Product and Group Configuration Quality Specialist II (Healthcare)

Location: Telecommuter; hiring is limited to Alaska, Arizona, Arkansas, California, Colorado, Florida, Georgia, Idaho, Iowa, Kansas, Kentucky, Maine, Michigan, Minnesota, Missouri, Montana, Nevada, New Hampshire, New Mexico, North Carolina, Oklahoma, Oregon, South Carolina, South Dakota, Tennessee, Texas, Utah, Washington, or Wisconsin, with some limitations based on role or city.

Salary: $48,400–$72,600 national range; $55,200–$82,800 national plus range for higher-cost labor markets including Western Washington and Alaska.

Company

hirify.global works to improve healthcare and customers’ experiences through health insurance services.

What you will do

• Audit and test standard medical, dental, and pharmacy configuration work, including shells and entry-level final configurations.
• Analyze configuration outputs for accuracy, completeness, and consistency before downstream processing.
• Document audit findings and required corrections for configuration partners.
• Provide timely, respectful, actionable feedback that supports correction and learning.
• Analyze recurring issues and error patterns to identify trends for training and process improvement.
• Maintain audit procedures, configuration standards, mandates, and reference materials; participate in calibration discussions, quality reviews, and aligned project work.

Requirements

• High school diploma or GED required.
• At least two years of experience in claims, customer service, membership and billing, product configuration, quality, or auditing, including relevant systems and processes, required.
• One year of auditing experience, such as quality review, configuration audit, operational audit, or comparable experience.
• SQL experience.
• Healthcare experience.
• Experience providing effective, constructive feedback to peers or partners to drive corrections and learning.
• Exposure to health insurance products and benefit terminology, including Medical, RX, and Dental, in a configuration, operations, or service environment.

Nice to have

• No additional optional qualifications were specified.

Culture & Benefits

• Telecommuter role with a collaborative environment focused on continuous development, quality, and meaningful healthcare impact.
• Medical, vision, and dental coverage; voluntary benefits including pet insurance; life and disability insurance.
• Retirement programs including a 401(k) employer match and a pension plan vested after three years of service.
• Wellness resources, counseling, stress management, mindfulness programs, generous paid time off, tuition assistance, and employee recognition.
• Hybrid employees receive access to on-site resources, networking, engagement activities, parking, subsidized cafés, and fitness and well-being facilities.