Who are you?   Serve as a local helpdesk analyst for customer escalations, evaluating when to escalate more complex issues to product development scrum teams, and ensuring follow-up and communication with the end user/reporter.

Who are you?   This is a full-time hybrid position supporting a high-profile client, in Plano, TX.  

Senior Data Scientist sought by Personify Health for Providence, RI location. Telecommuting permitted.   Job Duties:          - Summary: Complete projects end to end in the employee health engagement SaaS industry, working in a...

Data Engineer II sought by Personify Health for Providence, RI location. Telecommuting permitted.   Job Duties:          - Summary: Perform development activities within a data engineering team...

Who are you?   The Provider Relations Specialist plays a crucial role in building and maintaining strong relationships between healthcare providers and health plan administration.   In this role you will wear many...

Who are you?   Personify Health is looking for a proactive and detail-oriented Implementation Project Manager to lead new client onboarding and ensure a seamless transition into our health plan administration services.  

Who are you?   Your role involves coordinating implementation of 834, 837, and other proprietary eligibility and claims EDI processes, COB and group files for various health plans ensuring success configuring EDI processes, aligning data operations with key business priorities and deliverables. This role is technical, requiring an understanding of EDI processes, including eligibility, claims,...

Who are you?   We are seeking a detail-oriented and analytical Mid-Level Financial Analyst to join our team. This role will play a critical part in supporting data-driven decision-making by partnering closely with Senior Engineering Leadership to analyze key operational data and develop insightful Power BI reports. The ideal candidate will have strong analytical skills, experience with data...

Who are you?   We are seeking Part - Time Disease Management Nurse RN to join our team on a part-time basis. As a Disease Management Nurse, you will telephonically coordinate wellness and disease management, with a primary focus on conditions such as diabetes, asthma, COPD, CAD, CHF, atrial fibrillation, hypertension, and hyperlipidemia but not limited to this list.

Who are you?   The Director of Claims Operations identify opportunities for improvement, create operational and change management plans to be rolled out to out claim processing teams. In addition, they will manage and direct several of the high-risk operational claims teams. This is an integral leadership role that has an enormous impact on various team members and our rapidly growing...

Who are you?   We are seeking a dynamic and experienced Director of Commercial Enablement Services

Who are you?   Responsible for client invoicing and set up activities, including but not limited to, new client invoice set up and rate configuration, existing monthly client invoicing 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...

Who are you?   Reporting to the Director of Operations Enablement, the Process Manager is responsible for optimizing and streamlining organizational processes to enhance efficiency, productivity, and overall performance. This role involves identifying opportunities for improvement, designing and implementing new processes, and monitoring and evaluating process performance. The ideal candidate...

Who are you?   Registered Dietitian Case Manager (RDN-CM) is responsible for providing comprehensive nutrition care and case management services to individuals with complex medical and social needs. This role integrates evidence-based nutrition practice with case management principles to support optimal health outcomes. The RDN-CM collaborates with interdisciplinary teams, patients, families, and...

Who are you?   Your role involves coordinating implementation of 834, 837, and other proprietary eligibility and claims EDI processes, COB and group files for various health plans ensuring success configuring EDI processes, aligning data operations with key business priorities and deliverables. This role is technical, requiring an understanding of EDI processes, including eligibility, claims, and...

Who are you?   As a Case Manager you will offer telephonic case management for members experiencing severe or chronic health conditions. We are actively recruiting for on-site Telephonic Case Managers who provide patient education, emotional support, and assistance with care coordination.  

Who are you?   We are seeking a Utilization Review Registered Nurse to join our dynamic team on a part-time basis working up to 20 hours per week. This role requires weekend availability, and flexible scheduling to support a healthy work-life balance.  

Who are you?   The PBM Operational Liaison will be responsible for managing and coordinating all operational aspects of the Pharmacy Benefit Manager (PBM) interface for our mutual clients. This role involves ensuring compliance with legal and contractual obligations, managing data exchanges, addressing operational issues, and maintaining strong vendor relationships. The liaison will work closely with...

Who are you?   As a Claims Specialist, you will complete claim processing tasks and duties while performing best practices in time management, inventory, quality and procedures.   In this role you will wear many...

Who are you?   The Supervisor of Operational Support is responsible for supervising the daily functions of the Operations Support team, ensuring efficient workflow and adherence to established procedures.   In this...