Payer Workflow & Integration Lead (Medtech)

TL;DR

Payer Workflow & Integration Lead (Medtech): Acting as a subject matter expert to guide customer implementations of payer-side healthcare workflows and system integrations with an accent on data flows and solution design. Focus on identifying implementation risks, translating technical requirements into actionable guidance, and reducing dependency on product teams.

Location: Remote (Must be based in the US)

Salary: $111,000 - $155,400

Company

hirify.global is a leading healthcare organization dedicated to patient-focused care and innovating products to accelerate improvements in the US healthcare system.

What you will do

• Serve as a subject matter expert on payer workflows, system integrations, and data flows.
• Advise implementation teams and customers on how solutions function within complex payer environments.
• Lead workflow discovery and provide guidance on integration design using APIs, HL7, or FHIR.
• Identify risks, gaps, and potential blockers early in the implementation lifecycle and recommend solutions.
• Develop and maintain reusable artifacts such as workflow diagrams, integration patterns, and decision frameworks.
• Partner cross-functionally with Product and technical teams to align on solution design and execution.

Requirements

• Bachelor’s degree in Healthcare Administration, Information Systems, Computer Science, Business, or a related field.
• At least 5 years of experience working with health plan (payer) systems, workflows, and operations.
• Hands-on experience supporting healthcare implementations and workflow design within payer environments.
• Strong understanding of data flows across multiple platforms (e.g., APIs, HL7/FHIR).
• Ability to translate complex technical and operational concepts into actionable guidance.
• US-based (indicated by 401K, HSA, and FSA benefits).

Nice to have

• Knowledge of HL7 Da Vinci implementation guides, particularly related to Prior Authorization.
• Knowledge of Utilization Management and/or Prior Authorization processes.
• Experience influencing cross-functional teams without direct authority.

Culture & Benefits

• Remote work with occasional travel (1–3 trips per year) for company-sponsored events.
• Comprehensive medical, dental, vision, life, and disability insurance.
• 401K retirement plan, flexible spending account (FSA), and health savings account (HSA).
• 15 days of paid time off plus additional front-loaded personal days and 14 company holidays.
• Generous parental leave (up to 8 weeks) and bonding leave (up to 10 weeks).
• Additional perks including LGBTQ+ health services and pet insurance.