Personify Health

• Own full-cycle recruiting for a portfolio of Wellbeing Go-to-Market positions, including Sales, Client Success, Customer Success, Marketing, Revenue Operations, Implementation, and other customer-facing roles. • Partner closely with hiring managers to develop recruiting strategies, understand business priorities, and align hiring plans with organizational goals. • Build proactive talent pipelines through sourcing, networking, referrals, and market research to ensure a strong slate of qualified candidates. • Leverage LinkedIn Recruiter and other sourcing tools to identify and engage passive talent. • Manage multiple searches simultaneously while delivering an exceptional candidate and hiring manager experience. • Serve as a trusted advisor throughout the hiring process, providing market insights, interview guidance, and recommendations that support quality hiring decisions. • Drive structured interview processes that promote consistency, efficiency, and an inclusive candidate experience. • Maintain accurate recruiting activity, candidate data, and pipeline reporting within Workable (or similar ATS). • Communicate proactively with hiring managers and business leaders on pipeline health, hiring progress, and recruiting risks. • Partner with cross-functional teams, including HR Business Partners, Compensation, and Hiring Leaders, to facilitate successful offers and onboarding. • Contribute to ongoing improvements in recruiting processes, tools, interview practices, and talent acquisition programs as we continue to scale.

• Own the full communications through-line: Serve as the single point of accountability for all member-facing communications across every channel—email, in-app, push, banners, announcement cards, print, and internal client channels—ensuring consistency, quality, and strategic alignment at every touchpoint • Lead communications strategy and planning: Engage early in campaign planning to align on goals, audiences, and messaging direction before content development begins, and translate program objectives into a coherent, channel-spanning communications calendar • Drive client partnership: Partner with the client lead as a proactive, senior-level communications advisor—surfacing upcoming priorities, flagging known changes, sharing performance insights, and maintaining alignment with Dell's approved communication strategy and brand governance standards • Enforce internal alignment and process integrity: Champion internal practices that reduce client review burden and minimize late-stage revisions, maintaining consistent presence in planning forums and building operational infrastructure that gives clear visibility into ownership, timing, and status across all communications work • Deliver rigorous quality assurance: Own the final QA review of all member communications—proofreading, audience validation, brand alignment, link destinations, and campaign tier classification—before any asset reaches the client for review • Provide editorial and creative direction: Guide writers, designers, digital, campaign, and wellness coordinator teams through execution with clear messaging frameworks and audience-focused direction, ensuring every deliverable is strategically aligned and consistently executed • Apply data to drive performance: Use engagement analytics, performance metrics, and behavioral change insights to continuously refine communications strategy, improve content effectiveness, and inform planning recommendations for the client • Manage platforms and operational assets: Maintain and update Zendesk, SharePoint, Viva Engage, campaign planning decks, and messaging frameworks—keeping approvals, documentation, and communications infrastructure current and reliable • Leverage AI and emerging tools: Apply generative AI and emerging communication technologies to support messaging development, content optimization, campaign planning, and analytics—with strong editorial judgment guiding every output

Role Description The RN Utilization Management (UM) Team Lead provides clinical and operational leadership to support timely, and evidence-based coverage determinations. This role leads day-to-day UM execution through: - Coaching and development of clinical reviewers - Auditing of clinical reviewers - Quality oversight - Case escalation support - Partnership with internal and external stakeholders to promote appropriate level of care and smooth transitions The Team Lead reinforces compliance with applicable regulatory, contractual, and accreditation requirements, supports audit readiness and consistency in decision-making, and contributes to continuous improvement of UM workflows and member/provider experience. This Candidate will have to work between PST hours. Qualifications - Knowledge of medical claims and ICD-10, CPT, HCPCS coding - Ability to critically evaluate claims data and determine treatment plan - Excellent interpersonal and communication skills - Strong customer orientation - Good time management skills - Highly organized - Proficiency in software applications including Microsoft Word, Excel, PowerPoint, and Outlook - Excellent verbal and written communication skills - Ability to speak clearly and convey complex or technical information in an understandable manner - Ability to understand and interpret complex information from others - RN Licensure required - Licensed in the state of California preferred - Prior supervisory experience in utilization review, case management, or an equivalent combination of education and experience - 5+ years combined clinical experience required - 2+ years utilization review experience required Requirements - Serve as a visible first-line leader for assigned UM staff by setting daily priorities and reinforcing expectations - Coach reviewers on consistent application of medical-necessity criteria, medical policy, and benefit plan language - Monitor daily workflow health (intake volume, aging, and turnaround risks) and coordinate coverage plans - Reinforce documentation and communication standards by reviewing work for completeness and audit readiness - Support onboarding and skill development through shadowing plans and competency check-ins - Partner with providers, facilities, and internal teams to resolve barriers to timely determinations - Maintain confidentiality and comply with HIPAA and company privacy/security policies - Complete required training and attestations within established timelines Benefits - Competitive base salary and benefits effective day one - Comprehensive medical and dental through our own health solutions - Paid Time Off—rest and recharge time is non-negotiable - Mental health support, retirement planning, and financial protection - Professional development with clear career progression and learning budgets - Mission-driven culture where diverse perspectives drive real impact on people's health Visit personifyhealthbenefits.com to explore our complete benefits package, wellness programs, and other employee perks. Company Description Personify Health created the first and only personalized health platform—bringing health plan administration, holistic wellbeing solutions, and comprehensive care navigation together in one place. We serve employers, health plans, and health systems with data-driven solutions that reduce costs while actually improving health outcomes.

