Machinify
Data Mining Sr. Analyst
US · Senior
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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 is a hands-on healthcare domain role, not a technical or engineering position.
- The ideal candidate understands reimbursement logic, payment policies, and provider contracts in depth - and can translate that expertise into clear, structured concepts that inform analytics and automation efforts.
Responsibilities
- Support quality review, concept validation, and process improvement initiatives.
Requirements
- Strong knowledge of claims processing, coding, billing, and payment logic across CMS and commercial payers.
- Proven ability to identify improper payment patterns, root causes, and opportunities for correction.
- We participate in E-Verify as required by applicable law.
- 5+ years of experience in healthcare data mining or claims editing on the provider, payer, or vendor side.
- Deep understanding of provider contracts, including rate structures, carve-outs, and reimbursement methodologies.
- Strong investigative and deductive reasoning skills
- able to connect policy, data, and contractual details.
- Comfortable working in close collaboration with technical teams to guide implementation of business logic.
- Self-directed, detail-oriented, and adaptable to a fast-paced, growing environment.
Nice to have
- Coding certification (e.g., CPC, CCS, or equivalent).
- Working proficiency in SQL for data exploration and validation.
- Work from anywhere in the US!
- Machinify is digital-first.
Compensation
- $125,000 - $135,000
- 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.
Benefits
- 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
- 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.
- Machinify is seeking a Senior Analyst to lead the development and refinement of new reimbursement and payment integrity concepts.
Company info
- What We Offer: - Work from anywhere in the US!
- 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.