Guidehealth

Guidehealthis 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, Guidehealthleverages remotely-embedded Healthguides™ and a centralized Managed Service Organization to build stronger connections with patients and providers. Physician-led, Guidehealthempowers our partners to deliver high-quality healthcare focused on outcomes and value inside and outside the exam room for all patients. Job Description The Clinical Compliance Auditor II is responsible for ensuring Guidehealth’s clinical operations, utilization management activities, and delegated services comply with regulatory requirements, client contractual obligations, and internal clinical standards. This role serves as a senior clinical compliance subject matter expert and performs...

Job Description Job Description Company Description WHO IS GUIDEHEALTH?  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.  Job Description The Clinical Compliance Auditor II is responsible for ensuring Guidehealth’s clinical operations, utilization management activities, and delegated services comply with regulatory requirements, client contractual obligations, and internal clinical...

The Clinical Compliance Auditor II is responsible for ensuring Guidehealth's clinical operations, utilization management activities, and delegated services comply with regulatory requirements, client contractual obligations, and internal clinical standards. This role serves as a senior clinical compliance subject matter expert and performs advanced auditing, monitoring, and compliance validation activities to ensure adherence to Utilization Management (UM) and Population Health Management (PHM) Plans, Managed Services Agreements (MSAs), and value-based care program requirements. In addition to conducting audits, this role provides leadership through mentorship, process improvement, audit program development, and cross-functional collaboration. The Clinical Compliance Auditor II partners closely with Clinical Leadership, Compliance, and Operations teams to identify risks, support regulatory readiness, and ensure clinical services meet the highest standards of accuracy, quality, and...

Company Description WHO IS GUIDEHEALTH? Guidehealthis 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, Guidehealthleverages remotely-embedded Healthguides™ and a centralized Managed Service Organization to build stronger connections with patients and providers. Physician-led, Guidehealthempowers our partners to deliver high-quality healthcare focused on outcomes and value inside and outside the exam room for all patients. Job Description The Clinical Compliance Auditor II is responsible for ensuring Guidehealth’s clinical operations, utilization management activities, and delegated services comply with regulatory requirements, client contractual obligations, and internal clinical standards. This role serves as a senior clinical...

Guidehealth, a remote-first healthcare company, is seeking a Clinical Compliance Auditor II to ensure compliance across clinical operations, utilization management, and delegated services. The role partners with Clinical Leadership, Compliance, and Operations to identify risks and drive improvements in quality and regulatory readiness. The position offers autonomy, mentorship opportunities, and cross-functional collaboration within a growing organization focused on value-based care and patient #J-18808-Ljbffr

Guidehealth is hiring a Registered Nurse (RN) Clinical Compliance Auditor II for a remote, full-time role. You will conduct comprehensive audits, monitor adherence to UM/PHM plans and client obligations, and lead audit programs with senior clinical leadership. The position emphasizes independent judgment, mentorship, and process improvement across clinical operations. Ideal candidates bring 3–5 years in utilization management or clinical compliance, strong regulatory knowledge, and proficiency #J-18808-Ljbffr

Guidehealth seeks a Clinical Compliance Auditor II to ensure our clinical operations and delegated services meet regulatory and client requirements. You will audit, monitor, and validate compliance with UM and PHM plans while collaborating with Clinical Leadership and Operations. You will mentor staff, drive process improvements, and help strengthen our compliance framework in a remote, agile environment with opportunities to grow within a mission-driven team. #J-18808-Ljbffr

Guidehealth, a data-powered healthcare company, seeks a Clinical Compliance Auditor II to ensure adherence to UM/PHM plans and regulatory standards. You will conduct audits, mentor staff, and help refine audit tools within a remote-friendly, collaborative team. The role requires RN licensure, 3–5 years in utilization management or clinical auditing, and strong regulatory knowledge. Expect growth, mentorship, and cross-functional partnership across Clinical Leadership and Operations. #J-18808-Ljbffr