Machinify

Sr. Product Manager | Pharmacy Payment Integrity

Machinify · Full Time · 5 days ago

Machinify

🌎 United States ⭐ 5-10 yrs exp 💼 Product

Lead the transformation of pharmacy payment integrity from manual workflows to AI-first automation, owning the roadmap for AI agents and voice AI. Design automated payment recovery workflows and redesign customer-facing analytics portals to demonstrate ROI.

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Supervisor, HCS Specialty Recovery

Machinify · Full Time · 6 days ago

Machinify

🌎 United States 💵 $61000 - $73000 per year ⭐ 2-5 yrs exp 💼 Others

Oversee daily recovery efforts and staff productivity to ensure goals and SLAs are met. Collaborate with leadership to develop training materials, operational procedures, and handle escalated provider communications.

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Supervisor, Operations Quality

Machinify · Full Time · 6 days ago

Machinify

🌎 United States ⭐ 2-5 yrs exp 💼 Others

Oversee the daily execution of quality assurance programs across operational departments including Customer Service and Repricing. Ensure consistent application of quality standards through audits, calibration sessions, and performance coaching.

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Quality Validation Specialist

Machinify · Full Time · 7 days ago

Machinify

🌎 United States ⭐ 5-10 yrs exp 💼 Others

Perform secondary reviews of outpatient coding validation audits to ensure accuracy, consistency, and compliance with regulatory standards. Monitor auditor performance, provide coaching, and develop quality assurance tools to improve operational excellence.

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Sr. Director | Engineering, ML

Machinify · Full Time · 8 days ago

Machinify

🌎 United States ⭐ 10+ yrs exp 💼 Software Development

Lead and grow the AI/ML Engineering team to design, deliver, and operate a scalable core AI/ML platform. Partner with the Chief AI Officer to bridge the gap between data science proof-of-concepts and production-grade services.

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Client Success Leader

Machinify · Full Time · 14 days ago

Machinify

🌎 United States 💵 $130K - $160K per year ⭐ 5-10 yrs exp 💼 Sales

Lead client interactions and operational processes to improve satisfaction and value within a healthcare payment integrity platform. Collaborate with technical teams to deliver actionable insights from claims data and manage client strategy and reporting.

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DMG Data Mining Analyst II

Machinify · Full Time · 14 days ago

Machinify

🌎 United States 💵 $90000 - $140K per year ⭐ 5-10 yrs exp 💼 Software Development

Extract hidden patterns and insights from large healthcare datasets to drive business strategy and operational efficiency. Lead small data projects and create comprehensive reports and visualizations to communicate results to diverse audiences.

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Proposal Writer

Machinify · Full Time · 15 days ago

Machinify

🌎 United States ⭐ 2-5 yrs exp 💼 Writing

Lead the end-to-end development of competitive and compliant proposals for government and commercial procurements. Collaborate with cross-functional teams to synthesize technical information into persuasive narratives and maintain a reusable content library.

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Sr/Staff Software Engineer, Fullstack| Product

Machinify · Full Time · 16 days ago

Machinify

🌎 United States 💵 $215K - $255K per year ⭐ 10+ yrs exp 💼 Software Development

Design and build scalable, reliable full-stack web applications that apply ML techniques to large volumes of data. Balance the development of new customer-facing features with technical debt cleanup to ensure software sustainability.

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Technical Program Manager

Machinify · Full Time · 16 days ago

Machinify

🌎 United States 💵 $180K - $240K per year ⭐ 5-10 yrs exp 💼 Product

Manage software development project delivery schedules and coordinate cross-functional efforts between Data Science, Engineering, and DevOps. Drive engineering processes and ensure product requirements align with end-to-end delivery commitments.

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Staff Data Scientist | ML

Machinify · Full Time · 19 days ago

Machinify

🌎 United States ⭐ 10+ yrs exp 💼 Software Development

Own end-to-end data science workflows to build and productionize ML and LLM-powered solutions for healthcare payment intelligence. Lead high-impact initiatives and set technical direction through mentorship and design reviews to improve business outcomes.

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Product Marketing Manager

Machinify · Full Time · 21 days ago

Machinify

🌎 United States ⭐ 2-5 yrs exp 💼 Product

Develop and refine product messaging, positioning, and value propositions to translate complex AI capabilities into clear narratives for healthcare payers. Support the creation of sales enablement tools, video content, and the coordination of product launches.

