Senior Analyst, Regulatory Affairs (Healthcare)

Location: Remote for residents of AZ, FL, GA, IL, IA, KS, MI, MO, NE, NJ, NY, NC, OH, PA, SC, TN, TX, and VA. Hybrid requirement (at least 3 days/week) for candidates living within commutable distance to New York City or Tempe offices.

Salary: $71,439 - $104,328 per year

Company

hirify.global is a health insurance company built around a full stack technology platform with a focus on member-centric care.

What you will do

• Serve as the subject matter expert on state and federal policy for provider dispute and IDR legislative matters.
• Prepare clear and concise arbitration briefings based on case needs.
• Manage the end-to-end administrative lifecycle of disputes, including documentation and portal uploads.
• Perform eligibility reviews of disputed claims to ensure cases are routed to the appropriate venue.
• Act as a point of contact for provider negotiations relating to IDR.
• Maintain real-time updates on project management boards to meet strict regulatory deadlines.

Requirements

• Bachelor’s degree in humanities, legal studies, political science, public policy, public health, or related field.
• 2+ years of experience in cross-functional project management.
• 2+ years of experience communicating and presenting information to internal and external stakeholders.
• 2+ years of experience distilling complex issues into digestible action items for various seniority levels.
• 2+ years of experience with legislative tracking software and Google Workspace.
• Must reside in one of the following US states: AZ, FL, GA, IL, IA, KS, MI, MO, NE, NJ, NY, NC, OH, PA, SC, TN, TX, or VA.

Nice to have

• Experience working with Independent Dispute Resolution (IDR).
• Experience as a paralegal or working in personal injury law firms.
• Familiarity with the Affordable Care Act and the No Surprises Act.
• Experience with individual and/or group insurance markets.
• Experience collaborating with attorneys and internal stakeholders.

Culture & Benefits

• Comprehensive medical, dental, and vision benefits.
• Unlimited vacation program and 11 paid holidays.
• 401(k) plan participation.
• Paid parental leave, sick time, and wellness time.
• Life and disability insurance.