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Ready to
What You'll Actually Do
The Intake Specialist will serve as a non-clinical first point of contact for Utilization Management (UM) intake via phone, fax, portals, and electronic work queues.
- Receive, document, and route authorization, pre-certification, and notification requests according to established workflows,...
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Ready to shape the strategy, lead the transformation, and own the financial outcomes for a critical enterprise function?
Why This Role Matters
Stop loss is where financial risk, operational precision, and client trust all converge — and this role sits at the center of it. As Senior Manager of Stop Loss, you're not just managing a department; you're defining...
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Ready To Keep Pharmacy Funding Accurate and Moving Across a High-Volume TPA Operation?
Why This Role Matters
Pharmacy benefit transactions move real money, fast — wire transfers, netting arrangements, rebate credits. When the reconciliation is off, funding gets delayed and trust accounting gets messy. This role exists to keep PBM invoices, claims data, and funding records in sync, catching discrepancies...
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Ready to own the engine that keeps our members protected — and make it run better every day?
Why This Role Matters
Claims operations sit at the center of everything we promise our clients and members. When complex, high-dollar, or high-risk claims move through the system accurately and on time, trust is built — and when they don't, it erodes fast. As Senior Manager of Claims, you're...
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Ready To Own the Learning Engine That Powers Personify Health's Revenue Teams?
Why This Role Matters
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Ready to Drive New Business Growth in the Southeast?
We're looking for a strategic, relationship-driven sales professional to help expand Personify Health's impact across the Southeast. As our Enterprise Sales Director, you'll partner with employers, consultants, and executive decision-makers to understand their business challenges and deliver solutions that improve employee health, engagement, and business outcomes.
This is a consultative, enterprise sales role where you'll own your territory, build meaningful client relationships, and...
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Ready to be the voice that turns a frustrating moment into a great member experience?
Why This Role Matters
At Personify Health, our members are at the center of everything we do — and this role is often their first and most important point of contact. When a member is confused, stuck, or frustrated, you're the person who brings clarity and resolution. You'll field a wide range of inquiries, troubleshoot platform issues, and help members get the most out of their health benefits — all while representing clients who trust us to deliver. Every interaction you own is a direct reflection of Personify Health's commitment to making...
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Ready to
What You'll Actually Do
POSITION SUMMARY:
The RN Utilization Management (UM) Team Lead provides clinical and operational leadership to support timely, and evidence-based coverage determinations. This role leads day-to-day UM execution through coaching and development and auditing of...
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Ready to
What You'll Actually Do
Job Summary
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Ready To Build the Governance Framework That Makes an Entire Procurement Program Run?
Why This Role Matters
Most procurement roles put you inside the system. This one puts you in charge of it. Personify Health's Vendor Management Center of Excellence governs vendor relationships across the enterprise — and this role owns the framework: the standards, tooling, and data that...
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Ready To Negotiate Vendor Deals That Protect a Mission-Driven Healthcare Company at Every Turn?
Why This Role Matters
Personify Health runs on hundreds of vendor relationships — and the contracts behind them either protect us or expose us. As Procurement Specialist, you're the person who makes sure every deal we sign is sound, strategic, and on terms that serve our business....
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Why This Role Matters
Every group Personify Health serves runs on a foundation someone has to build and keep solid — and that someone is the Benefit System Coordinator. You stand up new groups, configure the systems behind them, and maintain that setup through every renewal, change, and termination that follows. When your work is precise, members get the right benefits, billing stays accurate,...
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Why This Role Matters
Behind every member who gets the coverage they were promised is someone making sure the data is right — and at Personify Health, that someone is you. As a Fully Insured Benefit Eligibility Coordinator, you’re the day-to-day point of contact clients and brokers count on, and the person who keeps enrollment records accurate across carriers, associations, and the life of each client. When eligibility data is clean, members get care without friction, carriers trust our work, and clients stick with us. When it’s off, real people feel it — which is why this role carries weight far beyond the keyboard....
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Ready To Own Complex Client Relationships and Drive the Engagement Outcomes That Keep Clients Renewing?
Why This Role Matters
Client retention in health and wellbeing isn't passive — it's built through consistent execution, proactive strategy, and relationships where clients trust your judgment. This role manages a book of existing clients while onboarding new ones, connecting day-to-day account activities...
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Personify Health is seeking a highly organized, proactive, and detail-oriented Executive Assistant to support senior executive leaders within our organization. This role is responsible for managing priorities, coordinating logistics, and ensuring leaders are prepared and positioned to focus on strategic business objectives.
The ideal candidate thrives in a fast-paced environment, anticipates needs before they arise, exercises sound...
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Job Summary
We are seeking Case Manager Nurse, RN, to join our team part-time. As a Case Manager RN, you will provide telephonic case management between providers, patients and caregivers to help ensure cost-effective, high-quality healthcare for health insurance plan participants. This position is ideal for candidates looking for reduced hours while making an impact within the team.
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Ready to provide attentive customer service to Personify Health clients by handling inbound calls and resolving member inquiries.
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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Ready To
ESSENTIAL DUTIES AND RESPONSIBILITIES:
The Clinical Specialist, Quality Management & Training is a licensed clinical professional responsible for regulatory compliance, quality oversight, and workforce education across Utilization Management (UM), Case Management (CM), and Chronic Disease Management (CDM) programs. The role applies independent judgment and discretion to evaluate clinical systems, conduct internal and external audits, support accreditation readiness (e.g., NCQA/URAC), and implement quality and...
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Ready to Be the Driving Force Behind a Healthier, More Engaged Workforce?
Why This Role Matters
Workplace health coaching creates real behavior change when it's personal, accessible, and embedded...
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Ready to Be the Driving Force Behind a Healthier, More Engaged Workforce?
Why This Role Matters
Workplace health coaching creates real behavior change when it's personal, accessible, and embedded...