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DRG QA and Trainer

Machinify · Full Time · 22 days ago

Machinify

🌎 United States 💵 $100K - $120K per year ⭐ 2-5 yrs exp 💼 Teaching

Oversee quality assurance for DRG Reviewers to ensure adherence to clinical and coding standards. Conduct training sessions for new and existing staff to enhance skill development and performance.

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Client Delivery Analyst

Machinify · Full Time · a month ago

Machinify

🌎 United States 💵 $95000 - $110K per year ⭐ 2-5 yrs exp 💼 Others

Facilitate work products between the company and clients by handling requirements gathering, analysis, and delivery validation for Complex Payment Solutions. Monitor client inventory, manage Jira tickets, and act as a liaison between IT and Operations teams to resolve production issues.

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Senior Product Manager

Machinify · Full Time · a month ago

Machinify

🌎 United States ⭐ 5-10 yrs exp 💼 Product

You will own the end-to-end product lifecycle for the Coordination of Benefits (COB) line, including strategy, roadmap, and execution. You will drive the vision for AI-native workflows to improve claims recovery and operational efficiency.

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APC Coding Validation Specialist

Machinify · Full Time · a month ago

Machinify

🌎 United States 💵 $85000 - $100K per year ⭐ 5-10 yrs exp 💼 Others

Conduct comprehensive outpatient payment validation reviews to ensure accurate coding, billing, and compliance with payer policies. Document audit findings and provide well-supported rationales for reimbursement impacts using industry-standard references.

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Nurse Itemized Bill Reviewer (IBR Analyst)

Machinify · Full Time · a month ago

Machinify

🌎 United States 💵 $80000 - $90000 per year ⭐ 2-5 yrs exp 💼 Healthcare

The analyst will review facility insurance claims and itemized statements to ensure the accuracy of charges against medical documentation and compliance guidelines. They will also collaborate with internal teams to improve claim review efficiency and assist in content development and research.

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Software Architect

Machinify · Full Time · 2 months ago

Machinify

🌎 United States 💵 $230K - $280K per year ⭐ 10+ yrs exp 💼 Software Development

The Software Architect will own the design and implementation of the intelligent document processing and agentic evaluation framework. This role involves hands-on technical leadership, defining system abstractions, and ensuring the platform scales to process healthcare documents at a high volume.

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Senior Director, Government Business Development

Machinify · Full Time · 2 months ago

Machinify

🌎 United States 💵 $195K - $220K per year ⭐ 10+ yrs exp 💼 Sales

The Senior Director will lead end-to-end business development across federal and state government markets, focusing on Medicaid and federal health agencies. They will manage the full sales cycle, including RFP responses, strategic partnerships, and policy-driven market positioning.

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Technical Data Product Manager

Machinify · Full Time · 2 months ago

Machinify

🌎 United States 💵 $180K - $260K per year ⭐ 10+ yrs exp 💼 Product

You will drive the data product roadmap by partnering with engineering and architecture leadership to translate business needs into technical requirements. The role involves coordinating the consolidation of legacy systems into a unified AI-powered platform while enabling new product capabilities across the healthcare payment continuum.

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Senior Analyst (Data mining)

Machinify · Full Time · 2 months ago

Machinify

🌎 United States ⭐ 5-10 yrs exp 💼 Software Development

The Senior Analyst will lead the development of new reimbursement and payment integrity concepts by analyzing claims data and provider contracts. They will collaborate with engineering and data science teams to translate business logic into effective analytical and automation frameworks.

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Data Scientist | Modeling

Machinify · Full Time · 2 months ago

Machinify

🌎 United States 💵 $180K - $230K per year ⭐ 5-10 yrs exp 💼 Software Development

Develop and advance machine learning models to optimize healthcare claim audits and improve financial outcomes. Create technical frameworks and data pipelines to enhance team efficiency and model precision.

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Senior Data Engineer 

Machinify · Full Time · 2 months ago

Machinify

🌎 United States 💵 $180K - $220K per year ⭐ 5-10 yrs exp 💼 Software Development

Design and implement robust, production-grade data pipelines to process high-volume datasets and integrate raw customer data into internal models. Collaborate with cross-functional teams to ensure data accuracy, observability, and performance while supporting ML models and product experiences.

