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12 дней назад

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

75 348 - 98 894$
Формат работы
remote (только USA)
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 automated authorization workflows, rulesets, and business logic within a healthcare Utilization Management platform with an accent on workflow configuration, technical specifications, and system validation. Focus on investigating configuration issues, analyzing root causes, improving authorization automation, and educating cross-functional partners on system behavior.

Location: Fully remote, open only to candidates who reside in Atlanta, Georgia, United States. Future work models may potentially include hybrid presence at the associated metro-area hub office.

Base pay: $75,348–$98,894 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, automations, and configuration within the Utilization Management platform.
  • Translate business requirements into technical specifications, business logic, and tested system implementations.
  • Investigate escalations, perform root-cause analysis, and resolve system behavior and configuration gaps.
  • Identify authorization-process friction points and document workflow improvement and automation opportunities.
  • Act as the Utilization Management system subject matter expert for Product, Clinical, Regulatory, and other partners.
  • Develop test protocols, validate system behavior, manage corrective activities, and maintain workflow and business-rule documentation.

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 working knowledge of the healthcare industry, preferably in payer or provider operations.

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, and data management.

Culture & Benefits

  • Full-time employment with medical, dental, and vision benefits.
  • Unlimited vacation, 11 paid holidays, paid sick time, paid parental leave, and paid wellness time.
  • 401(k) participation, life and disability insurance, and wellness reimbursements.
  • Equal-opportunity workplace focused on belonging, support, and authentic participation.

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