Machinify is seeking an Auditor for pre and/or post pay data mining to conduct claims audits on behalf of Machinify’s customers. In addition, the Auditor will assist in product testing, quality enhancements, and related tasks to ensure customer...
Please read the description and requirements carefully. This role requires specific MDS experience, so if you do not have that experience then please consider applying for one of our other Medical Review Nurse roles, which may be a better fit for...
The Client Services Operations Support Representative I is responsible for providing clerical support and efficient processing of high-volume transaction-oriented assignments for Performant’s Healthcare Eligibility and Recovery Services business...
We’re looking for a detail-driven Print Operations Technician to join our team! In this hands-on, on-site role, you’ll run the high-volume printing and inserting equipment that delivers member and client correspondence for health plans nationwide...
The Finance Operations Analyst is a full-time member of the Finance team at Machinify. You’ll prepare the recovery and operational reports we submit to clients, process client fee payments, reconcile client trust accounts, and help design and...
We are seeking a Sr Director of Data Mining Ideation to lead and scale the team that turns data mining and audit-support work into accurate, actionable findings on improper payments. As the Sr. Director, you will own day-to-day delivery, the...
The Medical Review Nurse II - Commercial DME primarily performs medical claims audit reviews. As a MR Nurse, you will join a team of experienced medical auditors and coders performing retrospective and prepayment audits on claims for Government...
As part of the Complex Payment Solutions (CPS) Team, the Audit Policy Analyst, Post-Acute Services serves as the subject matter expert for durable medical equipment (DME), home health, and home infusion therapy claims across government and...
Machinify is seeking a Senior Analyst to lead the development and refinement of new reimbursement and payment integrity concepts. This is a hands-on healthcare domain role, not a technical or engineering position. The ideal candidate understands...
About the Opportunity We’re seeking a skilled IBR Policy and Content Development Analyst to join our team! You will be responsible for the development, enhancement, and performance of clinical and coding solutions. This role serves as the primary...
The Director, Client Success role is responsible for overall management and service delivery of assigned customers and projects, including customer satisfaction and financial results. Manage full range of project life cycle (Initiate, Plan...
About the Opportunity Machinify is redefining Payment Integrity through smarter technology, richer data, and intelligent automation. We are seeking a claims editing content expert to help build the next generation of editing content and make...
About the Opportunity Machinify is redefining Payment Integrity through smarter technology, richer data, and intelligent automation. We are seeking a claims editing content expert to help build the next generation of editing content and make...
About the Opportunity Machinify is redefining Payment Integrity through smarter technology, richer data, and intelligent automation. We are seeking a claims editing content expert to help build the next generation of editing content and make...
The Medical Review Nurse - CMS / RAC (Government Audits) primarily performs medical claims audit reviews for government clients. As a MR Nurse, you will join a team of experienced medical auditors and coders performing retrospective and...
Position Summary The Leave of Absence Manager owns end-to-end administration of all employee leave programs — including FMLA, state-specific leaves (e.g., Pregnancy Disability Leave, domestic violence/safe leave, state paid family and medical...
The Role We are hiring an Assistant General Counsel to own how AI, data, and related IP terms are drafted and negotiated across our commercial agreements. You will report to the Deputy General Counsel and partner with them on the full commercial...
The Opportunity Machinify is redefining Payment Integrity through smarter technology, richer data, and intelligent automation. We are seeking a physician leader to help build the next generation of claims editing and make healthcare payments more...
About the Role Machinify is rebuilding how health plans audit and pay claims — at scale, with AI. As a Senior Healthcare Data Analyst you will sit at the intersection of domain expertise and data engineering: translating raw claims feeds into...
The Client Services Operations Support Representative I is responsible for providing clerical support and efficient processing of high-volume transaction-oriented assignments for Performant’s Healthcare Eligibility and Recovery Services business...
As a Senior Data Engineer (Analytics) you own the layer where messy operational data becomes a number a business leader will act on. You’ll sit with the people who run our business, learn how the work actually happens, and turn that into...
About the Opportunity The Director, Business Operations & Strategy sits in the Office of the Chief Transformation Officer and works directly with the Chief Executive Officer. The role turns executive strategy into finished material and closed...
We're hiring for a Senior Backend Engineer to join our Audit product team! Our Culture @ Machinify We embrace complex challenges with curiosity, having genuine interest and drive to understand the hard problems at hand and how to move the needle...
About the Opportunity The ideal candidate leverages their nursing background, deep knowledge of clinical review, and experience leading others to manage staff and operational results for a remote team of nurses and other audit roles, performing...
The Training Specialist, Medical Review Audit – Clinical RN owns the design, development, and delivery of post acute training programs for clinical audit staff specializing in Inpatient Psychiatric Facility (IPF), Inpatient Rehabilitation...
About the Opportunity At Machinify, we’re constantly reimagining what’s possible in our industry—creating disruptively simple, powerfully clear ways to maximize our clients’ financial outcomes today and drive down healthcare costs tomorrow. As...
We're hiring for a Staff and Senior Backend Engineer to join our Pay and Audit product teams! Our Culture @ Machinify We embrace complex challenges with curiosity, having genuine interest and drive to understand the hard problems at hand and how...