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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in client relationship management and operational implementation within the healthcare sector, with a strong focus on payment integrity and compliance. Proficient in project management and effective communication, ensuring successful client engagement and satisfaction.
Highest-signal resume keywords
Client Relationship ManagementHealthcare Payment IntegrityProject ManagementRegulatory Compliance KnowledgeMS Office Suite Proficiency
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Healthcare ExperienceClaims Lifecycle KnowledgeMeeting FacilitationData AnalysisTraining Program Development
Soft Skills
Excellent Communication SkillsInterpersonal SkillsPresentation SkillsSelf-StarterCollaborative Teamwork
Tools & Technologies
SaaS Claims PlatformsConcept-Based Payment Integrity ProgramsSentinel Performance Reporting
Certifications & Qualifications
Professional Coder Certification (CPC, CPC-A, CCA, CCS, CCS-P, RHIT, RHIA)
Industry Keywords
CMS GuidelinesMedical Payment PolicyHealth Plan OperationsClient SatisfactionRevenue Retention
About the role
Key responsibilities & impact- Coordinate the cross-functional client team and drive plan achievement, revenue retention, client satisfaction, and growth across Machinify’s Payment Integrity product suite.
- Serve as the primary client contact and trusted advisor for client operational representatives.
- Build and sustain client relationships, identify client needs, and surface potential issues proactively.
- Collaborate with the Client Success Team on client strategic plans and lead tactical execution.
- Promote Concept adoption and acceleration through organization, communication, and project management.
- Identify and communicate cross-product opportunities across Machinify’s Payment Integrity platform.
- Manage operational implementation and execution of client payment policy decisions across Operations, Product, Appeals, Production, and Technical teams.
- Coordinate and manage joint client and internal meetings, including scheduling, facilitation, agendas, materials, minutes, action items, and logistics.
- Maintain accurate client documentation in Machinify’s client library.
- Manage internal and external client initiatives and joint projects, including Concept rollouts and platform enhancements.
- Monitor Concept and Sentinel performance, analyze monthly reports, investigate data anomalies, and develop action plans.
- Provide client testing support for operational and Concept-related initiatives.
- Maintain escalation plans and monitor file processing and Concept scoring statistics.
- Provide or coordinate production reporting, surface insights and trends, and develop recommendations.
- Identify client education needs and develop and deliver client training programs.
- Manage client inquiries and triage them across internal teams.
- Participate as an operational subject matter expert in Payment Integrity initiatives.
- Complete special projects and other assigned duties.
Requirements
What you’ll need- Bachelor's degree or higher preferred, or equivalent experience, required.
- Knowledge of CMS guidelines and other regulatory compliance guidelines and mandates, and medical payment policy.
- 4+ years of related healthcare experience with strong knowledge of health plan operations and the claims lifecycle.
- 4+ years of experience in client relationship management or consulting, interacting with various roles and levels, with a strong focus on the healthcare setting.
- 4+ years of project or team management experience, including meeting facilitation and follow-through on deliverables.
- Highly proficient in MS Office Suite: Excel, Word, and PowerPoint.
- Excellent written and verbal communication and interpersonal skills.
- Strong presentation skills; prior experience delivering training classes is a plus.
- Demonstrated success in developing strong, trust-based professional relationships with clients across multiple roles and levels.
- Self-starter with the ability to work well independently and a track record of successful outcomes within a collaborative team environment or matrix structure.
- Professional coder certification (CPC, CPC-A, CCA, CCS, CCS-P, RHIT, or RHIA) not necessary but a plus.
- Prior experience working with a healthcare payment integrity or claims analytics platform.
- Familiarity with Concept-based payment integrity programs, Sentinel performance reporting, or similar SaaS claims platforms is a plus.
- Travel requirement up to 10%.
Benefits
Comp & perks- Work from anywhere in the US! Machinify is digital-first.
- Top Medical/Dental/Vision offerings
- FSA/HSA
- Tuition reimbursement
- Competitive salary
- 401(k) with company match
- Additional health and wellness benefits and perks
- Flexible and trusting environment where you’ll feel empowered to do your best work
