PEM Product Consultant (Healthcare)

TL;DR

PEM Product Consultant (Healthcare): Stabilizing and supporting Prospective Episode Manager (PEM) deployments with an accent on system configuration, contract loading, and audit processes. Focus on executing implementations for key healthcare clients and transferring technical knowledge to internal teams.

Location: United States

Company

hirify.global is advancing the healthcare economy by providing revenue management solutions.

What you will do

• Lead system configuration, contract loading, and validation for active PEM implementations for key clients including MSK, Mayo, and CHLA.
• Ensure accurate setup of complex episode-based reimbursement models and contract logic.
• Partner with product, delivery, and client teams to drive implementations to production.
• Provide subject matter expertise on PEM workflows, including claims processing and pricing validation.
• Lead structured knowledge transfer sessions and document best practices to enable internal teams to support and implement PEM independently.

Requirements

• Minimum 3+ years of hands-on experience with Prospective Episode Manager (PEM)
• Strong domain knowledge in contract management, episode-based reimbursement, or value-based care models.
• Proven experience with contract loading, validation, and system implementation workflows.
• Proficiency with claims and reimbursement data structures, such as UB/1500 claims.
• Ability to translate complex contract terms into system configuration.

Culture & Benefits

• Agile and committed culture focused on customer-centricity and reliability.
• Commitment to enhancing the colleague experience through a variety of perks and benefits.
• Work environment emphasizing integrity, ethics, and continuous self-development.
• Equal Opportunity Employer valuing diversity and belonging.