Who We Are

Ready to create a healthier world? We are ready for you! Personify Health is on a mission to simplify and personalize the health experience to improve health and reduce costs for companies and their people. At Personify Health, we believe in offering total rewards, flexible opportunities, and a diverse inclusive community, where every voice matters. Together, we’re shaping a healthier, more engaged future.

Ready to Be the Strategic Bridge Between Health Systems and Exceptional Care?

We're seeking a relationship-focused professional who can serve as the operational backbone of a single, strategic health system network partnership. As our Provider Network Specialist, you'll act as a seamless extension of our client's team while serving as the central point of contact for all network functions, ensuring performance, stability, and growth.

What makes this role different:

✓ Dedicated partnership focus: Manage one strategic health system network as their trusted operational partner and primary point of contact

✓ Investigative expertise: Lead research and resolution of complex provider and member escalations requiring deep analytical thinking

✓ Strategic impact: Develop performance dashboards that deliver actionable insights driving strategic decisions for client and internal leadership

✓ Cross-functional collaboration: Partner with Claims Operations, Clinical teams, and providers to ensure seamless operational alignment

What You'll Actually Do

Cultivate strategic partnerships: Serve as primary operational point of contact for health system client, building trusted, collaborative relationships that drive mutual success.

Drive performance insights: Develop and maintain performance dashboards while delivering regular, actionable insights to client and internal leadership for strategic decision-making.

Ensure data integrity: Oversee provider data accuracy and timely updates to support seamless claims processing and provider directory reliability.

Investigate complex issues: Lead research and resolution of provider and member escalations, including network status, fee schedules, and claims payment challenges.

Conduct root-cause analysis: Perform deep-dive investigations into specific claim examples, collaborating with providers on billing practices and internal teams on configuration issues.

Serve as subject matter expert: Function as go-to internal expert for all operational and contractual nuances of dedicated health system network.

What You Bring to Our Mission

The foundational experience:

• Bachelor's degree in Healthcare Administration, Business, or related field (equivalent work experience considered)
• 2-4 years experience in provider network management, provider relations, healthcare operations, or client management
• Preferably within TPA, health plan, or health system environment

The analytical expertise:

• Demonstrated experience with various provider reimbursement models including fee-for-service
• Strong understanding of value-based care concepts (ACOs, Clinically Integrated Networks)
• Proven ability to analyze healthcare data (claims, provider, eligibility) to identify trends and conduct root-cause analysis

The professional competencies:

• Relationship building: Exceptional ability to build rapport and establish trust with dedicated clients, providers, and internal colleagues
• Analytical mindset: Strong problem-solving skills with talent for translating complex data into clear, actionable insights and solutions
• Client focus: Deep commitment to client service and partnership with ability to act as dedicated advocate and resource
• Communication excellence: Outstanding written and verbal skills for presenting complex information clearly to diverse audiences
• Autonomy and initiative: Self-starter who can work independently, take ownership of client relationships, and navigate ambiguity in dynamic environments
• Technical proficiency: Proficient in Microsoft Office Suite (especially Excel) with comfort learning new claims and provider management software

Why You'll Love It Here

We believe in total rewards that actually matter—not just competitive packages, but benefits that support how you want to live and work.

Your wellbeing comes first:

• Comprehensive medical and dental coverage through our own health solutions (yes, we use what we build!)
• Mental health support and wellness programs designed by experts who get it
• Flexible work arrangements that fit your life, not the other way around

Financial security that makes sense:

• Retirement planning support to help you build real wealth for the future
• Basic Life and AD&D Insurance plus Short-Term and Long-Term Disability protection
• Employee savings programs and voluntary benefits like Critical Illness and Hospital Indemnity coverage

Growth without limits:

• Professional development opportunities and clear career progression paths
• Mentorship from industry leaders who want to see you succeed
• Learning budget to invest in skills that matter to your future

A culture that energizes:

• People Matter: Inclusive community where every voice matters and diverse perspectives drive innovation
• One Team One Dream: Collaborative environment where we celebrate wins together and support each other through challenges
• We Deliver: Mission-driven work that creates real impact on people's health and wellbeing, with clear accountability for results
• Grow Forward: Continuous learning mindset with team events, recognition programs, and celebrations that make work genuinely enjoyable

The practical stuff:

• Competitive base salary that rewards your success
• Unlimited PTO policy because rest and recharge time is non-negotiable
• Benefits effective day one—because you shouldn’t have to wait to be taken care of

Ready to create a healthier world? We're ready for you.

No candidate will meet every single qualification listed. If your experience looks different but you think you can bring value to this role, we'd love to learn more about you.

Personify Health is an equal opportunity organization and is committed to diversity, inclusion, equity, and social justice.

In compliance with all states and cities that require transparency of pay, the base compensation for this position ranges from $70,000 to $80,000 annually. Note that compensation may vary based on location, skills, and experience. This position is eligible for 5% target bonus/variable compensation as well as health, dental, vision, mental health and other benefits.

We strive to cultivate a work environment where differences are celebrated, and employees of all backgrounds are empowered to thrive. Personify Health is committed to driving Diversity, Equity, Inclusion and Belonging (DEIB) for all stakeholders: employees (at each organization level), members, clients and the communities in which we operate. Diversity is core to who we are and critical to our work in health and wellbeing.

#WeAreHiring #PersonifyHealth

Beware of Hiring Scams: Personify Health will never ask for payment or sensitive personal information such as social security numbers during the hiring process. All official communication will come from a verified company email address. If you receive suspicious requests or communications, please report them to talent@personifyhealth.com. All of our legitimate openings can be found on the Personify Health Career Site.