Drive new business growth in the Southeast territory by managing complex enterprise sales cycles from prospecting to contract execution. Partner with executive decision-makers and consultants to deliver integrated health and wellbeing solutions that improve business outcomes.
Personify Health
7 Remote Job Openings at Personify Health
Provide telephonic case management to ensure cost-effective, high-quality healthcare for insurance plan participants. Develop and monitor treatment plans while coordinating care between providers, patients, and caregivers.
Provide telephonic case management to ensure cost-effective, high-quality healthcare for insurance plan participants. Develop and monitor treatment plans while coordinating between providers, patients, and caregivers.
Acts as the primary operational liaison between healthcare providers and the organization's Care Management and Utilization Management programs. Responsible for managing provider inquiries, educating staff on intake processes, and resolving operational issues to ensure high-quality care.
The Utilization Review Nurse performs professional assessments of treatment requests to determine medical necessity for outpatient and inpatient services. They manage pre-certifications, process appeals, and coordinate with hospital staff to ensure smooth patient transitions to the next level of care.
Manager, Implementation Project Management - TPA
Personify Health
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Full Time
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a month ago
Personify Health
Lead and develop a team of Implementation Project Managers while directly managing complex health plan administration implementations. Drive proactive risk management and coordinate cross-functional alignment to ensure seamless client go-lives and handoffs.
The role focuses on coordinating client success through onboarding, performance monitoring, and resolving complex service issues. It involves supporting Account Managers during contract renewals and organizing employee education sessions.