Video: Leading with Clinical Expertise

Clinical Expertise in Health Plans

At HealthEdge, our mission is to empower health plans with cutting-edge care management solutions. Designed with your unique needs in mind, our GuidingCare Suite was specifically created to serve the most complex member populations. Here's how our world-class clinical team makes a difference:

Expertise at Every Step

• Experienced Clinical Experts:
• Our clinical experts have extensive experience working within health plans and GuidingCare customers.
• They partner with you at every step to effectively manage the care of all members.

Optimizing Business Processes

• Best Practice Workflows:
• Transform your current business processes, from care management to utilization management, into optimized workflows.
• This increases efficiencies, reduces redundancies, and enhances end-user satisfaction.

Advocacy and Continuous Improvement

• Customer Feedback Integration:
• Our clinical experts collect direct feedback from customer engagement initiatives, including trainings, right-along programs, and individual sessions.
• We advocate on your behalf to continuously improve Guiding Care's processes and functionality.

Regulatory Compliance

• Proactive Monitoring:
• Stay ahead with our clinical team that monitors evolving state and federal regulatory requirements.
• Ensure the Guiding Care application remains current, boosting your competence in audits.

Discover how HealthEdge’s clinical expertise can transform your health plan operations. Visit our website to learn more.