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About the Role

Guidehealth is a data-powered, performance-driven healthcare company dedicated to operational excellence. Our goal is to make great healthcare affordable, improve the patient health, and restore the fulfillment of practicing medicine for providers. Driven by empathy and powered by AI and predictive analytics, Guidehealth leverages remotely-embedded Healthguides™ and a centralized Managed Service Organization to build stronger connections with patients and providers. Physician-led, Guidehealth empowers our partners to deliver high-quality healthcare focused on outcomes and value inside and outside the exam room for all patients.

Responsibilities

Partner with clinical operations teams to identify, prioritize, and collect requirements for use cases.
Maintain and prioritize use cases, features, and enhancement requests, balancing clinical impact, technical feasibility, and organizational readiness.
Own the project plan for use cases from requirements through deployment, including timelines, milestones, dependencies, and risk mitigation.
Ensure timely and clear communication of priorities and activities to leadership and cross-functional partners.
Analyze performance data to identify trends, surface improvement opportunities, and inform the roadmap.
Conduct regular call audits to ensure clinical accuracy, HIPAA compliance, appropriate tone, and adherence to approved scripts and conversation flows.
Ensure all use cases comply with applicable healthcare regulations, including HIPAA, CMS, URAC, DiME, and state-specific requirements.
Facilitate regular program reviews with senior leadership, providing status updates, risk assessments, and strategic recommendations.
Build strong relationships across the organization to drive adoption and gather continuous feedback.

Requirements

Demonstrated ability to prioritize competing initiatives, manage ambiguity, and deliver measurable outcomes in a complex, cross-functional environment.
Experience standing up a complex product, shepherding it from development to implementation, and maintaining product integrity through its lifecycle.
Strong analytical skills, with the ability to interpret performance data and translate insights into roadmap decisions.
Proficient with coding languages like Python and SQL, with the ability to query data, review scripts, and collaborate effectively with data and engineering teams.
Proven ability to execute in real time when plans go sideways: calm under pressure, quick to adjust, and accountable for outcomes regardless of cause.
Excellent written and verbal communication skills, including the ability to present trade-offs, risks, and recommendations to senior leadership.
Bachelor's degree in a relevant field, or equivalent professional experience.

Skills

Python
SQL
Agile delivery frameworks
Conversational AI
Voice AI
LLM-powered products
AWS-based development tools
Jira
Confluence
HIPAA
CMS
URAC
DiME
Healthcare regulations
Care management
Quality measurement (HEDIS/Stars)
Call center operations
Data science
ML engineering
Strategic Thinking
Clinical Empathy
Analytical Rigor
Influence Without Authority
Adaptability
Execution Orientation

Location

Remote

Work Type

Remote
Full-time

Experience Level

Senior

Education Level

Bachelor's degree or equivalent professional experience

Salary/Compensations

$145,000.00 - $150,000.00

Benefits

Work from Home
Comprehensive Medical, Dental, and Vision plans
401(k) plan with a 3% employer match to a 6% contribution
Life and Disability insurance
Voluntary Life options
Employee Assistance Program (EAP)
Paid time off plans
Paid parental leave
Professional growth resources

About the Company

Guidehealth is a data-powered, performance-driven healthcare company dedicated to operational excellence.
Our goal is to make great healthcare affordable, improve the health of patients, and restore the fulfillment of practicing medicine for providers.
Driven by empathy and powered by AI and predictive analytics, Guidehealth leverages remotely-embedded Healthguides™ and a centralized Managed Service Organization to build stronger connections with patients and providers.
Physician-led, Guidehealth empowers our partners to deliver high-quality healthcare focused on outcomes and value inside and outside the exam room for all patients.
As a growing and innovative organization, we operate with a high degree of agility.
Employees are expected to adapt to evolving business needs, step in to support cross-functional initiatives, and contribute beyond traditional role boundaries when needed.
This collaborative and flexible mindset is essential to our success.
We encourage cross-training, ongoing development, and a commitment to learning across all areas of the business—ensuring we continue to grow and you continue to thrive as a high-performing, mission-driven team.
Join us as we put healthcare on a better path!!
At Guidehealth, our values come to life in everything we do.
We are Driven by Accountability — grounded in transparency, reliability, and integrity as we navigate challenges and opportunities alike.
Always Growing, Always Learning — staying curious and continuously improving inspires us to shape a better future for healthcare.
With Collaborative Innovation, we solve problems creatively, making every experience better for our employees and the patients we serve.
At Guidehealth, Every Voice Matters — we believe our collective strength is rooted in the unique perspectives of each team member.
And through Empathy in Action, we build stronger connections with those who count on us.
This is what it means to be ALIVE with purpose. This is how we thrive — together — at Guidehealth.

Equal Opportunity

Diversity, inclusion, and belonging are 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, physical, sensory, or medical 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.