in implementing high-impact care plans and closing care gaps, escalating medical issues, and navigating them to the right resources including assisting with referrals to specialty care and community-based organizations (CBOs).
• Accurately documenting patients’ medical history and medical issues in the electronic health record (EHR).
• Understanding the referral and prior authorization process.
• Continuously building a trusting, professional, working relationship with assigned medical practices and within the Guidehealth organization.
• Implementing and meeting assigned Key Performance Indicators to produce a positive patient health outcome, while decreasing medical spend.
• Utilize effective communication modalities (calls, texts, portals, emails) to engage and schedule high-risk patients.
• Appropriately escalating medical issues to the Health Guide Registered Nurse, Primary Care Physician Medical practice or Guidehealth leadership.
• Following all security policies and procedures in order to protect all PHI (Protected Health Information) under Guidehealth’s custodianship as well as Guidehealth Intellectual Properties.
• Position may require compensated travel as needed (10-15%) to clinical sites in the Atlanta, GA area for patient and provider engagement and conducting retinal eye exams with paid training provided.

Medical Assistant, Bilingual

• Performance management and improvement
• Internal performance optimization
• Working with operational and data leaders to structure, execute, and validate analyses that identify opportunities to improve performance including medical cost, patient engagement, quality of care, and other metrics
• Supporting operational leads in performance management and C-level leadership progress updates, including regular performance reviews
• Expanding reporting capabilities by identifying and scoping new reports for different levels of the organization and working with our data and analytics teams to build and deliver them
• Identifying and validating potential performance improvement opportunities and work closely with our operational and technical leads to scope new projects, initiatives, and capability builds to capture them
• Helping manage ongoing performance improvement and capability-build projects, supporting our project management teams with critical analyses and insights to ensure our efforts stay on-track
• Client delivery support
• Working with Guidehealth and client operators to prepare for standing meetings by preparing and aggregating materials and managing the project cadence
• Attending, facilitating, and in some cases leading these standing meetings (mix of hybrid and in-person) and ensuring timely execution of next steps
• Leading ad hoc projects with clients and internal teams targeted at specific opportunities using an agile execution approach (e.g., sprints to improve patient engagement or quality of care)
• Preparing opportunity analyses for validation and presentation to client operators and leadership

Senior Analyst, VBC Strategy and Performance

Customer Support

• Serving as the first point of contact for members and providers, handling 30–40 calls per day while also managing chats, texts, emails, video, and co-browsing, with an expected call resolution time of 6 to 8 minutes.
• Navigating multiple systems and balancing several interactions at once, staying accountable for accurate, timely, and empathetic resolutions.
• Assuring the accurate and timely handling of client and member calls with total follow through.
• Answering client and provider questions including, but not limited to claims payment, status and coverage information.
• Educating customers on their plan and encouraging use of our digital tools—helping them learn how to navigate healthcare more confidently.
• Interpreting client health plan protocol.
• Reviewing claims status and providing status to member. Check tracer documentation.
• Maintaining accurate and complete call documentation.
• Maintaining high level of professionalism.
• Returning incoming calls.
• Solving questions about benefits, claims, eligibility, and providers, collaborating across teams when needed.
• Safeguarding privacy at all times—strictly following HIPAA and confidentiality standards.
• Documenting thoroughly, taking ownership of issues, and following through until every customer feels heard and supported.

Temporary Customer Service Guide

Financial Planning and Analysis

• Overseeing all accounting and financial reporting functions to ensure accuracy, compliance, and insight.
• Partnering with the CFO and VP of Finance & Accounting to be delivering transparent and actionable reporting.
• Leading monthly, quarterly, and annual close processes while ensuring GAAP compliance.
• Building scalable systems, policies, and internal controls that support growth and audit readiness.
• Driving continuous improvement through automation and process enhancement.
• Interpreting complex accounting standards and implementing clear, consistent policies.
• Mentoring and developing accounting staff while fostering collaboration and accountability.
• Collaborating cross-functionally with Finance, Operations, and Technology to ensure data integrity and system alignment.
• Serving as the primary liaison with external auditors and ensuring audit readiness throughout the year.
• Coordinating with tax partners to ensure accurate and timely filings and compliance.

Senior Director, Accounting and Financial Reporting

Accountant

• Lead monthly, quarterly, and year-end close activities, including journal entries, reconciliations, and variance analysis
• Prepare and review financial statements, ensuring compliance with GAAP and internal policies
• Manage the fixed asset ledger, depreciation schedules, and amortizations
• Coordinate audit processes, liaise with external auditors, and prepare audit deliverables
• Analyze account activity, identify trends or anomalies, and suggest improvements
• Support budgeting and forecasting; partner with other departments to provide financial insights
• Mentor and coach junior accounting staff; review their work and help build their skills
• Drive process improvements and automation within the accounting function

Senior Accountant

Customer Service Guide

Manager

• Pulling, sorting, and analyzing data to determine member eligibility for the Population Health management Program.
• Coordinating and providing care that is timely, effective, equitable, safe, and member-centric while following HMO processes.
• Managing case assignments which includes outreach, documentation, monitoring for case progression, and case closure.
• Meeting reporting and documentation standards while engaging in collaborative meetings with department staff and clients.
• Assisting members in reaching wellness and health-autonomy by addressing barriers, social determinants, member motivators, and psychosocial issues.
• Helping members make informed decisions by educating them on navigation through the HMO and healthcare spectrum while promoting quality and cost-effective interventions and outcomes.
• Supporting operational aspects of the division to meet the organization’s customer requirements and satisfaction.
• Maintaining confidentiality related to all computer programs, medical records, and data.
• Participation in QM/UM Committee Meetings including material preparation, minutes, data collection, and analysis, reporting, and follow-up tasks which may require in-person attendance.
• Rotation in off-hour/weekend calls if applicable.
• Responsible for continued professional growth and education that reflects knowledge and understanding of current nursing care practice as outlined in the Illinois Practice Act.
• Other responsibilities as assigned and per any changes in annual program requirements.

Guide Healthcare

Senior Medical Economics Analyst

Medical Assistant, Bilingual

Medical Assistant, Bilingual

Senior Analyst, VBC Strategy and Performance

Temporary Customer Service Guide

Senior Director, Accounting and Financial Reporting

Senior Accountant

Customer Service Guide

RN Case Manager

RN Case Manager