Government Program Operations Specialist (Healthcare)

TL;DR

Government Program Operations Specialist (Healthcare): Coordinating and managing the Medicare Prescription Payment Plan (MPPP) program with an accent on operational documentation, cross-functional collaboration, and regulatory compliance. Focus on tracking technical development tickets, performing quality assurance reviews for member communications, and ensuring adherence to service level agreements.

Location: Must be based in the United States. Hybrid options available for candidates local to New York, NY or Denver, CO; otherwise, remote.

Salary: $69,200–$109,000 USD (varies by location)

Company

hirify.global is an enterprise health technology company providing comprehensive pharmacy benefit management and health benefit administration solutions.

What you will do

• Create and maintain program documentation including SOPs, job aids, and control documents.
• Submit and track development tickets to ensure timely completion of system enhancements.
• Support testing of system updates to validate functionality against business requirements.
• Conduct quality assurance reviews of member notices, invoices, and program materials.
• Monitor program activities and escalate risks or discrepancies to ensure compliance.
• Coordinate internal and client meetings, including agenda preparation and action item tracking.

Requirements

• Must be based in the United States.
• 1-3 years of experience in operations, program coordination, or healthcare administration.
• Strong organizational skills with attention to detail in documentation and quality review.
• Experience managing multiple workstreams and tasks in a deadline-driven environment.
• Familiarity with ticketing systems, project tracking tools, or workflow management platforms.
• Strong written and verbal communication skills for cross-functional and client interaction.

Nice to have

• Experience with Medicare, PBM, or managed care environments.
• Exposure to healthcare regulatory or compliance frameworks such as CMS or audits.
• Experience supporting testing or validation activities for operational processes.

Culture & Benefits

• Commitment to a diverse and inclusive workplace.
• Equal employment opportunity employer.
• Opportunity to work on critical healthcare infrastructure projects.
• Collaborative environment with cross-functional teams.