Machinify
Lead Medical Director - Claim Editing
US · Director
Stay score
odds of building a lasting career here
Thin sponsorship signal and lottery-bound. A low-probability bet with your clock running. Prioritize cap-exempt roles and proven entry-level sponsors first.
Lottery odds assume a STEM candidate.
Personalize to your clock →Employer immigration record
from this employer's Department of Labor filings
Files H-1B transfers
Sourced from Department of Labor LCA, PERM and prevailing-wage disclosure data. Employer matching is by name, so figures may be split across an employer's legal entities. Absence of a filing means none appears in our copy of the data, not that none exists.
Community outcomes
No reports yet — be the first to help the next applicant.
About the role
- Machinify is redefining Payment Integrity through smarter technology, richer data, and intelligent automation.
- The ideal candidate brings deep clinical and coding expertise, claims-editing or Payment Integrity experience, and a mindset focused on:
- "What is possible with AI?" rather than "What are we comfortable with?"
Responsibilities
- Lead clinical editing strategy and governance
- Use claims data and production results to validate opportunities, evaluate performance, and guide content priorities.
- Partner with Operations and client teams to identify and address gaps between expected and actual performance.
- Partner with Product, Engineering, Coding, Operations, and Data Science to build, test, and scale clinical content.
- You will identify opportunities, validate clinical concepts, evaluate performance, and ensure edits are evidence-based, defensible, measurable, and scalable.
- This is a build-and-scale role at the intersection of clinical medicine, coding, Payment Integrity, data science, product development, and AI.
Compensation
- In accordance with applicable state laws, we do not inquire about salary history during the recruitment process.
Benefits
- Machinify is a leading healthcare intelligence company with expertise across the payment continuum, delivering unmatched value, transparency, and efficiency to health plan clients across the country.
- We're constantly reimagining what's possible in our industry, creating disruptively simple, powerfully clear ways to maximize financial outcomes and drive down healthcare costs.
- We are seeking a physician leader to help build the next generation of claims editing and make healthcare payments more accurate and affordable.
- As Lead Medical Director - Claims Editing, you will lead clinical development and governance of editing content.
- Translate clinical, coding, reimbursement, and regulatory developments into actionable editing concepts.
Company info
- We are proud to be an equal opportunity workplace.
- If you require a reasonable accommodation to complete any part of the application or recruitment process, please let our recruiters know.
Visa & Work Authorization
- al employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender, gender identity or expression, or veteran status
This listing is sourced directly from Machinify's careers page and normalized into a canonical job model.