Payer Operations Lead (Healthcare)

Location: Remote within the United States

Salary: $60,000–$68,000 per year, plus equity

Company

hirify.global is a comprehensive women’s health provider delivering longitudinal hormonal, metabolic, and reproductive care through multidisciplinary teams.

What you will do

• Build, document, and maintain SOPs for payer contracting, enrollment, and credentialing workflows.
• Design quality controls and error-catching checkpoints to reduce rework and rejected applications.
• Track enrollment and contracting pipelines, identify bottlenecks, improve cycle times, and escalate blockers.
• Follow up with payers through phone, email, and payer portals to resolve deficiencies and secure approvals.
• Prepare, submit, and monitor payer contract applications for new health plan partnerships and service lines.
• Coach offshore enrollment contributors and partner with RCM and payer strategy teams on operational initiatives.

Requirements

• 2–3 years of experience in provider enrollment, credentialing, payer contracting, or healthcare administration.
• Experience building or documenting processes and SOPs.
• Experience coaching, training, or quality-reviewing other employees’ work.
• Ability to own metrics, report on pipeline throughput, and manage an independent queue.
• Strong follow-up, organizational, and attention-to-detail skills for accurate, deadline-driven work.
• Ability to work remotely within the United States.

Nice to have

• Experience with payer and third-party portals such as Availity.
• Familiarity with commercial payer requirements; Medicare and Medicaid knowledge is a plus.
• Experience in multi-state telehealth, digital health, or a high-growth healthcare environment.
• Exposure to NCQA and CMS credentialing standards.

Culture & Benefits

• 100% remote work within the U.S.
• Unlimited PTO and 11 company holidays.
• Medical, dental, and vision insurance with HSA and FSA options.
• Short- and long-term disability coverage, wellness stipend, and parental and family-planning support.
• 401(k) plan, professional development programs, equity, company laptop, and work-from-home stipend.
• Collaborative, mission-driven environment focused on improving patient care.