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3 дня назад

Analyst, Client Audit and Performance (Healthcare)

96 800 - 121 000$
Формат работы
onsite
Тип работы
fulltime
Грейд
junior
Английский
b2
Страна
US
Вакансия из списка Hirify.GlobalВакансия из Hirify Global, списка международных tech-компаний
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Описание вакансии

Текст:
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TL;DR
Analyst, Client Audit and Performance (Healthcare): Validating pharmacy claims, audit deliverables, and performance data while building reporting, dashboards, and automation with an accent on SQL/Python analysis, contractual compliance, and financial impact quantification. Focus on reconciling large datasets, assessing audit risks, identifying trends, and improving the reliability and scalability of audit workflows.

Location: Charlotte, North Carolina; Denver, Colorado; or New York, New York, United States

Salary: USD 96,800–121,000 annually; location-specific ranges include New York: USD 96,800–121,000, Denver: USD 88,800–111,000, and Charlotte: USD 80,800–101,000.

Company

hirify.global is a health technology company providing benefit administration solutions through a unified claims processing platform for employers, unions, health plans, and government entities.

What you will do

  • Research and analyze pharmacy claims for accuracy and contractual compliance across benefit setup, pricing, and guarantees.
  • Perform audit risk assessments, annual logic reviews, and ongoing monitoring.
  • Analyze, reconcile, and validate large datasets across internal systems using SQL and Python queries.
  • Produce audit deliverables, quantify the financial impact of findings, and build dashboards that identify trends and risks.
  • Implement automation and process improvements across audit, reporting, and reconciliation workflows.
  • Document technical requirements, data specifications, and methodologies while collaborating with internal and technology teams on data quality, workflows, and controls.

Requirements

  • Bachelor’s degree in a quantitative or business-related field such as Actuarial Science, Statistics, Economics, Finance, Data Analytics, or Business Administration.
  • 2+ years of experience in data analytics, audit, or a related role.
  • Experience in healthcare, PBM, or pharmacy claims; knowledge of pharmacy benefits, pricing, guarantees, and pharmacy claims analysis is preferred.
  • Proficiency with SQL, preferably Snowflake, Excel, and Tableau.
  • Familiarity with Python and project management or version control tools such as Jira, Confluence, and GitHub.
  • Strong attention to detail, intellectual and professional curiosity, and commitment to continuous improvement.
  • Track record of leading cross-functional initiatives, meeting deadlines, and delivering results.
  • Effective communication with technical and non-technical stakeholders; flexibility, organization, and ability to shift priorities.

Culture & Benefits

  • Fast-paced, collaborative environment focused on operational efficiency, transparency, and service quality.
  • Work supports healthcare benefit plans serving millions of Americans.
  • Employees must follow the hirify.global Code of Conduct and report non-compliance.
  • Duties may be assigned or reassigned to meet organizational goals.
  • Equal employment opportunity and protection from discrimination and harassment are provided in accordance with applicable law.

Hiring process

  • Submitting an application authorizes retention of personal data for consideration for future positions at hirify.global.

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