Compliance Reporting Analyst (Healthcare)

Location: Remote within the United States; legally authorized to work in the US. Open to travel 2–4 times per year for company or team offsites.

Salary: $90,000–$110,000 per year; salaried exempt and not eligible for overtime pay.

Company

hirify.global supports reporting for MCO clients and Medicare and Medicaid programs.

What you will do

• Produce, quality-check, and submit recurring government and client compliance reports accurately and on time.
• Learn and apply data sources, validation requirements, submission workflows, the CFR, MCO agreements, and state Medicaid handbooks.
• Track submissions, identify discrepancies, broken formulas, and unexplained variances, and escalate risks before deadlines.
• Partner with Data Analytics to turn reporting requests and defects into actionable tickets.
• Document workflows, maintain SOPs, field mappings, regulatory research, and decision logs.
• Lead process optimization and reporting automation efforts that strengthen compliance and reduce reporting risk.

Requirements

• 2+ years of hands-on data experience as a Reporting Analyst, Data Analyst, Business Analyst, or in a similar role, including report building, dataset analysis, and data validation.
• At least 1 year of the required hands-on data experience in healthcare, healthcare regulatory research, and/or health plan operations, including regulatory analysis and preparation of regulatory reports.
• Intermediate-to-advanced Microsoft Excel skills, including formulas, VLOOKUPs, pivot tables, data validation, and data concatenation, with strong data-entry accuracy and QA discipline.
• Working knowledge of SQL, data-query languages, or Python scripting, with the ability to communicate with Data Analytics and understand technical data flows.
• Familiarity with data visualization tools such as Amazon QuickSight, Tableau, or Power BI.
• Strong critical-thinking and problem-solving skills, including independent judgment, application of regulatory requirements to operational limitations, and understanding of system-wide impact.
• Ability to manage multiple deadlines, document steps and gaps, and keep compliance reports and submission records audit-ready.
• Ownership mindset and willingness to grow from data entry into process improvement, automation, and strategic scaling work.
• Legally authorized to work in the US.

Nice to have

• Medicare and Medicaid reporting experience, including navigating the CFR, MCO agreements, and state Medicaid handbooks.
• Understanding of health plan operations, including claims processing, utilization management, prior authorizations, and call center operations.
• Project and stakeholder management skills with the ability to build trusted cross-functional relationships.
• Familiarity with project management and collaboration tools such as Asana or Jira.

Culture & Benefits

• Remote work arrangement within the United States.
• Travel to company or team offsites 2–4 times per year.
• Salaried exempt position with no overtime eligibility.
• Employment offers are contingent on successfully completing a pre-employment background check.