Machinify

4 open remote positions

Machinify is a healthcare intelligence company that delivers value, transparency, and efficiency to health plan clients across the US. Deployed by over 85 health plans and representing more than 270 million lives, the company combines an AI-powered platform with industry expertise to maximize financial outcomes and reduce healthcare costs.

Salary Distribution 3 of 4 jobs

PTO Distribution 3 of 4 jobs

Unlimited PTO 3 jobs (75%)

Benefits Overview 3 of 4 jobs

401(k) (3) Dental (3) Medical (3) Vision (3) Equity (1) Unlimited PTO (1)

Open Positions

$140,000–$170,000/yr
US Unlimited PTO

  • Convert raw medical claims (837 EDI, UB-04, CMS-1500) into canonical models applying healthcare coding standards.
  • Perform data quality audits and write SQL/Spark SQL queries to validate pipeline output and detect overpayment patterns.
  • Act as SME on claims coding, adjudication rules, and payer policy, mentoring analysts and collaborating with cross-functional teams.

$115,000–$130,000/yr
US Unlimited PTO

  • Oversee the Complex Clinical Bill Review team, managing production expectations, SLAs, client communication, and team performance.
  • Analyze and track internal business requirements, continuously evaluate functionality across programs, and perform requirements gathering to solve process issues.
  • Monitor team performance metrics, identify growth opportunities, and coordinate system enhancements including JIRA and UAT testing.