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Staff Software Engineer | Frontend

Machinify · Full Time · 2 months ago

Machinify

🌎 United States 💵 $200K - $240K per year ⭐ 10+ yrs exp 💼 Software Development

The role involves developing new applications and contributing to UI and potentially middle-layer development, while owning projects aligned with the product development strategy. Responsibilities also include designing intuitive user experiences and collaborating with stakeholders like Product Managers and UX teams.

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Staff Software Engineer | Backend

Machinify · Full Time · 2 months ago

Machinify

🌎 United States 💵 $200K - $245K per year ⭐ 10+ yrs exp 💼 Software Development

The role involves contributing to backend server-side development to ensure the application is extensible, scalable, and secure, while also designing and architecting complex frameworks for applying ML techniques to large data volumes. Responsibilities include recognizing and prioritizing customer deliverables versus technical debt to maintain a sustainable software suite.

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Senior Product Designer

Machinify · Full Time · 3 months ago

Machinify

🌎 United States ⭐ 5-10 yrs exp 💼 Design

The role involves leveraging design thinking to address complex challenges and developing innovative solutions aligned with business objectives. Responsibilities include conducting user research, collaborating on ideation, creating UX deliverables like wireframes and prototypes, and supporting development teams through documentation and system maintenance.

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Medical Coder [remote]

Machinify · Full Time · 3 months ago

Machinify

🌎 United States 💵 $90000 - $115K per year ⭐ 2-5 yrs exp 💼 Software Development

The role involves conducting thorough DRG payment validation reviews, including clinical and coding assessments of medical records to ensure accurate payment determinations based on contract-specific criteria. Key duties include meticulously documenting findings, providing clinical and policy support, and collaborating with stakeholders to maintain compliance with payment standards.

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Staff Data Scientist | Analytics

Machinify · Full Time · 3 months ago

Machinify

🌎 United States ⭐ 2-5 yrs exp 💼 Software Development

The role involves independently partnering with business stakeholders to define analytical approaches for complex operational challenges and performing deep exploratory data analysis to identify optimization opportunities across payment operations and performance metrics. Responsibilities also include building and maintaining dashboards for real-time visibility and conducting business reviews to explain performance variance.

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Senior Software Engineer (Data Platform)

Machinify · Full Time · 3 months ago

Machinify

🌎 United States 💵 $180K - $220K per year ⭐ 5-10 yrs exp 💼 Software Development

The role involves designing and building scalable, high-performance data software solutions primarily using Golang and Python, while also building and deploying Kubernetes-based systems for containerized applications in cloud-native environments. Engineers will collaborate cross-functionally to optimize backend infrastructure performance, reliability, and security, focusing on data transformation for machine learning workflows.

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DRG Manager

Machinify · Full Time · 3 months ago

Machinify

🌎 United States 💵 $125K - $140K per year ⭐ 5-10 yrs exp 💼 Others

The DRG Manager will be responsible for the development and management of clinical solutions, including MS and APR-DRG validation, requiring expertise in healthcare payment methodologies and audit criteria. Key duties involve leading the DRG team, overseeing clinical claims review processes, monitoring regulatory updates, and ensuring optimal team performance.

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Enterprise Implementations Lead

Machinify · Full Time · 3 months ago

Machinify

🌎 United States 💵 $110K - $130K per year ⭐ 2-5 yrs exp 💼 Others

This role drives the end-to-end implementation of healthcare technology, analytics, and payment integrity solutions, serving as the primary client contact throughout the lifecycle, which includes managing complex data integrations and ensuring projects meet quality and regulatory standards. Responsibilities involve leading implementation cycles from discovery through go-live, developing detailed project plans, overseeing cross-functional teams, and delivering client-facing materials and training.

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Staff Data Scientist | Fraud / Billing

Machinify · · 3 months ago

Machinify

🌎 United States ⭐ 10+ yrs exp 💼 Software Development

This role is responsible for leading the build and deployment of classical Machine Learning and Generative AI systems to generate and validate concepts related to billing errors, audits, and fraud within large-scale healthcare payment data. The Staff Data Scientist will own the end-to-end delivery process, from problem framing and data strategy through model development, evaluation, deployment, and monitoring, focusing on reliability and customer outcomes.

