Healthcare Operations Support Specialist (SCA)

TL;DR

Healthcare Operations Support Specialist (SCA): Managing healthcare audit client inventory activities and operational support with an accent on claim re-pricing, status reporting, and resolving client inquiries. Focus on maintaining provider information, documenting processes, and ensuring on-time delivery of strategic business initiatives.

Location: Must be based in the US

Company

hirify.global is a healthcare intelligence company providing an AI-powered platform to health plans to maximize financial outcomes and reduce healthcare costs.

What you will do

• Monitor internal and external reports to take necessary operational actions.
• Respond to client correspondence and information requests.
• Maintain provider information and perform claim re-pricing using client systems.
• Create, document, and modify operational processes for new and existing clients.
• Participate in ad-hoc projects and program initiatives.
• Collaborate with audit teams to ensure deliverables meet deadlines.

Requirements

• Must be based in the US.
• High School Diploma or GED required.
• Strong proficiency in Microsoft Office suite, particularly Excel.
• Excellent written and verbal communication skills.
• Strong critical thinking, problem-solving, and time management abilities.
• Ability to work independently and meet objectives with minimal supervision.

Nice to have

• Associate's or Bachelor’s degree.
• Experience in healthcare data analysis.
• Experience gathering and documenting requirements for projects.

Culture & Benefits

• Opportunity to work with a leading AI-powered healthcare intelligence platform.
• Collaborative environment working with diverse teams.
• Commitment to equal employment opportunity and inclusive workplace culture.
• Participation in E-Verify as required by law.