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Personify HealthPH

Healthcare Claims Manager

Personify Health is a personalized health platform that enhances well-being by integrating innovative health solutions for businesses and individuals.

Personify Health

Salary: 116k-130k USD

United States only

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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

About the job

Apply before

Posted on

Job type

Full Time

Experience level

Manager

Salary

Salary: 116k-130k USD

Location requirements

Hiring timezones

United States +/- 0 hours

About Personify Health

Learn more about Personify Health and their company culture.

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Personify Health is the first and only personalized health platform company designed to enhance the health experience for employers and their members. By optimally integrating health, wellness, and navigation solutions, Personify empowers organizations to maximize their healthcare investments while engaging individuals to take charge of their well-being. The company provides an all-encompassing solution that includes personalized health plan administration, holistic well-being initiatives, and comprehensive care navigation services.

With an emphasis on personalization, Personify Health delivers tailored solutions that cater to the unique needs and goals of each client, ensuring a departure from conventional, one-size-fits-all approaches. Their innovative platform leverages data-driven insights and predictive analytics that allow businesses to make informed decisions about healthcare management. As a result, employers can boost engagement, reduce costs, and improve health outcomes for their workforce. Personify serves multiple sectors including employers, health plans, health systems, and brokers, all of whom benefit from the enhanced healthcare experiences delivered by the company. Success stories from notable organizations demonstrate the effectiveness of their strategies in promoting a culture of health and well-being.

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Personify Health

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Personify Health hiring Healthcare Claims Manager • Remote (Work from Home) | Himalayas