Machinify

Director of Quality Assurance Engineering

Machinify · Full Time · 5 days ago

Machinify

🌎 United States 💵 $225K - $245K per year ⭐ 10+ yrs exp 💼 Software Development

The Director of Quality Assurance Engineering will define the quality strategy and organizational design across the full software development lifecycle. They will lead a high-performing team to implement AI-driven technical quality architectures and establish rigorous release standards.

test-automation recruiting qa leadership hiring history

APPLY

Healthcare Customer Service Specialist II (SCA)

Machinify · Full Time · 6 days ago

Machinify

🌎 United States ⭐ 2-5 yrs exp 💼 Support

The Healthcare Customer Service Specialist will serve as the primary point of contact for providers and Medicare contractors, providing accurate responses to inquiries via phone, email, and written correspondence. Responsibilities include educating providers on process protocols, performing research to validate information, and maintaining detailed tracking logs of all interactions.

insurance customer-service call-center communication history

APPLY

Senior Data Analyst

Machinify · Full Time · 6 days ago

Machinify

🌎 United States 💵 $140K - $170K per year ⭐ 5-10 yrs exp 💼 Software Development

Collaborate with clients and internal stakeholders to integrate analytical outputs with payment integrity requirements and claims adjudication systems. Drive AI adoption by developing automated workflows and maintaining complex SQL queries against large-scale healthcare datasets.

sql recruiting cloud editing medical data-analyst data-analysis onboarding hiring data-engineering history

APPLY

Healthcare Audit Policy Analyst (Registered Nurse or Medical Coder)

Machinify · Full Time · 7 days ago

Machinify

🌎 United States 💵 $80000 - $120K per year ⭐ 5-10 yrs exp 💼 Software Development

Lead the development, testing, and optimization of payment integrity audit concepts across government and commercial healthcare claims. Collaborate with cross-functional teams to ensure audit concepts align with coding standards, regulatory requirements, and payer policies.

recruiting medical-coding medical excel qa data-analysis communication feedback operations training hiring critical-thinking testing documentation history windows compliance

APPLY

Staff Software Engineer | Platform Team

Machinify · Full Time · 11 days ago

Machinify

🌎 United States 💵 $220K - $255K per year ⭐ 10+ yrs exp 💼 Software Development

The role involves scaling inherited Scala systems, redesigning the data layer for AI products, and building a Rust framework for performant services. Additionally, the engineer will drive AI tool adoption and improve platform observability and resilience.

scala recruiting rust hiring history

APPLY

Medical Review Nurse - Home Health Auditor

Machinify · Full Time · 11 days ago

Machinify

🌎 United States ⭐ 2-5 yrs exp 💼 Finance

Perform medical claims audit reviews specifically for the Home Health sector for government and commercial payers. Document findings based on medical review guidelines and support these findings during the appeals process.

insurance medical-coding medical qa communication training documentation history

APPLY

Medical Director

Machinify · Full Time · 13 days ago

Machinify

🌎 United States ⭐ 5-10 yrs exp 💼 Healthcare

The Medical Director provides clinical leadership and medical oversight for audit programs supporting governmental and commercial payer claims. This includes reviewing medical records, evaluating medical necessity, and ensuring audit findings align with regulatory standards and payer policies.

medical communication reporting training leadership documentation organization history compliance

APPLY

Healthcare Billing Recovery Case Specialist I (SCA)

Machinify · Full Time · 14 days ago

Machinify

🌎 United States 💵 $19 - $20 per hour ⭐ 2-5 yrs exp 💼 Finance

Review account claims and documentation to verify payment liability for Medicare claims paid in error. Communicate with insurance carriers and legal representatives to recapture payments and update client systems with accurate account status.

recruiting insurance customer-service call-center medical medical-billing business-operations communication operations training hiring documentation history medical-terminology compliance

APPLY

Complex Clinical Claims Analyst

Machinify · Full Time · 24 days ago

Machinify

🌎 United States 💵 $100K - $110K per year ⭐ 2-5 yrs exp 💼 Finance

Perform detailed clinical and coding reviews of facility claims to ensure billing accuracy and appropriateness of care. Develop complex claims review content and act as a subject matter expert for client initiatives and internal training.

APPLY

Subrogation Analyst

Machinify · Full Time · 25 days ago

Machinify

🌎 United States ⭐ 2-5 yrs exp 💼 Others

Investigates health insurance claims to identify recoverable funds from liable third parties. Negotiates with insurance adjusters, attorneys, and members while documenting findings and processing recovery payments.

APPLY

DRG QA and Trainer

Machinify · Full Time · a month ago

Machinify

🌎 United States 💵 $85000 - $95000 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 skills and maintain compliance.

APPLY

Claims Administrator

Machinify · Full Time · a month ago

Machinify

🌎 United States ⭐ 0-2 yrs exp 💼 Software Development

The Claims Administrator supports efficient claims processing by reviewing incoming claims, organizing data, and routing files to auditors. They are also responsible for managing import queues, reconciling balances, and monitoring data transfer accuracy.

APPLY

Manager, Medical Review Coding — Behavioral Health

Machinify · Full Time · a month ago

Machinify

🌎 United States 💵 $130K - $140K per year ⭐ 5-10 yrs exp 💼 Healthcare

Oversee the operational results and quality of a remote behavioral health coding audit team. Drive strategy for capacity planning, staffing models, and the development of review guidelines aligned with regulatory requirements.

