Senior Process Improvement Professional (Medicaid)

Location: Remote nationwide within the United States; occasional travel to hirify.global offices for training or meetings may be required.

Salary: $78,400–$107,800 per year, plus eligibility for a performance-based bonus incentive plan.

Company

hirify.global is a U.S. healthcare and insurance company providing Medicare, Medicaid, and healthcare services through hirify.global and CenterWell.

What you will do

• Lead enterprise member movement enhancements that improve the accuracy and efficiency of large-scale member movement activities.
• Define business requirements, coordinate testing, validate results, and support implementation with technology and business stakeholders.
• Lead Medicaid waiver modernization and govern LTSS waiver updates, validations, issue resolution, and member information processing.
• Develop scalable processes that reduce manual intervention, improve waiver data accuracy, and mitigate operational risk.
• Align enrollment, clinical, claims, finance, technology, and business operations stakeholders on priorities, readiness, change management, and adoption.
• Establish monitoring, reporting, governance, and automation practices supporting Medicaid operations, compliance, and continuous improvement.

Requirements

• Experience leading complex healthcare, Medicaid, process improvement, operational, or technology initiatives.
• Demonstrated success managing cross-functional projects involving multiple business areas.
• Strong analytical, problem-solving, and risk management capabilities.
• Experience developing business requirements, testing strategies, operational processes, and implementation plans.
• Work effectively from a dedicated home workspace without ongoing interruptions to protect member PHI and HIPAA information.
• Self-provided internet service must provide at least 25 Mbps download and 10 Mbps upload speed.

Nice to have

• Experience with Medicaid managed care, enrollment, eligibility, waivers, or member administration.
• Experience with Medicare, Medicaid, or Medicare reconciliation.
• Experience analyzing, interpreting, and displaying financial, health, competitive, and performance measurement data.
• Experience leading strategy or operational planning and influencing executive leadership.
• Experience influencing change in a matrix organization.
• Experience with Microsoft Excel charts, macros, pivot tables, or Power BI.

Culture & Benefits

• Full-time schedule of 40 hours per week with a remote work arrangement.
• Benefits include medical, dental, and vision coverage; 401(k); paid time off and holidays; parental and caregiver leave; disability coverage; and life insurance.
• Home or hybrid home/office employees may be required to upgrade internet service when business needs require it.
• Work supports member privacy, whole-person well-being, and healthcare access for Medicare and Medicaid populations.

Hiring process

• Application deadline: November 13, 2026.
• Two Senior Process Improvement Professional openings are available.