Executive Assistant Job LocationsUS-NJ-Newark Job ID 2026-4694 Category People Type Full-Time Overview Who We Are Ready to create a healthier world? We are ready for you! Personify Health is on a mission to simplify and personalize the health experience to improve health and reduce costs for companies and their people. At Personify Health, we believe in offering total rewards, flexible opportunities, and a diverse inclusive community, where every voice matters. Together, we’re shaping a healthier, more engaged future. Responsibilities Personify Health is seeking a highly organized, proactive, and detail-oriented Executive Assistant to support senior executive leaders within our organization. This role is responsible for managing priorities, coordinating logistics, and ensuring leaders are prepared and positioned to focus on strategic business objectives. The ideal candidate thrives in a fast-paced environment, anticipates needs before they arise, exercises sound judgment, and excels at building strong relationships across all levels of the organization. This individual will serve as a trusted partner to executive leadership while helping drive alignment, communication, and execution across key initiatives and stakeholders. This is a hybrid position based in Short Hills, New Jersey, requiring an on-site presence 1–2 days per week. Occasional travel may be required to support leadership meetings, company events, and business priorities. What You'll Do Own the Details that Drive Impact Manage complex executive calendars, coordinate domestic and international travel, and help prioritize competing demands to ensure leaders' time is aligned with the highest-impact work. Anticipate scheduling conflicts, proactively manage shifting priorities, and create efficiency in a dynamic environment. Deliver Excellence in Communication Help executive leaders stay organized and prepared by coordinating meeting logistics, organizing notes and materials, tracking action items, and supporting follow-up activities. Ensure information is communicated clearly and efficiently across stakeholders while maintaining a high level of professionalism, accuracy, and attention to detail. Drive Alignment and Follow-Through Plan and facilitate executive meetings, leadership team discussions, offsites, and company events. Prepare agendas, organize materials, document key takeaways, and track action items to ensure accountability and timely execution. Help leaders stay prepared for important discussions and decisions by organizing information and anticipating needs. Be a Trusted Connector Serve as a key liaison between executive leaders, employees, board members, private equity partners, external stakeholders, and other Executive Assistants across the organization. Coordinate meetings, communications, travel, and logistics across a broad network of stakeholders while fostering strong relationships and seamless collaboration. Handle sensitive and confidential matters with discretion, professionalism, and care. Keep Us Moving Forward Manage expense reports, travel arrangements, budget tracking, and administrative workflows while providing coordination and support across multiple functions. Anticipate needs during periods of travel, planning cycles, and high-volume activity to ensure continuity and momentum. Support Leadership Events and Business Operations Provide coordination and logistical support for executive meetings, leadership team gatherings, customer visits, board meetings, and company events. Partner with internal teams and external vendors to ensure seamless execution of both virtual and in-person experiences. What You'll Bring - 5+ years of experience supporting C-suite executives, Presidents, or senior business leaders in a fast-paced environment. - Demonstrated experience managing complex calendars, travel arrangements, and executive priorities. - Experience supporting multiple executives and balancing competing priorities. - Exceptional organizational skills with strong attention to detail and follow-through. - Strong written and verbal communication skills with a professional executive presence. - High emotional intelligence and the ability to build credibility and trust with senior leaders and stakeholders. - Proven ability to handle highly confidential information with discretion and sound judgment. - Strong problem-solving skills and the ability to anticipate needs before they arise. - Willingness to travel occasionally as needed to support executive and business priorities. Qualifications Why You'll Love It Here We believe in total rewards that actually matter—not just competitive packages, but benefits that support how you want to live and work. Your wellbeing comes first: - Comprehensive medical and dental coverage through our own health solutions (yes, we use what we build!) - Mental health support and wellness programs designed by experts who get it Financial security that makes sense: - Retirement planning support to help you build real wealth for the future - Basic Life and AD&D Insurance plus Short-Term and Long-Term Disability protection - Employee savings programs and voluntary benefits like Critical Illness and Hospital Indemnity coverage Growth without limits: - Professional development opportunities and clear career progression paths - Mentorship from industry leaders who want to see you succeed - Learning budget to invest in skills that matter to your future A culture that energizes: - People Matter: Inclusive community where every voice matters and diverse perspectives drive innovation - One Team One Dream: Collaborative environment where we celebrate wins together and support each other through challenges - We Deliver: Mission-driven work that creates real impact on people's health and wellbeing, with clear accountability for results - Grow Forward: Continuous learning mindset with team events, recognition programs, and celebrations that make work genuinely enjoyable The practical stuff: - Competitive base salary plus that rewards your success - Unlimited PTO policy because rest and recharge time is non-negotiable - Benefits effective day one—because you shouldn’t have to wait to be taken care of Ready to create a healthier world? We're ready for you.

