Ready to Make Critical Decisions That Ensure Appropriate Patient Care? We're seeking a full time skilled RN who understands that utilization review is about ensuring patients receive the right care at the right time. As our Utilization Review Nurse, you'll use clinical expertise to assess medical necessity, support appropriate care transitions, and serve as an advocate for both quality care and cost-effective treatment options while working collaboratively with medical directors and care teams.  

Ready to Make Critical Decisions That Ensure Appropriate Patient Care? 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. Evening and weekend availability will be required. What You'll Actually Do

Ready to Support Client Success Through Expert Coordination and Analysis? We're seeking a detail-oriented professional who can support new client onboarding while providing exceptional ongoing service. As our Account Management Coordinator, you'll act as product expert and trusted partner, helping resolve client issues, analyze benefit trends, and support renewals.  

Ready to Transform Member Health Through Strategic Care Coordination? We're seeking a skilled RN who can telephonically coordinate wellness and disease management programs focused on chronic conditions such as diabetes, asthma, COPD, CAD, CHF, atrial fibrillation, hypertension, and hyperlipidemia. As our Disease Management Nurse, you'll use national care guidelines to develop individualized care plans while partnering with members to improve their health outcomes and overall wellbeing.

Ready to Connect Members to Care Through Expert Pre-Certification Support? We're seeking a customer-focused professional who can perform critical clerical and administrative duties in the utilization management division while managing high volumes of member interactions with precision and care. As our Utilization Review Intake Specialist, you'll provide accurate information about pre-certification processes while gathering essential demographic and provider data that supports clinical decision-making. This flexible position is ideal for...

The Claims Specialist is responsible for reviewing, analyzing, and processing healthcare claims to ensure accuracy, completeness, and compliance with policies and regulatory standards. They will have a strong understanding of health insurance guidelines and demonstrated experience working across multiple claims processing systems.     What You'll Actually Do -

Ready to Process Claims That Directly Impact Member Care? We're looking for a dedicated professional who understands that efficient claims processing is essential to member satisfaction and healthcare access. As our Claims Specialist, you'll perform critical daily activities that ensure timely, accurate processing for our clients while maintaining the highest standards of quality and compliance.  

As a Lead Product Manager, you will drive product strategy and execution, translating business goals and user needs into a clear product vision. You’ll champion your roadmap, communicate priorities to stakeholders, and inspire teams to deliver solutions aligned with business objectives. This role requires strong leadership, cross-functional collaboration, and a focus on creating innovative, user-centric products.   What You'll...

  As the Director of Consultant and Broker Relations, you will lead strategic relationships with key consulting and brokerage firms, while driving awareness and growth opportunities with emerging local and national partners. Your ability to build strong partnerships and maintain a visible presence in the market will play a critical role in accelerating growth for Personify Health. You will serve as a trusted spokesperson for Personify Health’s expanded capabilities within the consultant and broker community. This role requires deep knowledge of the healthcare payor landscape and third-party administration (TPA) space, as well as the ability to connect with...

  Ready to Transform Employee Wellbeing in a Dynamic Financial Services Environment? We're seeking a part-time Workplace Health Coach (24 hrs/week) to support a high-profile financial client onsite in Radnor, PA. As our Workplace Health Coach, you'll deliver individual and group coaching, promote engagement with our...

Ready to Build Your Data Engineering Career in Healthcare Technology?   We're seeking an early-career data professional who can support development and maintenance of data systems used in healthcare and TPA claims processing. As our Data Engineer, you'll assist with building and troubleshooting data pipelines while ensuring data accuracy across on-prem and cloud environments. This role offers hands-on learning opportunities working with ETL/ELT, SQL, and healthcare data workflows while spending approximately 50% of your time handling support tickets and operational data issues.   What makes this role...

Ready to Drive Revenue Growth Through Strategic TPA Client Partnerships? We're seeking a proven account executive who can drive annual revenue growth through renewal of existing contracts and expansion of additional populations, lines of business, products, and services. As our Strategic Account Executive, you'll focus on Third Party Administration clients while building deep relationships that translate into material value and ARR growth.  

Who are you?   The role of Member Services Representative is primarily responsible for providing attentive customer services to Personif 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.  

TPA Regional Sales Director- Midwest*Candidate must live in the Midwest with Kansas City and Chicago our preferred location. Territory includes IL, WI, MN, IA, MO, KS, NE, ND, SD 

TPA Regional Sales Director- Southeast  *Ideal candidate location is Atlanta GA, but will consider candidates in FL, NC, GA* 

Ready to Lead Complex Healthcare Data Integrations That Power Enterprise Excellence? We're seeking a strategic, technically adept professional who can serve as technical and analytical lead for managing complex healthcare claims data integrations across multiple platforms and partners. As our Senior Claims Integration Specialist, you'll oversee the end-to-end lifecycle of claims ingestion, transformation, and validation while mentoring team members and optimizing integration workflows.  

Ready to Architect the Data Foundation That Powers Healthcare Excellence? We're seeking a strategic, technically adept professional who can lead the end-to-end process of ingesting healthcare claims data from multiple carriers into our enterprise systems. As our Manager of Healthcare Claims Ingestion & Data Integration, you'll serve as the critical bridge between carriers, internal teams, and data platforms, ensuring accurate, timely, and compliant claims ingestion that supports client-facing services.  

The Lead Product Manager will lead key product strategy and execution for our Third-Party Administrator (TPA) business, owning the successful launch and growth of innovative plan designs and services. This role is responsible for translating business goals, market trends, and user needs into actionable product vision, collaborating cross-functionally to drive end-to-end product lifecycle management, and serving as a senior authority in the benefits space.  

- Lead the product strategy for member communications across email, push, SMS, in-app, and emerging channels - Define the roadmap for onboarding, lifecycle, and engagement journeys that drive enrollment, retention, and meaningful member actions - Establish KPIs for communication performance and member behavior outcomes - Work directly in Braze to build campaigns, design templates, & define data mappings -

Who are you?     Personify is hiring a Staff Accountant for its Corporate Accounting team, which supports the Third-Party Administrator (TPA) division. Healthcomp, as our TPA, manages health insurance administration, including claims processing and premium payments. This position reports to the Manager of Accounting and collaborates with the general accounting team....