Senior Payment Integrity Consultant (Healthcare)

Location: Flex hybrid role in Chicago, IL; Helena, MT; Albuquerque, NM; Tulsa, OK; or Richardson, TX, United States. Three days in the office and two days remote.

Base pay: $69,800–$125,900 annually, depending on skills, education, knowledge, experience, and location.

Company

hirify.global is a purpose-driven health insurance organization that invests in employee development and provides comprehensive benefits.

What you will do

• Drive implementation of payment integrity-owned projects.
• Report project status, risks, progress, impact, value, and ROI.
• Work with cross-functional teams to identify new payment integrity opportunities.
• Track and report KPIs and impact metrics.
• Partner with the Payment Integrity Program Manager to draft project communications.

Requirements

• Bachelor’s degree and 3 years of business requirements experience, or 7 years of business requirements experience in health insurance operational functions or relevant experience.
• Knowledge of and experience in payer operations.
• Implementation experience.
• Clear and concise interpersonal, verbal, and written communication skills.
• PC proficiency with Microsoft Access, Excel, Word, and PowerPoint.

Nice to have

• Healthcare background.
• Project management experience.
• Experience managing vendor contracts.
• Advanced Excel experience.

Culture & Benefits

• Curated development plans and professional growth opportunities.
• Health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, and tuition reimbursement.
• Annual incentive bonus plan subject to plan terms and conditions.
• Flex employees are expected to work in the office at least three days per week; management may modify the schedule for exigent circumstances.
• Employment may be contingent on successful completion of drug screening in accordance with applicable law.