Role Description Ready to (Please Note: All Candidates MUST possess an active Compact Licensure and be available to work within the Pacific Timezone) What You'll Actually Do - Telephonically coordinate wellness and disease management for members with chronic conditions, including but not limited to diabetes, asthma, COPD, CAD, CHF, atrial fibrillation, hypertension, and hyperlipidemia. - Proactively contact targeted members to promote health and restore optimal functioning by applying nationally recognized care guidelines and comparing current care with industry standards. - Review gaps in care and medical and pharmacy paid claims data to develop a comprehensive clinical profile; create individualized care plans and provide close follow-up for actively managed patients. - Collaborate with members to ensure assignment to a primary care provider; facilitate referrals to specialists as needed; assist with obtaining durable medical equipment and reviewing pricing for high-cost medications. - Support the Utilization Review process for assigned members in accordance with organizational and regulatory standards. - Assess member needs and initiate referrals to case management, prenatal, wellness programs, and external vendor services as appropriate. - Maintain complete, accurate, and timely documentation of case-managed members in designated systems; document all interventions and patient contacts while ensuring confidentiality and privacy of member records. - Track and monitor moderate and high-risk member populations and associated interventions to demonstrate improvements in overall health outcomes. - Meet established productivity, quality, and turnaround time standards on a daily, weekly, monthly basis. - Successfully participate in and pass external audits, including NCQA and URAC. - Maintain HIPAA compliance and confidentiality requirements in accordance with company policies and procedures. - Complete all required annual training within designated timeframes. KEY COMPETENCIES: - To be successful in a remote healthcare environment, individuals must demonstrate strong technical aptitude, communication skills, and the ability to work independently. Upon Hire, must have: - Basic computer literacy with the ability to navigate multiple systems simultaneously. - Ability to work on multiple screens with proficient typing skills. - Proficiency in software applications including, but not limited to, Microsoft Word, Microsoft Excel, and Microsoft Outlook. - Strong verbal and written communication skills, including the ability to clearly explain complex or technical information and accurately interpret information received from others. - Ability to work independently, manage time effectively, utilize written resources to problem-solve and make informed decisions. - Foundational knowledge of medical claims processing and medical terminology, including ICD10, CPT, and HCPCS coding. Post-Training Expectations: - After completion of initial training and a structured ramp period (approximately three [3] months total), demonstrate proficiency in required systems and tools. - Ability to quickly adapt to additional systems or tools as job responsibilities evolve. Qualifications - Graduate of an accredited Registered Nurse (RN) program with a current, unrestricted Registered Nurse license issued in the United States. - The organization may require additional state licensure(s) to meet operational and business needs. - California, Washington and Oregon Licenses required after hire. - Prior experience in case management, wellness or disease management coordination, or an equivalent combination of education, clinical training, and relevant professional experience. - Demonstrated ability to apply clinical knowledge in a managed care, population health, or remote healthcare environment. - Bilingual English/Spanish preferred. - Willingness to travel. Requirements - Ability to perform the essential functions of the position safely and effectively, with or without reasonable accommodation, including meeting established qualitative and/or quantitative productivity standards. - Ability to maintain regular, punctual attendance in accordance with organizational policies. - Ability to remain seated for extended periods of time (approximately six [6] to eight [8] hours per workday). - Continuous use of a computer workstation, including frequent keyboarding and mouse usage, requiring repetitive hand and finger movements. - Ability to perform frequent neck twisting and occasional bending of the neck and waist as required to perform job duties. Benefits - Competitive base salary and benefits effective day one. - Comprehensive medical and dental through our own health solutions (yes, we use what we build). - Paid Time Off—rest and recharge time is non-negotiable. - Mental health support, retirement planning, and financial protection. - Professional development with clear career progression and learning budgets. - Mission-driven culture where diverse perspectives drive real impact on people's health. Want the full picture? Visit personifyhealthbenefits.com to explore our complete benefits package, wellness programs, and other employee perks. This position offers a base salary range of $31-$38 per hour, depending on location, skills, and experience. You're eligible for our full benefits package starting day one. Personify Health is an equal opportunity employer committed to diversity, equity, inclusion, and belonging. We cultivate a work environment where differences are celebrated, and employees of all backgrounds are empowered to thrive—because diversity is core to who we are and critical to our work in health and wellbeing. Personify Health will never ask for payment or sensitive personal information like social security numbers during hiring. All official communication comes from verified company email addresses and or our secure applicant tracking system. Suspicious requests? Report them to talent@personifyhealth.com. View all legitimate openings at personifyhealth.com/careers.

