
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.
🔥 2 minutes ago
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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.
• Design, implement, and continuously improve end-to-end revenue cycle processes from service delivery through final payment collection. • Lead monthly cadence of revenue performance working sessions with Finance and Operations leaders to ensure alignment and tracking with budget/forecast and determine if any adjustments to projections. • Participate and serve as key stakeholder for revenue forecasting process (3+9, 6+6, 9+3) and annual budget builds. • Monitor key performance indicators (KPIs) including days in accounts receivable (AR), denial rates, clean claim rates, and cash collections. • Lead cross-functional teams to resolve systemic billing, coding, and collections issues that impact revenue performance. • Oversee the tracking and management of claim inventory across all clients and solutions to ensure accurate alignment between services delivered and value realized. • Establish controls and processes to reconcile inventory records with billing and revenue data, minimizing discrepancies and revenue leakage. • Optimize revenue cycle speed and performance – reducing time to value from identified savings to revenue realization. • Partner with operations and business segment leaders to maintain visibility into inventory levels, utilization rates, and cost implications.
• Bachelor’s degree in Finance, Accounting, Business Administration, Health Administration, or a related field. • 10+ years of progressive experience in revenue cycle management, with at least 5 years in a senior leadership role. • Demonstrated expertise across multiple functional areas: RCM, revenue integrity, contract management, and pricing. • Deep knowledge of payment integrity and health plan operations • Proven track record of driving measurable improvements in AR days, denial rates, and net revenue realization. • Strong financial acumen with the ability to translate complex data into strategic recommendations. • Experience managing cross-functional teams of 20+ professionals.
• Health insurance • Paid time off • Flexible working arrangements • Professional development opportunities
Apply Now🔥 2 hours ago
🇺🇸 United States – Remote
💵 $187.5k - $247.5k / year
⏰ Full Time
🟠 Senior
💹 Revenue Operations
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