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.This position offers flexibility and is ideal for candidates looking for reduced hours while making an impact within the team. Evening and weekend availability will be...

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.This position offers flexibility and is ideal for candidates looking for reduced hours while making an impact within the team. Evening and weekend availability will be...

Ready to Connect Data Systems That Power Client Success? We're looking for a data-focused professional with passion for health and wellness who gets excited about analyzing data and solving complex problems. As our Integration Specialist, you'll handle initial setup and ongoing maintenance of data feeds that manage client eligibility, rewards, and program participation.  

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...

  Ready to Shape Communications That Transform the Member Experience? We're seeking a strategic communications professional who can develop and optimize both digital and print communications strategies that support Personify Health's Third Party Administrator (TPA) members. As our TPA Member Communications Manager, you'll create compelling, accessible, and informative communications that foster member engagement, understanding, and satisfaction throughout every stage of their health and wellbeing...

Ready to Be the Bridge Between Client Needs and Exceptional Delivery? We're looking for a client-focused professional who can maintain broad understanding of our products and services while ensuring quality delivery on performance commitments. As our Client Delivery Specialist, you'll help execute client strategies while building relationships across cross-functional teams.   What makes this role...

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 -

In the role of Sales Development Representative (SDR), you identify sales opportunities, create interest and drive brand and solution awareness and preference. A SDR is primarily responsible for generating new business by following up on inbound marketing leads, sourcing outbound leads, qualifying interested...

The role is responsible for managing complex healthcare claim negotiations and ensuring compliance with federal regulations.   What You'll Actually Do - Complete No Surprise Act Negotiations and defend employer groups in the NSA and IDR appeal process. -

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.  

Who are you?   The Delivery Specialist will have responsibility for maintaining a broad understanding and technical knowledge of all Personify Health products and services to ensure quality delivery on service and performance commitments to clients.  This client-facing and engaged role will help execute the strategy coordinated by Account Management and the client team. 

  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 Drive Client Success Through Strategic Health Marketing and Communications? We're seeking a health marketing professional who can manage client relationships for Hospital and Health System clustomers by developing strategic engagement and health communications campaigns that drive measurable results. As our Account Manager, you'll leverage your expertise in health education and healthcare marketing to serve as the primary relationship owner, partnering with clients on audience targeting, messaging strategy, and...

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...

We are seeking a Case Manager Nurse LVN/LPN who will provide telephonic case management between providers, patients and caregivers to help ensure cost-effective, high-quality healthcare for health insurance plan participants.   What You'll Actually Do - Manage cases on a short- and long-term basis over the phone -

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  Ready to...

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