Senior Manager, Health Plan Operations (AI)

Location: Remote USA

Salary: $110,500–$150,000 per year

Company

hirify.global is a health technology company improving the health and well-being of older Americans through an integrated care platform combining data, AI, clinical, and service experiences.

What you will do

• Own daily payment integrity operations, monitoring turnaround time, clearing backlogs, and maintaining queue health.
• Govern SLAs and quality, balancing productivity with audit accuracy.
• Design, test, and launch scalable cross-functional workflows, including change management, training, and post-launch KPI tracking.
• Partner with vendors and Engineering, Network/Provider Operations, Claims, and Integrations stakeholders to streamline workflows and align priorities.
• Identify and deploy AI agents and automation to reduce manual work alongside human staff.
• Resolve operational blockers and provide vendors and internal teams with training and job aids.

Requirements

• 6+ years of experience in business operations or operational leadership.
• Demonstrated success driving meaningful change and measurable operational results in fast-paced environments, with a focus on continuous improvement.
• Experience with operational execution, escalation management, and complex problem-solving in ambiguous situations.
• Ability to perform qualitative and quantitative analysis that drives operational impact.
• Exceptional communication, cross-functional collaboration, and influencing skills.
• Strong organizational skills, including prioritizing and managing multiple initiatives simultaneously.
• High degree of professionalism.

Nice to have

• Hands-on experience with AI tools, automation, or LLM-based workflows in operational settings.
• 2+ years of experience in health tech, digital health, or healthcare technology; Medicare Advantage health plan or startup experience is a plus.
• Experience influencing and driving change in a highly matrixed organization.

Culture & Benefits

• Full-time employment with employer-sponsored health, dental, and vision plans with low or no premium.
• Generous paid time off and parental leave.
• $100 monthly mobile or internet stipend.
• Stock options for all employees and bonus eligibility except for Director-level and above roles.
• 401(k) program and a commitment to a safe, supportive, diverse, and collaborative workplace.