Jobs at Machinify

Develops, maintains, tests, and optimizes healthcare payment integrity audit concepts across government and commercial claims. Reviews coding, reimbursement, regulatory, medical necessity, and payer policy requirements; analyzes claim and concept performance; supports QA, documentation, training, workflow improvements, and client inquiries. Collaborates with clinical, coding, operations, technology, and client services teams while mentoring subject matter experts and managing concurrent workflows.

Own the analytics data layer by translating stakeholder needs into certified dimensional models, governed metrics, semantic layers, dashboards, and reports. Build with dbt, SQL, Databricks, Power BI, and Airflow while ensuring data quality, observability, reconciliation, documentation, and dependable orchestration. Partner closely with finance, operations, and client-facing teams, automate recurring workflows, and use AI-assisted engineering practices in a fully remote environment.

Manage software engineering programs from requirements through production delivery. Coordinate cross-functional dependencies across engineering, data science, data engineering, DevOps, product, and external stakeholders. Track schedules, milestones, risks, critical paths, resourcing, quality, and release commitments. Improve engineering processes, identify delivery gaps, facilitate resolution, and ensure successful end-to-end product execution in a fast-paced environment.

Processes healthcare claims by reviewing and verifying documents, entering claim and UB04 data, assigning statuses, routing files, preparing appeal letters, adjusting reimbursement information, and escalating issues. The role requires accurate data entry, document management, attention to detail, and compliance with HIPAA and security standards while collaborating with internal teams and clients.

Manages client, compliance, and performance reporting across healthcare programs using eligibility and claims data. Leads reporting analysts while remaining hands-on with advanced SQL, dashboards, data crosswalks, validation, reconciliation, root-cause analysis, and data-quality monitoring. Partners with data engineering and clients to resolve upstream issues, establish reporting standards, and guide the analytics roadmap.

Design user-centered solutions for complex healthcare intelligence products through research, ideation, wireframing, prototyping, documentation, and design-system development. Collaborate with product managers, engineers, and domain experts to support implementation, maintain consistency, and improve user experiences. The role requires strong UX/UI expertise, analytical problem-solving, communication, adaptability, and more than six years of experience.

Manage document workflows, process and quality-check incoming claims, assign statuses, route files, reconcile balances, validate charges, resolve discrepancies, and perform itemized bill data entry. Monitor file intake, output, and file-sharing accuracy; report system issues through service tickets; analyze document and claims trends; and communicate operational updates across teams. The role requires strong attention to detail, organization, analytical thinking, and proficiency with office and document-management tools.

Senior backend engineer responsible for setting technical direction, designing scalable distributed systems, building customer-facing web applications, mentoring engineers, and applying machine learning to large-scale healthcare data. The role requires Java, Scala, or Rust expertise, cloud systems experience, technical design leadership, cross-functional collaboration, and adoption of agentic engineering practices.

Manages a remote Complex Clinical Bill Review team, overseeing staffing, productivity, quality, SLAs, client communication, audits, appeals, training, and performance reviews. Analyzes workflows and business requirements, coordinates JIRA enhancements and UAT, supports process improvements, and identifies cost-saving opportunities. Ensures adherence to clinical review standards, policies, regulations, and training requirements while collaborating with Operations, Client Success, IT, and development teams.

Design, build, and operate production data pipelines using Python, Spark SQL, and Airflow. Canonicalize healthcare and customer data into trusted internal models, optimize distributed processing, enforce schemas, and implement quality checks and observability. Support customer onboarding, streaming pipelines, troubleshooting, on-call operations, and platform best practices while collaborating with product, analytics, engineering, data science, and customer teams.

Supervises remote clinical audit staff and manages audit quality, productivity, inventory, staffing, and service-level performance. Performs clinical audits and quality assurance reviews, resolves rebuttals, supports appeals, identifies cost-saving opportunities, and ensures adherence to medical review guidelines. Provides coaching, training, performance management, reporting, and operational support while collaborating with management, HR, clients, and other departments. Requires nursing licensure, extensive healthcare claims and coding expertise, medical record auditing experience, and supervisory leadership.

Lead and transform the QA function for an AI-accelerated software organization. Define technical quality strategy, CI/CD gates, test-data approaches for PHI, and automation across unit, integration, and end-to-end testing. Build and grow a high-performing quality engineering team, set release standards and exit criteria, integrate AI/LLM evaluation with MLEs, and provide auditable metrics for leadership and regulators.

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

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

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.

Staff-level platform engineer to improve and scale inherited Scala systems, redesign data layers for ML/AI, build a Rust service framework, enhance observability and resilience, shape developer tooling and standards, and work across JVM, Rust, Python, SQL, and Spark.

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.

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.