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Personify Health is seeking a highly organized, proactive, and detail-oriented Executive Assistant to support senior executive leaders within our organization. This role is responsible for managing priorities, coordinating logistics, and ensuring leaders are prepared and positioned to focus on strategic business objectives.
The ideal candidate thrives in a fast-paced environment, anticipates needs before they arise, exercises sound...
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Ready to provide attentive customer service to Personify Health clients by handling inbound calls and resolving member inquiries.
The role of Member Services Representative is primarily responsible for providing attentive customer services to Personify Health’s clients. This role manages both incoming calls from clients regarding a variety of requests and assists members with technical issues related to the website or products.
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Ready To
ESSENTIAL DUTIES AND RESPONSIBILITIES:
The Clinical Specialist, Quality Management & Training is a licensed clinical professional responsible for regulatory compliance, quality oversight, and workforce education across Utilization Management (UM), Case Management (CM), and Chronic Disease Management (CDM) programs. The role applies independent judgment and discretion to evaluate clinical systems, conduct internal and external audits, support accreditation readiness (e.g., NCQA/URAC), and implement quality and...
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Ready to
Job Summary
As a Case Manager RN, you will provide telephonic case management between providers, patients and caregivers to help ensure cost-effective, high-quality healthcare for health insurance plan participants. May be required to work evening and/or weekend shifts.
What You'll Actually...
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Ready To wn the ID Card Setup and Compliance Process That Puts the Right Card in Every Member's Hands?
Why This Role Matters
An ID card is often the first tangible thing a member receives from their health plan — and when it's wrong, the consequences land immediately at the point of care. This role owns the full lifecycle of client ID card setup and maintenance, from initial configuration in Zelis through...
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Ready to Be the Driving Force Behind a Healthier, More Engaged Workforce?
Why This Role Matters
Workplace health coaching creates real behavior change when it's personal, accessible, and embedded...
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Ready to Be the Driving Force Behind a Healthier, More Engaged Workforce?
Why This Role Matters
Workplace health coaching creates real behavior change when it's personal, accessible, and embedded...
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Job Summary
We are seeking Case Manager Nurse, RN, to join our team part-time. As a Case Manager RN, you will provide telephonic case management between providers, patients and caregivers to help ensure cost-effective, high-quality healthcare for health insurance plan participants. This position is ideal for candidates looking for reduced hours while making an impact within the team.
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Ready to
Job Summary
Under the supervision of a registered nurse the Utilization Review Nurse will provide professional assessment and review for the medical necessity of treatment requests and plans. The standard work schedule is Monday through Friday, 8:00 AM–5:00 PM Pacific Time, with rotating weekend coverage as required.
What You'll Actually...
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Ready To Drive he Campaigns That Connect Health Plans to the Members Who Need Them Most?
Why This Role Matters
Activate is Personify Health's intelligent outreach solution — a data-driven platform that helps health plans close care gaps, drive medication adherence, and improve Star Ratings by reaching the right members at the right time. Getting it implemented well...
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Ready To Lead the Team That Sets the Tone for Every Client Relationship?
Why This Role Matters
A client's first experience with Personify Health isn't shaped by promises — it's shaped by how well their implementation goes. As Manager of Implementation Project Management, you'll own that experience at scale: directly managing complex health plan administration...
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Ready To Own the Data Integrity That Keeps Member Eligibility Accurate Across a Complex Benefits Platform?
Why This Role Matters
Eligibility errors don't stay contained — they ripple into claims, coverage gaps, and client escalations. This role is responsible for validating, maintaining, and troubleshooting the eligibility and enrollment data that underpins benefits administration for our clients. The work...
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Ready To Keep Provider Records Accurate So Claims Can Move Without Delays?
Why This Role Matters
Claims can't process cleanly without matched, accurate provider records behind them. This role sits at that junction — pulling claims, locating or creating provider records, and maintaining the data integrity that keeps the claims operation hitting its daily targets. Precision here prevents downstream errors that...
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Ready To Be the First Point of Contact That Keeps Pre-Certification Moving for Members and Providers?
Why This Role Matters
Pre-certification is a critical gateway in the healthcare process — delays or errors here ripple downstream for members and providers alike. This role sits at the front line of that process, routing calls, gathering the right information, and making sure service requests reach the right...
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Ready To Build the Systems That Keep a Complex Organization Running?
Why This Role Matters
In a TPA environment, operational complexity is constant — and the difference between chaos and clarity comes down to how well processes are designed, documented, and governed. The Process Manager is the person who makes that happen. You'll own a cross-functional portfolio of...
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Ready To Be the Technical Bridge That Powers Personify Health's Partner Ecosystem?
Why This Roles Matters:
Partners don't succeed on good intentions they succeed when someone fluent in both APIs and relationships makes the work actually happen. As Sr. Technical Project Manager, Partner Ecosystem, you sit at the...
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Ready To
What You'll Actually Do
ESSENTIAL DUTIES AND RESPONSIBILITIES:
The Clinical Compliance & Quality Specialist is responsible for ensuring regulatory and quality compliance across clinical operations. This role requires consistent use of independent judgment and discretion in evaluating, auditing, and...
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Ready to
What You'll Actually Do
ESSENTIAL DUTIES and RESPONSIBILITIES:
Serves as a key relationship and operational liaison between...
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Ready to Support Client Success Through Expert Coordination and Strategic Problem-Solving?
Why This Role Matters
Account management doesn't happen in a vacuum—it requires coordinated support to ensure client needs are met consistently and issues are resolved before they escalate. As our Account Management Coordinator, you'll serve as product expert and trusted partner during new client onboarding and ongoing service...
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Ready To Keep Legal Operations Running While Supporting Active Litigation From the Inside?
Why This Role Matters
Legal departments move fast and run on precision — missed deadlines and disorganized files have real consequences. This role keeps the operational engine of the legal department running while providing direct, hands-on support to the disputes attorney on active and potential litigation matters....