---
title: 'Data Mining Auditor at Machinify'
canonical: 'https://feeny.ai/job/data-mining-auditor-machinify-united-states-ary6fc23cah9'
type: 'job'
last_seen: '2026-11-04'
---

# Data Mining Auditor at Machinify

- **Company:** Machinify
- **Location:** United States
- **Work type:** remote
- **Posted:** 2026-10-28
- **Last confirmed live:** 2026-11-04
- **Apply:** https://job-boards.greenhouse.io/machinifyinc/jobs/4470749009

## Job description

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. Deployed by over 85 health plans, including many of the top 20, and representing more than 270 million lives, Machinify brings together a fully configurable and content-rich, AI-powered platform along with best-in-class expertise. 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 an Auditor for pre and/or post pay data mining to conduct claims audits on behalf of Machinify’s customers. In addition, the Auditor will assist in product testing, quality enhancements, and related tasks to ensure customer satisfaction.

The ideal person for this role has a strong background in healthcare claims auditing, claims processing and coding, and a high level of understanding of payment guidelines for CMS and commercial payers.

What You’ll Do:

- Conduct comprehensive reviews of pre and post pay claims using any and all available resources, including but not limited to, claims data and client adjudication systems, payment guidelines and compliance with regulatory requirements, contract, pricing systems, medical records, authorizations, etc.
- Serve as a claims billing and payment expert, and resource for the data teams and other departments.
- Develop and refine reimbursement policies and procedures in collaboration with the team.
- Remain updated with the latest billing guidelines and regulations.
- Achieve the expected level of accuracy and quality set by the audit for the auditing concept, for valid claim identification and documentation.
- Additional responsibilities as assigned or needed to support the business.

What You Bring:

- 3-5 years of relative experience.
- Ability to review payment information against Medicare and payer billing guidelines to make determinations relating to the appropriateness of payments.
- Experience or certification in coding/billing is helpful.
- Ability to meet deadlines.
- Willingness and ability to do whatever is necessary to accomplish workload demands
- Delivery of high-quality work is critical.
- Strong attention to detail; investigative and deductive reasoning skills are a must.
- Must be able to make decisions and conclusions when working with limited information using reference materials and strong problem-solving skills.
- Must be proficient in Excel, Word, Gmail, Google Sheets, Slack, etc.
- Able to work in a fast-paced environment and adapt to rapid change and growth.

Preferred Experience:

- Post-Pay data mining auditing experience
- Pre-Pay data mining experience
- Payer auditing experience

What We Offer:

- 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

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.

Pay range: $85,000

## Equal Employment Opportunity at Machinify

We are committed to equal 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. We are proud to be an equal opportunity workplace. 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. If you require a reasonable accommodation to complete any part of the application or recruitment process, please let our recruiters know. See our Candidate Privacy Notice at: https://www.machinify.com/candidate-privacy-notice/

## About Machinify

## Company Overview

- **One-liner**: Machinify uses artificial intelligence (AI) to improve healthcare payment integrity, reducing costs and ensuring accurate claims processing for health plans.
- **Entity Type**: Private (Acq – Fin stage; investors include New Mountain Capital, Matrix Partners, Battery Ventures, GV)
- **Headquarters**: Palo Alto, California, United States
- **Founded**: 2015 (per CBInsights) or 2016 (per Built In)
- **Founders**: Not publicly available from provided sources

## Core Business

- **Primary industry**: Healthcare IT – Payment Integrity & Analytics
- **Target customers**: B2B, serving health plans (commercial, Medicare, Medicaid) – 85+ customers including 18 of the top 20 health plans
- **Mission/purpose**: “Reshaping healthcare payment through seamless intelligence” – improving performance and affordability for the entire healthcare ecosystem

## Products & Services

- **AI Operating System for Payment Integrity**: A platform that includes foundation models trained on billions of healthcare data points, a unified data layer (claims, medical records, contracts, policies), task‑specific intelligent agents, and feedback loops for continuous improvement.
- **Payment Integrity Solutions**: Products cover the full spectrum of payment integrity interventions (e.g., DRG review, outpatient audit, subrogation, specialty recovery, claims editing). Deployment models include fully insourced, hybrid, or fully managed.

## Market Standing

- **Valuation / Market Cap**: Not disclosed
- **Key Metric**: Total funding $10.68M (latest round: Acq – Fin; investors include New Mountain Capital, Matrix Partners, Battery Ventures, GV, Paycheck Protection Program, and others)
- **Notable Investors/Partners**: New Mountain Capital, Matrix Partners, Battery Ventures, GV (Google Ventures)
- **Growth Signals**:
  - 85+ customers, including 18 of the top 20 health plans
  - Covers 270M member lives across commercial, Medicare, and Medicaid
  - Over $6B in annual cost avoidance and recoveries realized
  - Currently posting ~48 open roles on Greenhouse (as of search date)

## Competitive Advantages

- **AI‑native platform** trained on billions of healthcare data points, combining foundation models, unified data, and task‑specific agents for high‑precision results
- **Deep domain expertise** – the team brings 40+ years of combined experience in healthcare payment accuracy
- **Flexible deployment** (insourced, hybrid, fully managed) adapts to customer strategy
- **Proven scale** (270M member lives, top health plans) demonstrates trust and effectiveness

## Strategic Focus

- **Expanding payment integrity interventions** across the full care continuum (commercial, Medicare, Medicaid)
- **Continuous improvement** through human‑in‑the‑loop feedback loops
- **Investing in AI safety and transparency** while scaling platform capabilities

## Why Work Here

- **Culture**: Values-driven (Think Big, Be Humble, Deliver Results, Ask Why, Optimize for Customer Impact); transparent, collaborative environment
- **Work model**: Fully remote roles available (US‑based), with some roles requiring onsite presence in Palo Alto, La Grange (KY), or Hendersonville (TN). Hybrid schedules are also supported.
- **Technology stack**: Rust, machine learning, large language models, data engineering, cloud processing
- **Career opportunities**: Open positions across Engineering (Rust, Frontend, Backend, Fullstack, Platform), Data Science (NLP, Modeling, Agentic Systems), Product Management, Operations, Clinical & Coding Auditors, and more
- **Perks**: Mission‑driven work with direct impact on healthcare affordability; strong emphasis on accountability and trust

> **Note**: Machinify warns of active hiring scams – legitimate communications always come from official company email addresses and never require payment.

## Sources

1. [machinify.com](https://www.machinify.com/) – Company overview, products, mission
2. [machinify.com/careers](https://www.machinify.com/careers/) – Culture, values, work model
3. [job‑boards.greenhouse.io/machinifyinc](http://job‑boards.greenhouse.io/machinifyinc) – Current job listings (48 roles)
4. [cbinsights.com](https://www.cbinsights.com/company/machinify) – Funding, stage, investors, headquarters, founding year
5. [builtin.com](https://builtin.com/company/machinify) – Office locations, employee count (96), remote/hybrid policy, technology stack

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