Payor Pricing Analyst (BioPlus)

Location: Hybrid, with in-office work 1–2 days per week; candidates must reside within commuting distance of an hirify.global office in Lake Mary or Tampa, Florida; Atlanta, Georgia; Mason, Ohio; or Nashville, Tennessee.

Company

hirify.global is a healthcare company focused on improving lives and communities and simplifying healthcare through its BioPlus Specialty Pharmacy business.

What you will do

• Develop and maintain financial models for reimbursement methodologies, pricing strategies, and contract performance across commercial, Medicare, and Medicaid payors.
• Analyze reimbursement trends, fee schedules, contract terms, and financial performance to identify pricing opportunities.
• Support contract negotiations, request-for-proposal responses, strategic initiatives, and reimbursement risk assessments.
• Partner with finance, contracting, revenue cycle, clinical, and operational stakeholders to maintain pricing integrity and accurate reimbursement configuration.
• Create reports, dashboards, and executive-level analyses covering reimbursement performance, pricing trends, utilization, and recommendations.

Requirements

• Bachelor’s degree in Finance, Economics, Healthcare Administration, or a related field, or an equivalent combination of education and experience.
• At least 3 years of experience in healthcare reimbursement, pricing, specialty pharmacy, infusion services, payor contracting, or financial analytics.
• Experience with financial modeling and advanced spreadsheet analysis.
• Familiarity with PBM and medical benefit billing structures.

Nice to have

• MBA or relevant advanced certification.
• Experience in specialty pharmacy or home or ambulatory infusion.
• Knowledge of 340B pricing impact.
• Experience with claims data analysis, reimbursement reconciliation, contract modeling tools, or BI platforms such as Power BI, Tableau, or SQL.

Culture & Benefits

• Hybrid workforce strategy combining regular office collaboration with virtual work.
• Paid holidays, paid time off, merit increases, and incentive bonus programs.
• Medical, dental, vision, disability, life insurance, and wellness benefits.
• 401(k) with company match, stock purchase plan, and financial education resources.
• Professional and personal growth supported through a values-driven work environment.