Analyst, Payments Integrity & QA

TL;DR

Analyst, Payments Integrity & QA: Ensuring accuracy and compliance of healthcare payment transactions through internal audits and data analysis, with an accent on identifying discrepancies and process improvements. Focus on routine quality assurance audits, investigating error causes, and maintaining tracking logs for operational insights.

Location: Hybrid work model, primarily based in the US. Onsite presence required 3 days a week (Tuesday, Wednesday, Thursday) in New York City. Quarterly Work Together Days required in San Francisco/Bay Area, Seattle, Boston, Chicago, or Washington, D.C. for those based in those regions. Active US work authorization is required.

Salary: $81,000–$95,000 per year

Company

hirify.global is the world's largest virtual clinic for women and families, providing digital programs for fertility, family building, maternity, parenting, and menopause, trusted by over 2,000 employers and health plans.

What you will do

• Perform routine quality assurance audits on internal payment transactions to verify adherence to company policies and regulatory standards.
• Assist in documentation preparation for external client audits.
• Use analytics tools to identify payment discrepancies and potential errors.
• Investigate causes of payment errors, such as system logic gaps or manual processing mistakes.
• Maintain tracking logs of audit findings and update dashboards for accuracy trends.
• Identify bottlenecks in payment workflow and suggest procedural updates for efficiency.

Requirements

• 2+ years of experience in healthcare claims, payment integrity, financial auditing, or related data-heavy operational roles.
• Foundational understanding of payment cycles, claims adjudication, or billing processes.
• Experience using data tools (e.g., Looker, Excel) to pull reports and identify patterns.
• Uncompromising eye for accuracy and ability to manage recurring audit tasks with precision.
• Ability to clearly document and explain audit findings.
• Proactive approach to identifying issues and implementing solutions.
• Active work authorization in the US is required.

Culture & Benefits

• Access to the full Maven platform and specialists, including mental health, reproductive health, and pediatrics.
• Whole-self care through wellness partnerships.
• Hybrid work model with in-office meals and work-together days.
• 16 weeks 100% paid parental leave and new parent stipend (after 1 year+ employment).
• Annual professional development stipend and access to a personal career coach.
• 401K matching for US-based employees, with immediate vesting.