CGA Team Lead

Location: Remote, open to candidates residing in Arizona, Florida, Georgia, or Texas; occasional travel may be required for team meetings and company events.

Salary: $55,890–$73,355 per year, plus annual performance bonuses and employee benefits.

Company

hirify.global is a health insurance company built around a full-stack technology platform and a focus on serving its members.

What you will do

• Supervise daily Complaint, Grievances and Appeals production operations and distribute work to meet production standards and turnaround times.
• Ensure cases across all lines of business comply with federal and state regulations, internal policies, SLAs, and TATs.
• Coach, provide feedback to, and monitor the performance of direct reports, including processing accuracy, timeliness, attendance, and schedules.
• Review case-management dashboards, error reports, team metrics, and inventory to maintain productivity and case quality.
• Coordinate training needs and recommend process improvements based on performance trends.
• Partner with other business units, answer customer and internal questions, and act as a subject matter expert for CGA processes.

Requirements

• 3+ years of relevant experience directly related to the role.
• 2+ years of experience with Commercial Insurance, Medicare/Medicaid, and/or Affordable Care Act rules and regulations related to grievance and appeals processes.
• 1+ year of experience with or relevant knowledge of Google Docs and Google Sheets.
• Ability to work remotely while residing in Arizona, Florida, Georgia, or Texas.

Nice to have

• Experience with a state-level audit.
• Management or leadership experience.
• Bachelor's degree.

Culture & Benefits

• Full-time employee benefits including medical, dental, and vision coverage.
• Unlimited vacation program, paid sick time, 11 paid holidays, and paid parental leave.
• 401(k) plan participation, life and disability insurance, paid wellness time, and reimbursements.
• Annual performance bonuses and occasional team meetings or company events.
• Equal opportunity environment focused on belonging, support, and authentic participation.