Director, Out of State Medicaid (REMOTE)

Location: Remote within the United States; listed location is Franklin, Tennessee

Company

hirify.global provides an intelligent revenue cycle automation platform and related services for hospitals, health systems, and ambulatory surgery centers.

What you will do

• Lead multiple Out-of-State Medicaid teams through Managers and Supervisors, aligning daily, monthly, and strategic goals with revenue targets.
• Oversee workload distribution, capacity planning, hiring, onboarding, performance management, and leadership development.
• Monitor productivity, quality, service levels, and other key performance metrics, preparing performance reports and corrective action plans.
• Audit operations and participate in client reviews to ensure requirements, workflows, and service expectations are met.
• Analyze collections processes in Enforcer, improve procedures and SOPs, and coordinate cross-functional action plans.
• Ensure adherence to quality standards, insurance reimbursement requirements, HIPAA, and related regulations.

Requirements

• 7–10 years of management or supervisory experience with teams of 10 or more.
• 6+ years of experience in healthcare, information technology, or managed care, preferably in finance, collections, business operations, or revenue recovery.
• Bachelor’s degree in business or healthcare administration preferred; high school diploma or GED required.
• Strong knowledge of healthcare financials, HMO operations, hospital revenue cycle processes, provider contracts, and healthcare data sets.
• Extensive understanding of insurance payer and provider claim processing and related data requirements.
• Strong communication, prioritization, organizational, computer, and cross-functional collaboration skills, including proficiency with Microsoft Office.

Culture & Benefits

• Remote work arrangement.
• Focus on employee development, career growth, and providing tools and resources for success.
• Collaborative, family-oriented, and flexible work environment.
• Commitment to work-life balance, cooperation, and shared goals.
• Equal opportunity workplace committed to maintaining an environment free from discrimination and harassment.