Personify Health - Remote work

Senior Director, Finance role at Personify Health, a personalized health platform uniting plan administration, wellbeing, and care navigation. Lead financial strategy for Wellbeing operations, drive cost optimization, and support business development through financial modeling. Requires 7+ years ...

Seeking a part-time **Case Manager Nurse (RN)** for telephonic case management in the US. Requires a California RN license, 5+ years acute care experience, and ICD-10/CPT coding knowledge. You will assess patient needs, develop treatment plans, and coordinate care to ensure cost-effective, high-q...

Personify Health seeks a Clinical Specialist, Quality Management I to ensure regulatory compliance and quality oversight for UM, CM, and CDM programs. This remote role requires an active RN license and experience in managed care. You will conduct audits, support NCQA/URAC readiness, and develop t...

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...

Personify Health seeks a Sr. Project Manager to lead end-to-end partner integrations in the United States. You will own technical projects, manage API testing with Postman, and translate developer needs into actionable user stories. Ideal candidates bring 5+ years of technical project management ...

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 ...

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...

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...

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...