Content Business Analyst (Healthcare)

TL;DR

Content Business Analyst (Healthcare): Interpreting medical rules, regulations, and payer data to build coding and financial tables with an accent on CMS, Medicaid, and commercial insurance plans. Focus on navigating complex regulatory scenarios and maximizing product efficiency through the maintenance of payer-specific edits.

Location: Heredia, Costa Rica. Flexible work environment: Remote, Hybrid, or On-site.

Company

hirify.global is a global data and technology corporation providing solutions across financial services, healthcare, automotive, and other sectors.

What you will do

• Interpret medical rules, regulations, and fee schedules from payers including CMS, Medicaid, and Tricare.
• Build and manipulate federal, state, and commercial coding and financial tables to support product logic.
• Monitor and maintain tables to align with unpredictable payer updates and evolving regulatory scenarios.
• Analyze and maintain Medicaid master fee schedules.
• Use internal loading systems to deploy advanced edit tables into testing and production environments.
• Collaborate with the Client Implementation Senior Manager to maximize product solution efficiency.

Requirements

• 2-3 years of experience in healthcare reimbursement and coding.
• High-level knowledge of CPT, HCPCS, and ICD-10 coding languages.
• Proficiency in Microsoft Excel and other data analytics tools.
• Experience using Salesforce and Atlassian JIRA.
• Must be based in or able to work from Heredia, Costa Rica.

Nice to have

• Openness and willingness to work with automation and AI technologies.

Culture & Benefits

• Competitive compensation package and bonus plan.
• Core benefits including medical, dental, vision, and matching 401K.
• Flexible work arrangements (remote, hybrid, or in-office).
• Generous time off, including vacation, sick leave, and 12 paid holidays.
• Dedicated volunteer time off.