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12 дней назад

Sr. Analyst, Authorization Services Design & Configuration (Healthcare)

67 813 - 89 005$
Формат работы
hybrid
Тип работы
fulltime
Грейд
senior
Английский
b2
Страна
US
Вакансия из списка Hirify.GlobalВакансия из Hirify Global, списка международных tech-компаний
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Описание вакансии

Текст:
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TL;DR
Sr. Analyst, Authorization Services Design & Configuration (Healthcare): Designing and maintaining authorization workflows, business rules, and automations within a healthcare Utilization Management system with an accent on translating business requirements into precise technical specifications and validating system behavior. Focus on root-cause analysis, workflow optimization, testing complex configuration logic, and educating cross-functional partners on how system design supports care decisions.

Location: Tempe, Arizona, United States; hybrid schedule with three days in the office per week, including Thursdays

Base pay: $67,813–$89,005 per year, plus annual performance bonuses

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

  • Manage authorization workflows, rulesets, and automations within the Utilization Management platform.
  • Translate business requirements into technical specifications and implement accurately tested business logic.
  • Investigate escalations, perform root-cause analysis, and resolve configuration and system behavior gaps.
  • Identify authorization process friction points and document workflow improvement and automation opportunities.
  • Serve as the subject matter expert for the Utilization Management system and educate Product, Clinical, and Regulatory partners.
  • Develop testing protocols, validate system behavior, lead corrective activities, and maintain documentation for business rules and workflow designs.

Requirements

  • At least 2 years of experience in system configuration, business rules management, or technical workflow design.
  • At least 2 years of experience in a technical or operational role involving root-cause analysis and data troubleshooting.
  • Intermediate to advanced Excel or Google Sheets skills, including VLOOKUPs, pivot tables, and data manipulation.
  • Experience assessing end-to-end process impacts in complex technical environments.
  • Strong communication skills and the ability to explain technical system logic to non-technical partners.
  • At least 1 year of experience in the healthcare industry, either with a payer or provider.

Nice to have

  • Experience with prior authorizations or insurance operations.
  • At least 2 years of experience with SQL, BigQuery, or similar database languages.
  • Experience with JIRA, Linear, Slack, large datasets, data verification, or data management.

Culture & Benefits

  • Full-time employment with medical, dental, and vision benefits.
  • Unlimited vacation, paid sick time, 11 paid holidays, and paid parental leave.
  • 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements.
  • Collaborative work across Product, Clinical, and Regulatory functions.

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