Government Contract Operations Specialist (Medicaid)

Location: Bogotá, Colombia; hybrid work with up to 50% remote work

Company

hirify.global is a pharmaceutical company developing medicines and operating international hubs that support business performance across its departments.

What you will do

• Perform quarterly Medicaid claim reviews, trend analysis, validation assessments, and check/payment reconciliations.
• Reconcile large payment datasets, resolve credit balances, and manage disputes with states and other stakeholders.
• Manage the Medicaid mailbox and respond to state inquiries as the primary contact.
• Process Tricare rebate claims, Industrial Funding Fee submissions, 340B refunds, and audit or integration requests.
• Prepare quarterly reports, monthly data uploads, weekly T-bill rate inputs, and IQVIA file downloads.
• Review exception-table claims and pay packets, support interest reconciliation, and contribute to operational projects.

Requirements

• 1–3 years of related work experience.
• Pharmaceutical or Medicaid-related experience is preferred.
• Strong Excel and Microsoft Office skills, including pivot tables and VLOOKUP.
• Analytical, detail-oriented, process-oriented, and thorough approach to work.
• Good communication, follow-up, problem-solving, time-management, and organizational skills.
• Fluent English; bachelor's degree in finance, business, accounting, policy, or healthcare is preferred.

Culture & Benefits

• Flexible working policies with up to 50% remote work.
• Private medical care, life insurance, and health insurance.
• Gender-neutral paid parental leave.
• Opportunities for promotion, lateral career moves, and international development.
• Diverse, cross-cultural working environment with opportunities for business impact.