Personify Health - United States

Seeking a part-time **Case Manager Nurse (RN)** for a remote role in the United States. You will provide telephonic case management, ensuring cost-effective, high-quality care for health plan participants. Requires a California RN license, 5+ years of acute care experience, and ICD-10/CPT coding ...

Senior Process Manager sought to drive operational clarity in a TPA environment. You will own cross-functional projects, redesign inefficient workflows, and lead incident coordination. Requires 5+ years of project management experience and expertise in process modeling tools. Based in Tempe, AZ, ...

Seeking a **Case Manager Nurse (RN)** for a part-time, telephonic role in the **United States**. Leverage your **California RN license** and 5+ years of acute care experience to coordinate cost-effective care. This flexible position offers competitive hourly pay, mentorship, and technology suppor...

Join a mission-driven team as an Account Management Coordinator in the U.S. Leverage 1+ years of health insurance or HR experience to onboard clients, resolve complex issues, and support renewals. Collaborate with HR Directors and Account Managers while enjoying comprehensive benefits, paid time ...

Provider Relations Specialist needed to serve as a key liaison between provider groups and Care Management/Utilization Management programs. This non-licensed role supports provider engagement, education, and issue resolution for referrals and prior authorization. Requires a high school diploma, 1...

Clinical Specialist in Quality Management & Training needed in California. This role ensures regulatory compliance and clinical quality through audits, SOP reviews, and staff training. Requires an active RN license, 3-5 years of UR/CM/DM experience, and strong mentoring skills. Enjoy unlimited PT...

As a Client Delivery Specialist, you will own the critical post-implementation phase, ensuring seamless daily operations and high client satisfaction. You will coordinate requirements, resolve technical issues, and partner with cross-functional teams like Finance and Product. This role requires 1...

Lead a customer service team at Personify Health in Tempe, AZ. This role requires a high school diploma, one year of call center experience, and strong communication skills. Preferred qualifications include prior team lead experience, TPA knowledge, and medical terminology familiarity. Enjoy a co...

Senior Director, TPA Key Accounts – lead the strategic Northwell partnership with full ownership of Member Services, Claims, and Account Management teams. Drive clinical cost containment strategies, build executive-level client relationships, and deliver measurable value. Requires 10–15 years TPA...

Seeking a **Manager, Utilization Review** for a remote role within the United States. Leverage your **RN license** and **people management** skills to supervise UM staff, ensure **compliance** with CMS/ERISA regulations, and drive quality. This role offers **unlimited PTO**, comprehensive benefit...

Accounting Associate role in Fresno, US, focused on accurate financial recordkeeping, reimbursement processing, and cash management. Requires knowledge of basic accounting principles, data privacy for PHI, and intermediate Excel skills. Enjoy a mission-driven culture with comprehensive benefits f...

Join a mission-driven team as a Utilization Review Nurse (LVN/LPN) in the United States. Leverage your clinical expertise and ICD-10/CPT coding knowledge to assess medical necessity for treatment requests. Enjoy a Monday–Friday schedule with rotating weekends, plus comprehensive benefits from day...