Personify Health - Health and Beauty, Remote work

Seeking a part-time **Medical Director** in **California** to lead utilization review for a personalized health platform. Ideal for an MD/DO with 5+ years clinical experience, Board Certification, and a CA license. Key duties include prior authorization, medical necessity reviews, and peer discus...

Payment Integrity Specialist needed to manage complex healthcare claim negotiations and ensure federal compliance. Leverage 5+ years of TPA, revenue cycle, or coding experience to handle No Surprise Act disputes and IDR appeals. Based in the US, this role offers a competitive salary, comprehensiv...

Clinical Specialist in Quality Management & Training ensures regulatory compliance across clinical operations. This role conducts internal/external audits, reviews SOPs, and trains staff on HIPAA, NCQA, and URAC standards. Requires expertise in risk mitigation, audit reporting, and evidence-based...

Seeking a Licensed Social Worker for a remote Case Manager role. You will telephonically assess holistic patient needs and develop collaborative treatment plans. This position requires a social work license, acute healthcare experience, and case management proficiency. We offer comprehensive bene...