• Consistently meet sales and profitability goals. • Participate in industry organizations such as ISSA, ISACA, OWASP, INSA, AFCEA etc. • Manage leads and opportunities through Salesforce and other CRM tools. • Accurately and consistently report sales forecasts and opportunity funnels • Participate in creation, editing and closure of services proposals. • Work with GuidePoint Security vendors to understand and position their technologies, understand and articulate their value proposition to clients. • Participate in field marketing to generate interest and provide information to the client prospect community to include driving attendance to such events and activities • Represent GuidePoint Consultants to clients and be able to articulate our areas of expertise • Set proper expectations and maintain open communication with clients and vendors through the lifecycle of the sales process. • Effectively leverage supporting resources in the sales process with the spirit of teamwork and cooperation. • Professionally develop and present sales presentations to large groups and executive level clients.

• Assess and evaluate member's needs and requirements to achieve and/or maintain optimal wellness state • Guide members/families toward and facilitate interaction with resources appropriate for the care and wellbeing of members. • Conduct telephonic and in-person assessments to evaluate member needs • Continuously monitor member progress using regular assessments and evaluations • Develop and implement personalized care plans based on clinical judgment • Collaborate with healthcare providers, community organizations, and services to facilitate quality care • Document and submit incident reports observing organizational policies and regulatory requirements

• Conduct comprehensive clinical reviews of medical service requests using established criteria • Support utilization management activities such as pre‑certifications, appeals, and retrospective reviews • Apply sound clinical judgment and contractual guidelines to promote appropriate care • Collaborate with the Medical Director on escalated cases • Facilitate care coordination through referrals • Support administrative review processes to ensure compliance with clinical standards and policies • Review cases in strict turnaround‑time order • Meet required deadlines on cases • Prioritize urgent or escalated cases as assigned by leadership • Initiate referrals to ensure appropriate coordination of care • Seek the advice of the Medical Director when appropriate, according to policy • Assist non-clinical staff in performance of administrative reviews • Perform comprehensive provider and member appeals, denial interpretation for letters, retrospective claim review, special review requests, and UM pre-certifications and appeals, utilizing medical appropriateness criteria, clinical judgment, and contractual eligibility. • Occasional weekend work may be required. • Must be able to pass Windows navigation test. Testing/Assessments will be required for Digital positions. • Effective 7/22/13: This Position requires an 18 month commitment before posting for other internal positions.

• Support utilization management functions for complex and non-routine cases • Liaise between members, providers, and internal/external customers • Oversee complex cases to ensure effective interventions and efficiency in benefits utilization • Perform essential case management activities: assessment, planning, implementation, coordinating, monitoring, outcomes, and evaluation