The Account Management Coordinator will serve as a product expert and trusted partner during new client onboarding and ongoing service delivery. They are responsible for tracking client performance, resolving complex issues, and supporting Account Managers during critical events like renewals and open enrollment.
The Stop Loss Specialist is responsible for preparing and filing stop loss claim submissions while managing claimant files and tracking reimbursements. They also serve as a liaison between pharmacy benefit managers and internal stakeholders to ensure accurate financial outcomes.
The Utilization Review Nurse performs clinical reviews to evaluate medical necessity, level of care, and benefit coverage for members. They ensure timely, accurate decision-making while maintaining compliance with clinical guidelines and organizational standards.
The role involves performing first-level clinical reviews to determine medical necessity for outpatient and inpatient care requests. Additionally, the nurse will manage the appeals process, coordinate patient discharges, and ensure accurate documentation within the utilization management system.
You will own the messaging, positioning, and go-to-market strategy for Personify Health's solutions to drive growth and sales success. Additionally, you will lead cross-functional collaboration between Product, Sales, and Marketing teams to ensure effective product launches and market impact.
The Project Manager will lead end-to-end operational initiatives, ensuring they are delivered on time, within scope, and aligned with business objectives. They will also coordinate cross-functional teams and develop project infrastructure to drive efficiency and process improvements.
The architect will design end-to-end TPA and PBM operational workflows to ensure compliance, scalability, and data integrity. They will also manage PBM partnerships, influence product offerings, and provide operational visibility through documentation and performance tracking.
The Member Services Representative manages incoming calls from clients and members to provide support and resolve inquiries. They are responsible for navigating databases to assist with technical issues and ensuring high-quality service standards are met.
The Product Marketing Manager will define market positioning, craft compelling messaging, and develop go-to-market strategies for wellbeing solutions. They will collaborate across cross-functional teams to enable sales and commercial teams with effective content and training materials.
The Implementation Coordinator supports the full lifecycle of new client implementations by tracking deliverables and ensuring projects remain on schedule. They facilitate internal meetings to resolve blockers and audit system configurations to ensure accuracy before go-live.
The Enterprise Sales Director will own and grow the Southeast territory by developing strategic plans to acquire new clients and drive revenue. They will lead full-cycle sales processes, from prospecting to contract execution, while building trusted relationships with executive decision-makers.
The Regional Market Executive acts as the commercial leader for an assigned geography, responsible for building market presence and driving revenue growth. They will develop strategic relationships with consultants and brokers while executing comprehensive market growth plans to meet corporate objectives.