• The Clinical Specialist, Quality Management & Training is a licensed clinical professional responsible for regulatory compliance, quality oversight, and workforce education across Utilization Management (UM), Case Management (CM), and Chronic Disease Management (CDM) programs. • Ensure compliance with state, federal, and accreditation requirements (e.g., HIPAA, CMS, NCQA, URAC, ERISA, as applicable). • Conduct internal and external audits of UM/CM/CDM processes and documentation; prepare audit files, findings, and corrective action recommendations. • Identify quality and compliance risks and collaborate with cross-functional partners on mitigation and resolution. • Develop, maintain, and deliver role-based training curriculum aligned to compliance standards, quality goals, and operational workflows.

• Ready to lead health plan configuration and solution design, driving the full lifecycle of plan build and cross-functional execution across a complex TPA environment? • Lead and develop the teams overseeing Plan Configuration and Solution Architecture functions • Provide strategic oversight of plan build operations ensuring accuracy, efficiency, and on-time delivery • Drive continuous improvement across both functions, identifying process gaps and building solutions • Partner closely with Plan Configuration to ensure solution designs are buildable, scalable, and delivered on time • Support pre- and post-sale solutioning efforts, translating complex client requirements into viable plan designs • Own and manage the operational project portfolio for the TPA side of the business

• Provide first level review for all outpatient and ancillary pre-certification requests for medical appropriateness • All inpatient hospital stays including mental health, substance abuse, skilled nursing and rehabilitation for medical necessity • Ensure proper referral to medical director for denial authorizations through independent review organizations (IRO) • Work with hospital staff to prepare patients for discharge and ensure a smooth transition to the next level of care • Refer requests that fall outside of established guidelines to advance review or senior care consultants • Process appeals for non-certification of services; complete non-certification letters when appropriate • Review plan document for benefit determinations; attempt to redirect providers and patients to PPO providers • Identify and refer potential cases to case management, wellness, chronic disease and Nurturing Together program • Complete documentation for all reviews in Eldorado/Episodes; maintain confidentiality • Utilize MCG guidelines, medical policies, Medscape, and NCCN • Ability to meet productivity, quality, and turnaround times daily

