Machinify

Data Analyst

• Design and implement transformations converting raw medical and institutional claims into Machinify’s canonical models
• Apply healthcare coding standards throughout claims transformation
• Audit, troubleshoot, and resolve data-quality and completeness issues
• Write SQL and Spark SQL queries to validate pipeline output end-to-end
• Develop expertise in Machinify’s platform from data ingestion through claims adjudication
• Identify overpayment patterns, coordination-of-benefits issues, and billing-edit opportunities
• Apply payer policy, CMS regulations, and provider reimbursement methodologies
• Drive AI adoption by prompting and iterating with LLMs
• Identify manual processes suitable for automation and contribute to AI-assisted pipeline development
• Support onboarding of new client data feeds and document transformation logic and lineage
• Partner with data engineers, data scientists, clinical staff, and product managers on scalable data solutions
• Collaborate with data scientists on advanced analytics and machine-learning use cases
• Serve as subject-matter expert on claims coding, adjudication rules, and payer policy
• Mentor analysts and engineers and advise stakeholders on risk, trends, and business impact

Senior Healthcare Data Analyst

Customer Support

• Provide clerical support, including copying, filing, document and mail processing, basic data entry, phone calls, and operating general office equipment
• Process incoming correspondence, including posting payments by check, EFT, and debit/credit card
• Contact insurance carriers and healthcare providers by phone to gather payment information
• Enter data into various applications and systems for applicable workflows
• Perform assigned tasks accurately and efficiently while following company, department, client, regulatory, contractual, and other standards
• Meet or exceed quality, productivity, and assigned goals/objectives
• Obtain and maintain client clearances for system and record access as required
• Complete assigned training and apply the learned knowledge appropriately
• Complete other assigned tasks to meet business needs

Client Services Operations Support Representative I

Analytics Engineer

• Run discovery with business stakeholders and turn needs into buildable acceptance criteria
• Model noisy healthcare operational data into certified dimensional models across Databricks bronze-to-silver-to-gold architecture using dbt and SQL
• Own governed metric definitions and consolidate business logic into a semantic layer
• Build and own Power BI semantic models, dashboards, and paginated reports
• Monitor refresh health and semantic-model currency
• Own model observability, including freshness and latency detection, statistical anomaly detection, value-drift monitoring, data tests, regression guards, and CI checks
• Design and manage dbt Cloud jobs and Airflow DAGs, scheduling, dependencies, and incremental runs
• Create design documents, model documentation, a CI-enforced knowledge base, and business-readable handoff materials
• Automate recurring work through repeatable, testable, AI-assisted workflows
• Collaborate directly with finance, operations, and client-facing teams
• Support a governed semantic layer for a healthcare payment integrity business

Senior Data Engineer – Analytics

Claims Specialist

• Monitor incoming claim notifications and ensure all required documents are complete and legible
• Verify required submission documents are present and legible
• Perform initial claim setup, accurately enter data, and assign correct claim statuses
• Perform initial analysis of client-submitted claims, EOBs, bills, policies, correspondence, and other documents
• Combine and extract claim documents when needed
• Copy combined files and rename them according to policy and procedures
• Enter UB04 data information for analysts
• Transfer claim documents to Document Management and IBR departments
• Create appeal letters and return them to clients
• Analyze client-provided coversheets for correct reimbursement
• Adjust the system to reflect correct reimbursement and savings
• Escalate problematic claims to the Lead of Claim Processing
• Notify the Lead of Claim Coordinator when documents are missing or illegible
• Maintain compliance with HIPAA and other security requirements
• Perform other duties as assigned

Senior Healthcare Data Analyst

Client Services Operations Support Representative I

Senior Data Engineer – Analytics

Claims Coordinator