
1001 - 5000 employees
🏥 Healthcare
💼 Consulting
📦 Logistics
💰 $10M Series A - Machinify on 2018-10
Healthcare • Consulting • Logistics
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.
🔥 0 minutes ago
🇺🇸 United States – Remote
💵 $110k - $125k / year
⏰ Full Time
🟡 Mid-level
🟠 Senior
🦅 H1B Visa Sponsor
👻 Ghost score 0%
Where this job comes from
Posted on Machinify's careers page, not through a job board
First seen by Remote Rocketship 0 minutes ago

1001 - 5000 employees
🏥 Healthcare
💼 Consulting
📦 Logistics
💰 $10M Series A - Machinify on 2018-10
Healthcare • Consulting • Logistics
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.
• Coordinate the cross-functional client team and drive plan achievement, revenue retention, client satisfaction, and growth across Machinify’s Payment Integrity product suite. • Serve as the primary client contact and trusted advisor for client operational representatives. • Build and sustain client relationships, identify client needs, and surface potential issues proactively. • Collaborate with the Client Success Team on client strategic plans and lead tactical execution. • Promote Concept adoption and acceleration through organization, communication, and project management. • Identify and communicate cross-product opportunities across Machinify’s Payment Integrity platform. • Manage operational implementation and execution of client payment policy decisions across Operations, Product, Appeals, Production, and Technical teams. • Coordinate and manage joint client and internal meetings, including scheduling, facilitation, agendas, materials, minutes, action items, and logistics. • Maintain accurate client documentation in Machinify’s client library. • Manage internal and external client initiatives and joint projects, including Concept rollouts and platform enhancements. • Monitor Concept and Sentinel performance, analyze monthly reports, investigate data anomalies, and develop action plans. • Provide client testing support for operational and Concept-related initiatives. • Maintain escalation plans and monitor file processing and Concept scoring statistics. • Provide or coordinate production reporting, surface insights and trends, and develop recommendations. • Identify client education needs and develop and deliver client training programs. • Manage client inquiries and triage them across internal teams. • Participate as an operational subject matter expert in Payment Integrity initiatives. • Complete special projects and other assigned duties.
• Bachelor's degree or higher preferred, or equivalent experience, required. • Knowledge of CMS guidelines and other regulatory compliance guidelines and mandates, and medical payment policy. • 4+ years of related healthcare experience with strong knowledge of health plan operations and the claims lifecycle. • 4+ years of experience in client relationship management or consulting, interacting with various roles and levels, with a strong focus on the healthcare setting. • 4+ years of project or team management experience, including meeting facilitation and follow-through on deliverables. • Highly proficient in MS Office Suite: Excel, Word, and PowerPoint. • Excellent written and verbal communication and interpersonal skills. • Strong presentation skills; prior experience delivering training classes is a plus. • Demonstrated success in developing strong, trust-based professional relationships with clients across multiple roles and levels. • Self-starter with the ability to work well independently and a track record of successful outcomes within a collaborative team environment or matrix structure. • Professional coder certification (CPC, CPC-A, CCA, CCS, CCS-P, RHIT, or RHIA) not necessary but a plus. • Prior experience working with a healthcare payment integrity or claims analytics platform. • Familiarity with Concept-based payment integrity programs, Sentinel performance reporting, or similar SaaS claims platforms is a plus. • Travel requirement up to 10%.
• Work from anywhere in the US! Machinify is digital-first. • Top Medical/Dental/Vision offerings • FSA/HSA • Tuition reimbursement • Competitive salary • 401(k) with company match • Additional health and wellness benefits and perks • Flexible and trusting environment where you’ll feel empowered to do your best work
Apply NowImprove your chances of getting an interview by checking your resume score before you apply.
🔥 3 minutes ago
Construction Specialist managing single-family rental renovations for Roofstock’s investment platform. Developing scopes, pricing projects, and controlling remote turn execution across vendor networks.
🇺🇸 United States – Remote
💵 $60k - $70k / year
💰 $240M Series E on 2022-03
⏰ Full Time
🟡 Mid-level
🟠 Senior
🦅 H1B Visa Sponsor
🔥 20 minutes ago
Environmental safety professional supporting Leidos’ FAA EOSH programs. Conducting inspections, sampling, reporting, training, and regulatory compliance activities across North Carolina and customer sites.
🔥 23 minutes ago
Senior client relationship professional guiding H&R Block’s expat tax clients through registration and service issues. Managing remote communications, escalations, and seasonal client support.
🔥 25 minutes ago
In-Home Services Coordinator coordinating schedules, care plans, and field staff for InnovAge’s PACE senior healthcare program. Supporting seniors’ in-home care and regulatory compliance.
🔥 31 minutes ago
Senior onboarding specialist managing customer implementations for Cofactr’s hardware supply-chain platform. Coordinating configuration, enablement, timelines, and cross-functional delivery.