Project Manager (Business Analyst)

TL;DR

Project Manager (Business Analyst): Serving as the connective tissue between Medicare claims policy and engineering teams with an accent on managing HIPAA-compliant artifacts and data governance. Focus on translating complex policy requirements into actionable technical specifications and ensuring system accuracy for CMS stakeholders.

Location: Must be based in the contiguous United States (specific states only: AL, AZ, CA, CO, CT, DC, DE, FL, GA, IL, LA, ME, MD, MA, MI, MN, MO, NV, NC, NJ, NY, OH, OK, OR, PA, RI, SC, TX, TN, UT, VA, WA, WI).

Salary: $114,300–$127,000 USD

Company

hirify.global is a public benefit corporation that partners with government agencies to modernize technology and improve the delivery of public services through human-centered design and reliable infrastructure.

What you will do

• Own and maintain HIPAA-compliant source-of-truth artifacts governing Medicare claims business rules and requirements.
• Apply deep subject matter expertise in Medicare Part A and Part B claims processing to evaluate downstream impacts.
• Validate proposed updates for internal consistency and alignment with CMS policy before implementation.
• Communicate validated changes clearly to external CMS stakeholders and internal teams.
• Partner with Product Managers and Engineering leadership to translate policy needs into technically feasible requirements.
• Facilitate cross-functional alignment to reduce ambiguity and document critical decision-making processes.

Requirements

• Legal authorization to work in the United States without visa sponsorship.
• Demonstrated subject matter expertise in CMS Medicare claims processing (Part A and/or Part B).
• Experience as a Business Analyst or Product Owner in a federal program or regulated healthcare environment.
• Strong command of Excel for managing complex data formulas, validation, and change tracking.
• Working understanding of HIPAA and PHI/PII data handling requirements.
• Ability to obtain and maintain a CMS Public Trust clearance.

Nice to have

• Direct experience with CMS contracts or Medicare Administrative Contractors (MACs).
• Familiarity with the Medicare Fee-for-Service (FFS) system.
• Experience working within agile delivery teams writing user stories and acceptance criteria.
• Background in data governance or quality assurance in compliance-driven settings.

Culture & Benefits

• Comprehensive health, dental, and vision coverage with virtual care options.
• 401(k) retirement plan with a 4% company match.
• Generous time off including 12 paid federal holidays and parental leave.
• Remote-first environment with home office setup assistance and utility reimbursements.
• Annual performance-based bonus and dedicated learning/development allowances.
• Supportive, collaborative team culture focused on public good and meaningful impact.