Personify Health is seeking a strategic Healthcare Claims Manager to lead the end-to-end process of ingesting healthcare claims data from carriers. This role involves technical leadership, data integration, and quality control to ensure accurate and timely claims processing for client services. The ideal candidate will have a strong understanding of healthcare claims formats and a proven track record in data integration and cross-functional collaboration.
Requirements
- Bachelor's or Master's degree in Health Informatics, Information Systems, Business/Statistics/Information Science, or related field
- 5+ years of experience in healthcare data integration, claims processing, or payer-provider data exchange
- Strong understanding of healthcare claims formats (EDI 837, NCPDP, proprietary formats)
- Strong SQL skills
- Proven experience managing external partnerships and internal cross-functional teams
- Familiarity with data warehousing, ETL tools, and cloud-based data platforms
- Excellent communication and project management skills
- Self-motivated with critical thinking and problem-solving abilities
Benefits
- Comprehensive medical and dental coverage
- Mental health support
- Flexible work arrangements
- Financial security
- Professional development
- Learning budget
- Culture that encourages growth and well-being
