Machinify
1001 - 5000 employees
⚕️ Healthcare Insurance
🤖 Artificial Intelligence
☁️ SaaS
💰 $10M Series A - Machinify on 2018-10
Healthcare Insurance • Artificial Intelligence • SaaS
Machinify is a healthcare-focused AI platform and services company that reshapes healthcare payments and payment integrity. Its AI operating system unifies claims, medical records, contracts, and policies, and uses foundation models and task-specific agents to automate and improve coding, payment accuracy, recoveries, and cost avoidance. Machinify serves health plans (including 18 of the top 20), supports insourced, hybrid, or fully-managed deployments, and emphasizes measurable outcomes — reporting 85+ customers, 270M member lives covered, and $6B+ in annual cost avoidance and recoveries.
Operations Quality Supervisor
🕒 May 28
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Machinify
1001 - 5000 employees
⚕️ Healthcare Insurance
🤖 Artificial Intelligence
☁️ SaaS
💰 $10M Series A - Machinify on 2018-10
Healthcare Insurance • Artificial Intelligence • SaaS
Machinify is a healthcare-focused AI platform and services company that reshapes healthcare payments and payment integrity. Its AI operating system unifies claims, medical records, contracts, and policies, and uses foundation models and task-specific agents to automate and improve coding, payment accuracy, recoveries, and cost avoidance. Machinify serves health plans (including 18 of the top 20), supports insourced, hybrid, or fully-managed deployments, and emphasizes measurable outcomes — reporting 85+ customers, 270M member lives covered, and $6B+ in annual cost avoidance and recoveries.
📋 Description
• Supervise daily activities of QA specialists across multiple operational areas • Ensure consistent execution of QA audits, scorecards, and monitoring processes • Review completed audits for accuracy and consistency • Conduct calibration sessions to ensure scoring alignment • Provide coaching, feedback, and performance management • Monitor QA productivity and turnaround times • Identify trends and support corrective actions • Ensure compliance with HIPAA, CMS, and internal policies • Escalation management and issue resolution • Support for training initiatives and documentation maintenance • KPI monitoring and operational reporting support • Partnership with operational leadership teams across departments
🎯 Requirements
• Bachelor’s degree or equivalent experience • 3–5 years QA or healthcare operations experience • Supervisory experience preferred • Familiarity with HIPAA and CMS guidelines, and healthcare compliance standards • Experience with call monitoring systems, document intake handling, printing technology, and file management
🏖️ Benefits
• Equal Employment Opportunity at Machinify
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