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Ready to make sure every member gets the right care at the right time?Why This Role Matters
Behind every prior authorization and inpatient stay is a member waiting on a decision, and you’re the one who makes sure that decision is timely, accurate, and grounded in evidence. As a Level I Utilization Management Nurse, you review requests for medical necessity, level of care, and benefit coverage, then apply clinical guidelines and plan policies to keep care appropriate and compliant. Your sharp...
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Ready To Own the QA Function That Determines What Ships — and What Doesn’t — Across the ATLAS Platform?
Why This Role Matters
Quality gates only work when someone owns them with rigor and authority. This role leads the entire QA function for ATLAS — defining testing standards, managing Quality Control Specialists, and overseeing every testing layer from sprint validation through production...
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Ready To Own Product Direction, Discovery, and Delivery for a Complex Digital Platform That Serves Real Members?
Why This Role Matters
Product Managers at this level don’t just manage backlogs — they set direction. This role leads discovery, drives stakeholder alignment, and translates competing business priorities into clear product recommendations that leadership can act on. You’re the...
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Ready To Own Cross-Stream Delivery at the Level Where You Fix Problems Before They Reach the Project Owner?
Why This Role Matters
Most EPMs execute the process. At this level, you improve it. You’re running multiple concurrent initiatives, resolving stream conflicts yourself, and building the automation and visibility tools that make every initiative run cleaner -not just yours. When senior leadership needs...
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Ready to be the difference between a confusing diagnosis and a clear path forward?
Why This Role Matters
When someone gets a diagnosis that turns their world upside down, they need more than a...
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What You'll Actually Do
Responsible for client invoicing and set up activities, including but not limited to, new client invoice set up and rate configuration, existing monthly client invoices and renewals. Research client invoice inquiries and vendor payment discrepancies. Interdepartmental and external communication and support regarding invoicing. Set up and maintain client profiles in our secure portal and assist with troubleshooting issues.
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Ready To Build the Systems That Turn Ideas Into Results?
What You'll Actually Do
- Lead operational projects end-to-end: Manage initiatives from planning through implementation and stabilization, keeping delivery on time, within scope, and aligned to business objectives.
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Ready to become the architect who turns pharmacy complexity into client wins?
What You'll Actually Do
- Architect end-to-end TPA solutions: Design operational workflows across eligibility, claims, billing, and benefit administration that stay compliant, scale with client growth, and hold...
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What You'll Actually Do
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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What You'll Do
Personify Health is seeking an Engineering Manager to lead an AI Feature team responsible for PercyIQ, our suite of AI-powered discovery and conversation experiences that help members search for and engage with health, benefits, and support content. This is a high-impact leadership role at the center of Personify Health's generative AI strategy for the member experience, combining hands-on engineering management with deep exposure to Retrieval-Augmented Generation (RAG), LLM orchestration, conversational AI, and the safety, quality,...
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What You'll Actually Do
Data Operations Engineer supports the development and maintenance of data systems used in healthcare and TPA claims processing. This role assists with building and troubleshooting data pipelines, ensuring data accuracy across on-prem and cloud environments, and collaborating with senior engineers, analysts, and business teams. Approximately 50% of the role involves handling support tickets, including diagnosing pipeline issues,...
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What You'll Actually Do
Who are you?
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Ready To Deliver Resilient Platform Solutions and Help Raise the Technical Bar Across the SRE Team?
Why This Role Matters
At SRE II, you're no longer just learning the systems — you're shaping them. This role owns the design and delivery of reliability improvements across the Personify Health platform, drives automation that reduces toil, and mentors the engineers coming up behind you. The platform you...
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Ready To Be The Engine That Gets New Clients Live — On Time, Every Time?
Why This Role Matters
Every new client that joins Personify Health is counting on a seamless implementation — and this role is what makes that happen. As an Associate Project Manager on the Implementation team, you'll keep the internal machinery running: tracking deliverables, holding teams accountable, and flagging risk before it becomes a problem. Your work...
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Ready to bring precision and speed to the claims that matter most?Why This Role Matters
High-dollar claims, dialysis cases, and stop loss files aren't routine paperwork — they're the moments when members and clients need us to get it exactly right. A missed detail or a slow turnaround on a complex claim can mean a delayed treatment, a frustrated client, or real financial exposure for the business. This role sits at that pressure point, turning complicated,...
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Ready to lead the clinical team that keeps care moving when it matters most?Why This Role Matters
Every delayed or unclear coverage decision is a person waiting on care they need. The RN UM Team Lead makes sure that doesn't happen — coaching reviewers to apply medical-necessity criteria consistently, catching risk before it becomes a backlog, and...
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What You'll Actually Do
The Project Manager, Data Operations is responsible for coordinating implementation of data feeds into and outbound from the company, including 834, 837, and other proprietary eligibility and claims EDI processes, COB and group files for various health plans.
This includes ensuring success configuring EDI...
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Ready To Build the Data Pipelines That Keep Healthcare Operations Running at Scale?
Why This Role Matters
Bad data doesn't just slow things down — in healthcare, it affects member eligibility, claims accuracy, and client trust. As a Data Engineer on the TPA DataOps team, you build and maintain the pipelines, transformations, and quality checks that keep data moving accurately across clients, vendors, and internal...
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Ready To Build a Foundation in Governance, Risk, and Compliance Inside a Regulated Healthcare Technology Company?
Why This Role Matters
Compliance frameworks like SOC 2, HIPAA, and HITRUST don't run themselves — they require consistent evidence collection, risk tracking, policy governance, and audit support executed with precision. This entry-level GRC role puts you at the center of that work, contributing...
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Ready To Keep Healthcare Data Pipelines Clean, Timely, and Working the Way Clients Depend On?
Why This Role Matters
When data file exchanges break down - eligibility mismatches, EDI errors, failed SFTP transfers - the downstream impact hits real members and real clients. As a Data Analyst I on the TPA DataOps team, you're the person who catches those issues early, digs into the...