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 Drive Excellence Across Diverse Network Partnerships?

We're seeking a strategic operational leader who can manage the ongoing performance of our diverse portfolio of leased carrier networks while serving as a direct extension of the Director of Network Management. As our Network Manager, you'll ensure internal operational excellence while supporting the strategic success of our network products, including leased networks and COE partners.

What makes this role different

✓ Portfolio management: Oversee diverse network partnerships including secondary, regional, and dental networks with comprehensive performance monitoring

✓ Strategic insights: Develop performance dashboards that deliver actionable insights driving business decisions for leadership and client account teams

✓ Cross-functional impact: Collaborate with Claims Operations, Clinical teams, and Commercial teams to ensure operational alignment and excellence

✓ Implementation leadership: Support GTM new network implementation with project management expertise and operational readiness coordination

What You'll Actually Do

Drive network performance excellence: Report on network performance focusing on KPIs including performance guarantees, client and membership growth, network revenue, product utilization, and quality outcomes.

Maintain operational oversight: Develop network management documentation, prepare internal updates, manage contracts, and serve as primary contact for operational issues and processes.

Monitor compliance rigorously: Track performance guarantees for all networks, ensure accurate delivery of network scorecards, and review data for ongoing compliance with membership growth targets and claims timeliness.

Resolve complex escalations: Lead research and resolution of service requests including complex client escalations related to network issues while collaborating with networks on training coordination.

Support strategic initiatives: Provide GTM new network implementation support, organize network notifications processes, and contribute to strategic development of network management capabilities.

Enable internal teams: Support Claims Operations by providing clarity on unique operational and contractual nuances of each network while building collaborative relationships with Commercial and Operations Enablement teams.

What You Bring to Our Mission

• The operational foundation:

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

  The analytical expertise:

  • Demonstrated experience with different provider reimbursement models including fee-for-service
  • Understanding of value-based care concepts (ACOs, Clinically Integrated Networks)
  • Proven ability to analyze healthcare data (claims, provider, network, eligibility) to identify trends and solve problems

  The professional competencies:

  • Relationship building: Natural ability to build rapport and establish trust with clients, providers, and internal colleagues
  • Analytical mindset: Strong problem-solving skills with talent for translating complex data into clear, actionable insights
  • Project management: Outstanding organizational skills with ability to manage multiple projects and competing priorities effectively
  • Communication excellence: Exceptional written and verbal skills for presenting information clearly to diverse audiences
  • Autonomy and initiative: Self-starter who can work independently, take ownership of projects, 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 plus bonus structure 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 $100,000 to $120,000. Note that compensation may vary based on location, skills, and experience. This position is eligible for 10% 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.