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Data Scientist | Clinical AI

Machinify · · 3 months ago

Machinify

🌎 United States ⭐ 2-5 yrs exp 💼 Software Development

The Data Scientist will translate complex medical policies and clinical criteria into executable SQL and Python code, focusing on building robust clinical feature pipelines from extracted signals in medical records. They will also own the measurement, evaluation, and continuous quality improvement of the AI system responsible for extracting structured clinical information.

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Staff Data Scientist | Modeling

Machinify · · 3 months ago

Machinify

🌎 United States ⭐ 5-10 yrs exp 💼 Software Development

The Staff Data Scientist will be responsible for advancing machine learning models used for identifying and auditing claims errors, requiring deep dives into clinical and coding data to improve audit precision. This role also involves enhancing data pipelines, modeling infrastructure, and team tools to scale capabilities and ensure model insights align with real business needs.

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NLP Scientist

Machinify · · 3 months ago

Machinify

🌎 United States ⭐ 5-10 yrs exp 💼 Software Development

The role involves solving complex problems in medical document understanding and question-answering by applying modern Natural Language Processing and vision methodologies. Responsibilities include making data-driven decisions on algorithms, working with limited labeled data, and continuously optimizing models for production scalability and performance.

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Staff Software Engineer | GenAI & Agentic Workflows

Machinify · · 3 months ago

Machinify

🌎 United States ⭐ 5-10 yrs exp 💼 Software Development

The Staff Software Engineer will lead the design and development of large-scale systems to integrate cutting-edge AI into production for Payment Integrity and Audit solutions. This includes leading document processing pipelines and designing agentic workflows to review and validate millions of healthcare claims annually.

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Staff Software Engineer | Platform Team

Machinify · Full Time · 4 months ago

Machinify

🌎 United States 💵 $220K - $245K per year ⭐ 10+ yrs exp 💼 Software Development

Responsibilities include investigating complex, inherited Scala systems to address scaling issues and redesigning the data layer critical for ML/AI products. The role also involves building a Rust framework, improving platform observability and resilience, and shaping engineering standards.

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Senior Engineer Manager | Subrogate Product

Machinify · Full Time · 4 months ago

Machinify

🌎 United States 💵 $220K - $240K per year ⭐ 10+ yrs exp 💼 Software Development

This hands-on role involves deep involvement in architectural design, part-time coding, and code reviews while leading the development and production releases of robust solutions for healthcare subrogation product lines. The manager will lead a small team, develop production feature plans for on-time releases, and work to reduce team pain points and increase velocity.

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Staff Frontend Engineer | Web Apps & Platform

Machinify · Full Time · 4 months ago

Machinify

🌎 United States 💵 $200K - $240K per year ⭐ 10+ yrs exp 💼 Software Development

Develop new applications and contribute to UI and middle-layer development. Collaborate with team and external stakeholders to design and implement solutions for an intuitive user experience.

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Lead Software Engineer, Backend | Product

Machinify · Full Time · 4 months ago

Machinify

🌎 United States 💵 $200K - $245K per year ⭐ 10+ yrs exp 💼 Software Development

The engineer will act as a Rust Coach/Multiplier, setting standards, mentoring others, and building production-grade systems in Rust while contributing to new product development of complex in-browser applications. Responsibilities also include architecting and implementing complex applications that apply Machine Learning techniques to large data volumes and balancing feature development with technical debt cleanup.

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Staff Software Engineer, Backend | Web Apps

Machinify · Full Time · 4 months ago

Machinify

🌎 United States 💵 $200K - $245K per year ⭐ 10+ yrs exp 💼 Software Development

Contribute to backend server-side development to ensure the application is extensible, scalable, and secure. Deliver resilient enterprise software solutions while recognizing and prioritizing customer deliverables and tech debt.

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Senior Content Analyst (Claims editing)

Machinify · Full Time · 4 months ago

Machinify

🌎 United States ⭐ 5-10 yrs exp 💼 Legal

The Senior Content Analyst will interpret healthcare reimbursement policies and translate them into automated claims editing logic. This role involves owning edit concepts from interpretation through validation and ongoing refinement.

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DRG Reviewer

Machinify · Full Time · 4 months ago

Machinify

🌎 United States 💵 $90000 - $105K per year ⭐ 2-5 yrs exp 💼 Others

The DRG Reviewer will conduct thorough DRG payment validation reviews, including clinical and coding assessments of medical records according to contract-specific criteria. This involves meticulously documenting findings, providing clinical and policy support, and collaborating with stakeholders to ensure compliance with payment standards.

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