Machinify

DRG Manager

Remote - US · Staff+

Sponsorship not specified$125k-$140kDetected 16 days ago

Data AnalysisAuditingResearchLeadershipCommunicationProblem Solving

About the role

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.
This role requires expertise in healthcare payment methodologies and audit and review criteria to target key claims for review and recovery.
Machinify is an employment at will employer.

Team Leadership: Lead the DRG team by providing guidance, counsel, and development plans to ensure long-term retention and professional growth of DRG staff.
Operational Oversight: Manage scheduling, reporting to management, issue resolution, and execution of plans.
Analytical Problem-Solving: Demonstrate analytical skills to identify problems and trends, develop solutions, and implement action plans.
Policy and Process Development: Develop departmental policies, processes, and training standards.
Support and Evidence: Provide internal and external partners with evidence and references supporting industry standards, auditing guidelines, and review stances.
Solution Development: Collaborate with a multi-disciplinary team to suggest solution development, including operations, product, data analytics, and technology.
Program Deployment: Design and deploy effective programs/solutions to identify and correct claims with aberrant results, providing feedback to resolve root causes.
Other Duties: Perform other duties as assigned.

$125,000-$140,000 USD, plus annual bonus.
Equal Employment Opportunity at Machinify
Machinify is an employment at will employer.
We participate in E-Verify as required by applicable law.
In accordance with applicable state laws, we do not inquire about salary history during the recruitment process.
Competitive salary, 401(k) with company match
The salary for this position is based on an array of factors unique to each candidate: Such as years and depth of experience, set skills, certifications, etc.

Top Medical/Dental/Vision offerings
Tuition reimbursement
Additional health and wellness benefits and perks
Flexible and trusting environment where you'll feel empowered to do your best work
Salary is one component of the total compensation package, which includes meaningful equity, excellent healthcare, flexible time off, and other benefits and perks.

We are hiring for different levels, and our Recruiting team will let you know if you qualify for a different role/range.

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.

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.