Jobs at Machinify

Review facility claims and medical records to determine billing, coding, and clinical appropriateness per client policy and industry guidelines. Research policies, identify experimental/Do Not Bill/HAC charges, analyze medications and itemized bills, develop review content and references, support client initiatives and appeals, train staff, and meet productivity and accuracy targets.

Investigate health insurance claims to identify recoverable losses from third parties, document findings in systems, negotiate with members/adjusters/attorneys, review contracts, prepare expense spreadsheets, and process recovery payments.

As a Nurse Itemized Bill Reviewer, you'll assess facility insurance claims for accuracy, ensuring compliance with client policies and industry standards, and enhancing claim processing efficiency.

As a Technical Program Manager, you will oversee software development projects, coordinate cross-functional teams, manage schedules, and ensure project delivery while communicating with stakeholders.

As a Claims Administrator, you will support claims processing, ensure data accuracy, handle incoming claim reviews, and facilitate claims routing, while collaborating with internal teams.

The Forward Deployed Engineer will work with customers to identify and solve problems, build solutions using an AI-powered platform, and advocate for product changes based on customer feedback and production outcomes.

As a Staff Data Scientist, you will lead initiatives to build and optimize machine learning models, collaborate across departments, and solve complex business problems using data.

The Software Architect will design and implement intelligent document processing and agentic evaluation frameworks, leading architectural direction and coding in Python and Scala/Java.

The Product Marketing Manager will support messaging and positioning, develop customer insights, create marketing assets, assist in product launches, and enable sales efforts.

Design and build scalable web applications, collaborate on product direction, and implement complex systems using ML techniques, ensuring software quality.

Own end-to-end client data migrations: reverse-engineer legacy ETL, design and build Airflow DAGs and Spark jobs, validate and reconcile data at scale, document architecture and decisions, and coordinate cross-functional teams through go-live and hypercare.

The Senior Director leads government business development, focusing on federal and state markets, driving contract wins and building strategic partnerships. Responsibilities include managing the business development pipeline, influencing policy, and representing the company at industry events.

Lead a 5-6 person engineering team to build a cloud-native, AI-driven Coordination of Benefits product. Own architecture, roadmap, production releases, hiring, coaching, and engineering standards. Collaborate with product, ML, UX, QA, and operations to design rules engines, claims pipelines, and scalable secure systems for regulated healthcare data.

The Sr. Product Manager will oversee the transformation of pharmacy payment integrity through AI automation, design workflows, and collaborate with teams to enhance customer-facing analytics and operational processes.

The Senior Technical Data Product Manager will oversee the data product roadmap, collaborating with data engineering and architecture teams. Responsibilities include assessing legacy systems, developing product roadmaps, driving cross-functional deliveries, and ensuring technical requirements are met, aiming for swift execution and measurable impact.

Lead and grow the AI/ML Engineering team, manage core AI/ML platform development, ensure production-grade service operational excellence, and develop product strategies.

The Data Scientist will build machine learning models to enhance claim audits, optimize performance, and improve healthcare decision-making by analyzing complex data sets.

As a Staff NLP Scientist, you will solve complex medical document understanding problems using NLP and Computer Vision, optimizing models for performance and scalability.

The DRG Manager will manage clinical solutions, oversee claims reviews, lead the DRG team, and ensure compliance with healthcare payment methodologies and regulatory requirements.

As a DRG Reviewer, you will conduct DRG payment validation reviews, assess medical records, document findings, and ensure compliance with payment standards.