Role Description The Care Management Manager of Education & Quality is responsible for the development, implementation, and ongoing oversight of regulatory compliance, quality assurance, and training programs across Care Management functions, including Utilization Management (UM), Case Management (CM), and Population Health/Disease Management. This role ensures clinical and non-clinical staff are equipped to meet state and federal regulatory requirements, accreditation standards (NCQA, URAC), and organizational expectations, while supporting operational excellence and continuous quality improvement. Essential Duties and Responsibilities - Compliance & Quality: - Support execution of established compliance, audit, and quality monitoring activities within Care Management programs. - Conduct routine file audits, training audits, and quality reviews using standardized tools. - Track, document, and report audit findings, corrective actions, and follow-up activities. - Ensure training, quality, and audit documentation meets regulatory and accreditation requirements. - Apply state, federal, NCQA, URAC, CMS, and ERISA requirements under supervision. - Training & Education: - Deliver training using established curricula for clinical and non-clinical staff. - Assist with onboarding education and ongoing refresher training. - Apply adult learning principles to support learner engagement and retention. - Maintain training records, attendance logs, and competency documentation. - Collaboration & Communication: - Collaborate with Care Management leaders, trainers, and compliance staff on implementation activities. - Escalate risks, gaps, or trends appropriately. Level II – Manager, Compliance & Training (Program & Advisory Focus) - Compliance & Quality: - Lead compliance monitoring activities across UM, CM, and population health programs. - Interpret regulatory and accreditation requirements and translate them into operational guidance, tools, and workflows. - Manage internal audits and support external audits, including preparation of evidence files and corrective action plans. - Analyze trends from audits, complaints, and quality data to identify systemic risk and improvement opportunities. - Serve as a subject matter expert for Care Management regulatory requirements. - Training & Education: - Design, implement, and evaluate formal training programs using multiple modalities (virtual, self-paced, live, 1:1). - Conduct training needs assessments and gap analyses. - Measure training effectiveness and adjust curricula based on outcomes and quality findings. - Leadership & Partnership: - Provide consultation to operational leaders on compliance, quality, and training strategies. - Participate in Quality Improvement Committee (QIC) activities as assigned. - Mentor staff and contribute to skill development within the training/compliance team. Senior Level – Senior Manager, Care Management Compliance & Training (Strategic Leadership Focus) - Provide enterprise-level leadership for Care Management compliance, quality, and education strategy. - Ensure Care Management programs remain continuously audit-ready. - Lead regulatory interpretation, impact assessment, and organizational response planning. - Oversee development and annual evaluation of the Quality Management Program components related to Care Management. - Represent Care Management in enterprise compliance initiatives and accreditation engagements. Training & Workforce Strategy - Establish long-term training and competency frameworks aligned with organizational growth, automation, and regulatory change. - Drive innovation in training delivery, measurement, and scalability. - Ensure training programs support quality outcomes, staff readiness, and member experience. Leadership & Influence - Lead and develop the compliance and training team, including performance management and succession planning. - Advise senior leaders, Medical Directors, and executives on compliance risk, quality performance, and readiness. - Foster a culture of continuous learning, accountability, and improvement. Qualifications - Basic computer literacy. - The ability to work on multiple screens, and proficient typing skills. - Proficiency in software applications including, but not limited to, Microsoft Word, Microsoft Excel, and Outlook. - Ability to speak clearly and convey complex or technical information in a manner that others can understand. - Ability to work independently and utilize written resources to problem solve. - Knowledge of medical claims and ICD-10, CPT, HCPCS coding. - Excellent verbal and written communication skills for upward and downward conversations. Requirements - Level I: - Active, unrestricted Registered Nurse (RN) license required. - Minimum 2–4 years of experience in managed care, Care Management, UM, or quality/compliance support. - Experience delivering or supporting staff training preferred. - Level II: - Active, unrestricted RN license required. - Bachelor’s degree preferred. - Minimum 4–6 years of experience in Care Management compliance, quality, UM/CM, or training. - Demonstrated experience leading audits, training programs, or quality initiatives. - Relevant certifications preferred (CPHQ, CCM, etc.). - Senior Level: - Active, unrestricted RN license required. - Bachelor’s degree required; advanced degree preferred. - 6+ years of progressive leadership experience in managed care compliance, quality, and training. - Deep experience with NCQA/URAC surveys, CMS alignment, and multi-state regulatory oversight. - Proven leadership and strategic program development experience. Benefits - Competitive base salary and benefits effective day one. - Comprehensive medical and dental through our own health solutions. - Unlimited PTO—rest and recharge time is non-negotiable. - Mental health support, retirement planning, and financial protection. - Professional development with clear career progression and learning budgets. - Mission-driven culture where diverse perspectives drive real impact on people's health.

• Broker distribution and development • Interpreting and qualifying Requests for Proposals (RFP’s) • Experienced user of Salesforce.com • Ability to cold call prospects and brokers • Ability to present wellness solutions with a virtual format and the use of power point • Help to manage, implement, deliver, evaluate and improve all workplace wellness programs and resources • Ability to be consultative in all things well-being • Become expert in all ancillary wellness services that are offered and have the ability to provide strategic direction for prospects and current clients • Able to generate new leads via broker and direct to end user sales channels • Build and sustain positive relationships with the entire Wellness IQ staff • Ability to present and sell to consultants or employer groups of 50-1500 employees • Interact with staff, management and vendors to ensure operational efficiency and effectiveness • Frequent travel required