Content Solutions Analyst I (Healthcare)

Location: Remote, United States

Base compensation: $96,000–$116,000 per year

Company

hirify.global provides payment policy management and clinical content solutions supporting outpatient, inpatient, pharmacy, fraud, and dental operations.

What you will do

• Research, quality-assure, and analyze opportunities related to new medical policies.
• Review current medical policies and research requirements for additional payment-policy logic and algorithms.
• Provide coding, claims-processing, reimbursement, and industry expertise for clinical coding and pharmacy claims-editing policies.
• Write business logic for new rules and enhancements by translating industry references into hirify.global policy.
• Advise rule-engine developers, system architects, TPOs, and developers during requirement-gathering and grooming sessions.
• Perform multifaceted data and report analysis, and support Product, Go to Market, and operational teams during policy rollout and roadmap planning.

Requirements

• One of the following education backgrounds: BS in Nursing; BSPharm or PharmD; offshore medical or pharmacy degree at MBBS level or higher; or another bachelor’s degree or equivalent work experience.
• RHIA, RHIT, CPC, CPC-H, CCS-P, SAFe, or CPhT certification, or willingness to obtain certification within one year of employment.
• Three years of experience in a clinical or retail setting as a nurse, pharmacist, or physician, or three years of clinical coding in a payer setting.
• An additional three years of coding-related research experience covering CPT, HCPCS, ICD, or NDC, or at least three years in an internal hirify.global role such as CPM, CSM, or Content Analyst.
• Five years of experience in detailed rule requirement gathering, rule development, and collaboration on software enhancements.
• Strong analytical, critical-thinking, and problem-solving skills.
• Proficiency with Microsoft Office Suite.
• Excellent interpersonal, verbal, and written communication skills.
• Ability to work independently and collaboratively, manage multiple projects and timelines, maintain high accuracy and attention to detail, and work with minimal direction.
• Flexibility to participate in the work processes of an international organization, including occasional after-hours or weekend work for major deliverables and deadlines.
• Ability to provide a dedicated, secure work area, high-speed internet connectivity, and an appropriate office setup.

Nice to have

• Experience supporting Behavioral Health and/or Laboratory payment-integrity rule development, including coding research and rule-logic application.

Culture & Benefits

• Remote work with a dedicated, secure work area and high-speed internet access.
• Medical, dental, vision, disability, and life insurance coverage.
• 401(k) savings plan and paid family leave.
• Nine paid holidays and 17–27 days of paid time off depending on level and length of service.
• Occasional after-hours or weekend work may be required for major deliverables and deadlines.

Hiring process

• Applications are assessed on a rolling basis.
• The expected application window closes on December 13, 2026, but may change based on application volume or close when a qualified candidate is selected.