As a Claims Analysts you will play a key role in Guidehealth’s expansion and growth. You will be responsible for the adjudication of claims that require high level review and investigation according to plan requirements and maintain an average daily quantity and quality production requirement.
Lead certain segments of management consulting projects and interacting directly with clients, taking their strategic goals and turning them into well-defined implementation plans. Participates in preparing proposals and pursuits, including the development of project methodologies, budgets and schedules. Perform business technology research and quantitative analyses, conduct/coordinate studies, lead workshops, and create effective communication/presentation material.
The Client Business Manager at Guidehealth supports client success by assisting with client onboarding, operational support, and service delivery, working closely with clients, health plans, and internal teams to ensure seamless operations, build strong relationships, and contribute to Guidehealth’s mission of advancing value-based healthcare.