Machinify
Senior Healthcare Data Analyst
Remote - US · Senior
Sponsorship not specifiedDetected 1 day ago
SQLMachine LearningSparkData EngineeringData ScienceLLMsICD-10LeadershipMentoring
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odds of building a lasting career here
40Risky
Cap-exempt (no lottery)0
Sponsors this role90
Entry-level history0
PERM / green-card track0
Lottery odds40
Fits your clock70
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About the role
- Machinify is rebuilding how health plans audit and pay claims - at scale, with AI.
- Analyst you will sit at the intersection of domain expertise and data engineering:
- translating raw claims feeds into trusted canonical models, driving payment integrity insights, and serving as the internal expert on how claims flow through adjudication.
Responsibilities
- Data quality & pipeline validation - Perform detailed audits to detect, troubleshoot, and resolve issues impacting accuracy and completeness
- write SQL and Spark SQL queries to validate pipeline output end-to-end.
- Platform expertise - Develop deep working knowledge of Machinify's platform-from data ingestion through claims adjudication-so that analytical solutions are accurate, traceable, and business-aligned.
- AI-assisted workflows - Actively drive AI adoption: prompt and iterate with LLMs to accelerate analysis, identify manual processes ripe for automation, and contribute to AI-assisted pipeline development.
- Client onboarding - Support onboarding of new client data feeds, ensuring smooth integration with minimal disruption and clear documentation of transformation logic and lineage.
- collaborate with data scientists to enable advanced analytics and ML use cases.
- Data quality & pipeline validation - Perform detailed audits to detect, troubleshoot, and resolve issues impacting accuracy and completeness; write SQL and Spark SQL queries to validate pipeline output end-to-end.
Requirements
- Familiarity with CMS regulations and commercial payer guidelines as they apply to claims adjudic
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.
- This role is for someone who knows healthcare data cold and is excited to pair that knowledge with modern AI tooling to move faster and build smarter.
- As a Senior Healthcare Data
- Payment integrity - Identify overpayment patterns, COB issues, and billing edit opportunities by applying expertise in payer policy, CMS regulations, and provider reimbursement methodologies.
- Cross-functional partnership - Partner with data engineers, data science, clinical staff, and product managers to translate complex healthcare requirements into scalable data solutions
- Bachelor's degree in Business, Computer Science, Health Informatics, or a related field.
- 5+ years working directly with healthcare claims data - 837 EDI, encounter data, medical billing - ideally at a health plan, payment integrity vendor, or healthcare analytics firm.
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This listing is sourced directly from Machinify's careers page and normalized into a canonical job model.