APPLY

Team Attorney, Subrogation

Machinify · Full Time · a month ago

Machinify

🌎 United States 💵 $80000 - $120K per year ⭐ 0-2 yrs exp 💼 Legal

Provide legal support and guidance to subrogation recovery teams and the General Counsel. Ensure adverse suits are handled appropriately and train analysts on relevant legal statutes and regulations.

APPLY

Staff Data Engineer, Core Migrations

Machinify · Full Time · a month ago

Machinify

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

Lead the end-to-end technical and operational ownership of client migrations, from legacy system analysis to production deployment. Architect and build scalable migration pipelines using Airflow and Spark while ensuring 100% data fidelity.

APPLY

Technical Engineering Manager | COB Product

Machinify · Full Time · a month ago

Machinify

🌎 United States 💵 $230K - $260K per year ⭐ 10+ yrs exp 💼 Others

Lead the engineering team in building a scalable, AI-driven cloud-native solution for Coordination of Benefits (COB). Own the technical roadmap, architecture, and production releases while managing and coaching a team of 5-6 engineers.

APPLY

SQL Prompt Engineer Analyst

Machinify · Full Time · a month ago

Machinify

🌎 United States 💵 $140K - $170K per year ⭐ 2-5 yrs exp 💼 Software Development

Develop advanced SQL and Spark SQL expressions to transform complex healthcare claims data into actionable business insights. Utilize prompt engineering with LLMs like Claude and OpenAI to automate medical record research and clinical case reviews.

APPLY

Medical Review Nurse - CMS/RAC Auditor, Government Audits

Machinify · Full Time · a month ago

Machinify

🌎 United States ⭐ 5-10 yrs exp 💼 Finance

Perform medical claims audit reviews for government clients to ensure services provided are medically appropriate. Document findings, generate audit letters, and collaborate with teams to improve medical policies and workflows.

APPLY

Medical Review Nurse - SNF/MDS Auditor

Machinify · Full Time · 2 months ago

Machinify

🌎 United States ⭐ 5-10 yrs exp 💼 Finance

Perform retrospective and prepayment medical claims audits for Skilled Nursing Facility (SNF) services. Document findings, generate audit letters, and collaborate with clients to improve medical policies and provider education.

APPLY

Medical Review Nurse - Clinical Validation

Machinify · Full Time · 2 months ago

Machinify

🌎 United States ⭐ 2-5 yrs exp 💼 Healthcare

Perform retrospective and prepayment medical claims audits for inpatient settings using established guidelines and policies. Document findings, generate audit letters, and collaborate with the team to identify potential abuse and improve workflows.

APPLY

Sr. Product Manager | Pharmacy Payment Integrity

Machinify · Full Time · 2 months 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.

APPLY

Quality Validation Specialist

Machinify · Full Time · 2 months 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.

APPLY

Sr. Director | Engineering, ML

Machinify · Full Time · 2 months 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.

APPLY

Client Success Leader

Machinify · Full Time · 2 months 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.

APPLY

DMG Data Mining Analyst II

Machinify · Full Time · 2 months 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.

APPLY

Sr/Staff Software Engineer, Fullstack| Product

Machinify · Full Time · 3 months 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.

APPLY

Technical Program Manager

Machinify · Full Time · 3 months 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.

APPLY

Staff Data Scientist | ML

Machinify · Full Time · 3 months 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.

APPLY

Product Marketing Manager

Machinify · Full Time · 3 months 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.

APPLY

Senior Product Manager

Machinify · Full Time · 3 months 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.

APPLY

APC Coding Validation Specialist

Machinify · Full Time · 3 months 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.

APPLY

Nurse Itemized Bill Reviewer (IBR Analyst)

Machinify · Full Time · 3 months 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.

APPLY

Software Architect

Machinify · Full Time · 4 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.

APPLY

Senior Director, Government Business Development

Machinify · Full Time · 4 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.

APPLY

Technical Data Product Manager

Machinify · Full Time · 4 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.

APPLY

Data Scientist | Modeling

Machinify · Full Time · 4 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.

APPLY

Medical Coder [remote]

Machinify · Full Time · 5 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.

APPLY

Senior Software Engineer (Data Platform)

Machinify · Full Time · 5 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.

APPLY

Staff Data Scientist | Fraud / Billing

Machinify · · 5 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.

APPLY

Data Scientist | Clinical AI

Machinify · · 5 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.

APPLY

Staff Data Scientist | Modeling

Machinify · · 5 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.

APPLY

NLP Scientist

Machinify · · 5 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.

APPLY

Staff Software Engineer | GenAI & Agentic Workflows

Machinify · · 5 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.

APPLY

Staff Frontend Engineer | Web Apps & Platform

Machinify · Full Time · 6 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.

recruiting architecture excel product-development computer-science hiring science history

APPLY

Staff Software Engineer, Backend | Web Apps

Machinify · Full Time · 6 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.

sql recruiting java rust architecture computer-science leadership hiring science history

APPLY

Senior Content Analyst (Claims editing)

Machinify · Full Time · 6 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.

recruiting editing hiring history

APPLY

DRG Reviewer

Machinify · Full Time · 6 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.

recruiting medical leadership hiring documentation history compliance

APPLY