Provider Engagement Associate

TL;DR

Provider Engagement Associate: Facilitating provider interactions with hirify.global and resolving escalated provider issues with an accent on contracts, claims processing, payments, and payment integrity audits. Focus on accurate investigation and resolution of inquiries, reducing provider abrasion via root-cause analysis, and using Excel and operational tools to manage provider claims escalations.

Location: Remote - USA (must be based in the Central or Eastern time zones of the United States)

Salary: $63,800 - $83,000 USD

Company

hirify.global provides data- and technology-enabled healthcare plans for America’s seniors.

What you will do

• Learn hirify.global operational processes including Contracts, Claims Processing, Payments, Payment Integrity Audits, Configuration, and Grievances.
• Act as the main contact for high-priority providers and lead external meetings to maintain ongoing relationships.
• Investigate and resolve escalated provider issues and inquiries internally and externally, coordinating with internal and external teams.
• Manage internal projects to improve provider experience, including provider education on best practices and new policies.
• Perform root-cause analysis and implement improvements to reduce provider abrasion.
• Use Excel (Pivot Tables, formatting, formulas, VLOOKUPs) and tools such as Salesforce, JIRA, and other provider/industry platforms.

Requirements

• Location/Time zone: Must be based in the Central or Eastern time zone of the United States.
• 3+ years of experience in health insurance or medical offices.
• Comfort with coding; Certified Professional Coder is a plus.
• Strong data/tool proficiency (Excel required; experience with Salesforce, JIRA, and similar tools preferred).
• Ability to meet deadlines and accurately complete data entry, report generation, and provider claims analysis.
• Strong interpersonal and collaboration skills to work with cross-functional teams and external providers.

Culture & Benefits

• Remote-first culture with flexibility and collaboration support.
• Comprehensive medical, dental, and vision coverage.
• 401k matching, performance-based bonus program, and regular compensation reviews.
• No-Meeting Fridays, monthly company holidays, access to mental health resources, and generous flexible time-off.
• Learning programs, mentorship, and professional development funding.
• Additional perks: ESPP, office setup reimbursement, monthly cell phone & internet stipend, and paid parental leave.

Hiring process

• Interviews to assess provider engagement experience, escalation resolution approach, and operational/data skills.
• Evaluation of ability to handle claims analysis and reporting accuracy (including early 30/90-day expectations).
• Final discussions focused on collaboration style and fit for remote-first provider-facing work.