Care Management Admin Tech

WHO IS GUIDEHEALTH?

At Guidehealth, our mission is to enhance healthcare affordability for patients and restore the fulfillment of practicing medicine for providers. As a physician-led company, we recognize that streamlining administrative tasks and harnessing the power of predictive analytics and AI enable our partner physician practices to prioritize delivering high-quality healthcare focused on outcomes and value.

Driven by empathy, we empower physicians to anticipate the needs of patients requiring more attention, strengthen connections between patients and physicians with virtually-embedded Healthguides, and leverage AI and analytics to proactively avoid preventable events. This approach results in increased levels of patient and practice engagement, ultimately leading to more significant positive impacts on patients.

Join us as we put healthcare on a better path!!

This position is responsible for assisting the Population Health Case Management Team on reporting services, communications, and coordination for one or more of the day-to-day functions. (e.g., customer service, reporting, medical record lookup, email, report reviews and distribution, and data entry.)

WHAT YOU WILL BE DOING:

• Reviewing incoming reports and emails and distributing based on priority.
• Collecting data from medical records in multiple EMR systems and inputting into reports, and health plan portals • Compile Committee packets, agendas, minutes and required attachments.
• Schedule reminders, meeting invites and pre-meetings to ensure timely packet submission
• Submit audit documents via the Health Plan portal
• Communicate professionally and develop positive relationships with providers and providers’ support staff.
• Maintain confidentiality related to all computer programs, medical records and other data.
• Other tasks, projects or duties as assigned by supervisor.

WHAT SUCCESS LOOKS LIKE IN 3 MONTHS

• Work on initial data entry
• Work on health record training
• Work on initial introduction to reports and Medical Group Guidelines
• Initial learning regarding reporting and report locations as well as packet preparation
• Initial learning about IPA’s and health plan requirements

IN 6 MONTHS

• Understand reporting and be familiar of report locations.
• Initial packet preparation and compilation
• Initiate invites and moderation of the pre-meetings
• Have a basic knowledge of rules across all IPA’s.
• Understand the Health Plan requirements as outlined in the UM plan and attachments.

IN 12 MONTHS

• Review processes and independently implement opportunities to streamline.
• Work on trouble-shooting issues with documentation and process compliance
• Run, modify staff/QA reports

WHAT YOU'LL NEED TO HAVE

• 1-3 years of experience in healthcare environment
• Knowledge of medical terminology
• Ability to prioritize daily work, work independently and adapt to change while still meeting timelines and deadlines.
• Ability to work effectively with management, co-workers, physicians/nurses, providers, and other external agencies/customers.
• Proficiency in Microsoft products, Excel, PDF, PPP, and Adobe at minimum
• Experience managing multiple projects effectively.
• Interpersonal, organizational, and analytical skills.
• Experience with analytics
• Verbal and written communication skills

WE WOULD LOVE FOR YOU TO HAVE:

• Experience in a medical office setting

WHAT YOU GET
Join a fast-paced high performing team who brings all data into one of the top Healthcare Analytics companies in the US
Learn a TON about the payor and provider healthcare system while applying cutting edge analytic tools and medical economics to everyday situations.
Learn ways to streamline processes and identify potential automation opportunities.
Become an expert in clinical and claims healthcare data.

COMPENSATION

Guidehealth’s compensation structure includes more than just base salary. We believe in providing world-class benefits including comprehensive medical, dental, and vision plans, long and short-term disability, life insurance, and a 401k plan with a generous match. Our paid time off program includes paid holidays and flexible time that focuses on meeting the demands of the position and our clients, while providing the balance that our employees need.

The base pay range for this role is between xxx and yyy per hour/year paid bi-weekly per our standard payroll practices. Final base pay decisions are dependent upon a variety of factors which may include, but are not limited to: skill set, years of relevant experience, education, location, and licensure/certifications.

OUR COMMITMENT TO EQUAL OPPORTUNITY EMPLOYMENT

Diversity, inclusion, and belonging is at the core of Guidehealth’s values. We are an equal opportunity employer. We enthusiastically accept our responsibility to make employment decisions without regard to race, religious creed, color, age, sex, sexual orientation and identity, national origin, citizenship, religion, marital status, familial status, disability, Family and Medical Leave, military or veteran status, pregnancy, childbirth or other related medical conditions, or any other classification protected by federal, state, and local laws and ordinances. Our management is fully dedicated to ensuring the fulfillment of this policy with respect to hiring, placement, promotion, transfer, demotion, layoff, termination, recruitment advertising, pay, and other forms of compensation, training, and general treatment during employment.

This position is responsible for following all Security policies and procedures in order to protect all PHI under Guidehealth’s custodianship as well as Guidehealth Intellectual Properties. For any security-specific roles, the responsibilities would be further defined by the hiring manager.