Senior Analyst, Credentialing Quality & Data Operations (Healthcare)

Location: Fully remote within the United States, excluding Alaska, Delaware, Hawaii, Louisiana, Montana, North Dakota, Oklahoma, West Virginia, Wyoming, and U.S. Territories. Occasional travel is required for team meetings and company events.

Salary: $61,851.60–$81,180.23 per year in most locations; $68,724–$90,200.25 per year in California, Connecticut, New Jersey, New York, and Washington.

Company

hirify.global is a health insurance company built around a full-stack technology platform and a focus on member service.

What you will do

• Perform operational work across credentialing, provider data, quality assurance, and analytics.
• Evaluate practitioner and facility credentialing records, workflows, documentation, and system data for accuracy, completeness, timeliness, consistency, and compliance.
• Plan and complete risk-based and routine quality audits, including sample selection, evidence documentation, scoring, and findings communication.
• Analyze operational datasets and build or validate reports, dashboards, metrics, and monitoring controls.
• Perform root-cause analysis and translate findings into corrective actions, preventive actions, process improvements, and measurable recommendations.
• Support issue remediation, track action plans through closure, coach team members, and provide credentialing subject-matter guidance.

Requirements

• 3+ years of relevant experience in healthcare operations, credentialing, quality assurance or audit, provider data, data analysis, or a related field.
• At least 1 year of experience identifying risks or data issues, performing root-cause analysis, and driving work to resolution.
• Intermediate proficiency with Excel or Google Sheets, including data validation, reconciliation, analysis, and presentation of findings.
• Experience conducting healthcare credentialing quality audits, documenting results, and following up on corrective actions.
• Experience analyzing operational datasets and building reports or dashboards.
• Knowledge of practitioner and facility credentialing, including primary-source verification and regulatory requirements.

Nice to have

• Experience in a health plan, delegated credentialing entity, credentialing verification organization, provider organization, or regulated healthcare environment.
• Proficiency with SQL, BigQuery, or a similar query language, plus experience with large datasets, data models, visualization tools, or business-intelligence platforms.
• Experience with credentialing, provider data, workflow, ticketing, or audit-management systems.
• Knowledge of NCQA, CMS, state, federal, and delegated-oversight requirements.
• Relevant certification or formal training in credentialing, healthcare quality, auditing, compliance, or data analytics.

Culture & Benefits

• Fully remote work from an eligible U.S. location with occasional travel for meetings and company events.
• Medical, dental, and vision benefits.
• Unlimited vacation program, paid sick time, 11 paid holidays, and paid parental leave.
• 401(k) participation, life and disability insurance, paid wellness time, and reimbursements.
• Annual performance bonuses and an inclusive equal-opportunity workplace.