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Pharmacy Recovery Analyst

Job not on LinkedIn

🔥 1 minute ago

🇺🇸 United States – Remote

💵 $64k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

🧐 Analyst

Where this job comes from

Posted on Machinify's careers page, not through a job board

First seen by Remote Rocketship 1 minute ago

Logo of Machinify

Machinify

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.

📋 Description

• Manage the pharmacy claim recovery process on behalf of Machinify clients as part of the Pharmacy Payer-to-Payer team • Collaborate with payers to establish and enhance reconciliation processes • Analyze outcomes to support process improvements that increase recovery effectiveness • Develop and generate team reporting • Develop and maintain process documentation

🎯 Requirements

• Bachelor's degree or 2 - 3 years of directly applicable experience • Excellent work ethic • Strong analytical skills with experience organizing and summarizing data and preparing analysis and recommendations • Critical thinking, creativity and problem-solving skills; ability to propose viable solutions • Ability to work well on a team and individually, and plan and schedule activities to accomplish objectives in a dynamic environment • Experience with MS Office Suite, specifically Pivot Tables and V-Lookup • Ability to write, edit and understand SQL Select Queries • Experience with Lean and Six Sigma process development concepts preferred • Experience in the pharmacy benefit management, health insurance, and/or accounts receivable management industries preferred

🏖️ Benefits

• PTO, Paid Holidays, and Volunteer Days • Eligibility for health, vision and dental coverage • 401(k) plan participation with company match • Flexible spending accounts • Tuition Reimbursement • Company-paid life insurance • Company-paid short-term disability • Company-paid parental leave • Remote and hybrid work options

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