---
title: 'Manager, Itemized Bill Review (Healthcare) at Machinify'
canonical: 'https://feeny.ai/job/manager-itemized-bill-review-healthcare-machinify-united-states-b18ppqhg5fg7'
type: 'job'
last_seen: '2026-09-09'
---

# Manager, Itemized Bill Review (Healthcare) at Machinify

- **Company:** Machinify
- **Location:** United States
- **Work type:** remote
- **Posted:** 2026-09-02
- **Last confirmed live:** 2026-09-09
- **Apply:** https://job-boards.greenhouse.io/machinifyinc/jobs/4393375009

## 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.

## About the Opportunity

The ideal candidate is responsible for monitoring all day to day operations of the Itemized Bill Review team, collaborating across departments to ensure all SLA’s are met, and managing all routine client communication. They will coordinate with the Director, Itemized Bill Review to evaluate progression of team results, recommend process improvement solutions, and escalate any necessary issues to leadership.

## What You’ll Do

- Oversee the Itemized Bill Review (IBR) team, managing production expectations, SLA’s, client communication, and team performance.
- Analyze and track internal business requirements and processes through document and workflow analysis.
- Continuously evaluate the functionality across multiple programs to ensure efficient and accurate reviews.
- Perform requirements gathering to problem solve for any process-related issues that require attention from development.
- Manage team member’s current assignments and collaborate across teams/departments for timeliness to ensure all internal and external SLAs are met.
- Delegate tasks and responsibilities to team members and oversee specials projects that involve the team.
- Coordinate system enhancements for the itemized bill review team, including JIRA ticket creation, UAT testing, and production employment.
- Monitor team’s performance, tracking and trending the metrics of the team to identify opportunities for growth and efficiency.
- Identify the needs of team members, paying special attention to issues that require attention from IT.
- Develop and coordinate training materials, quality assurance process, and dispute response workflows for the team.
- Support internal operations to keep the team abreast of any organizational or client policy changes.
- Identify and implement additional savings for clients based on review and research.
- Act as liaison between the Operations team and Client Success team in order to quickly address and resolve any client related issues.
- Organize and coordinate the onboarding of all new team members.
- Other duties as assigned.

## What You Bring

Required Skills/Qualifications:

- 3+ years’ experience performing audits of itemized bills.
- 2+ years’ experience in a leadership position.
- Degree in nursing, healthcare administration or coding certification preferred.
- Proven experience with healthcare industry software products and process development.
- Experience managing multiple projects in a team environment.
- Possess a broad and comprehensive understanding of audit standards, policies and regulations, applies a broad and comprehensive knowledge in areas including, medical chart reviews.
- Strong project management and interpersonal skills, makes sound decisions, exhibiting initiative and intuitive thinking.
- Consulted often by others for advice and opinions and recognized as a leadership role model.
- Strong interpersonal skills for interfacing with all levels of internal and external audit teams and management.

-

- Ability to prioritize and multitask.
- Must be a strong effective communicator, both orally and in writing, with an energetic, charismatic and approachable style.
- Proven experience in managing high performing dynamic teams.
- Ability to work in a diverse and fast paced environment.
- Problem solving, strong analytical skills, people skills, teamwork, people management, and managing processes
- Strong working knowledge of Windows office systems including full Microsoft Suite and Teams.
- Advanced software skills in Microsoft Office (Excel).
- Experience with various forms of software and experience engaging development teams.

Pay range: $105,000 - $125,000 USD.  The salary range is for Base Salary. Compensation will be determined based on several factors including, but not limited to, skill set, years of experience, and the employee’s geographic location.

## What We Offer

- Work from anywhere in the US! Machinify is digital-first.
- Full Medical/Dental/Vision for employees & their families
- Flexible and trusting environment where you’ll feel empowered to do your best work
- Unlimited FTO
- Competitive salary, equity, 401(k) including employer match

## 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

## Other roles at Machinify

- [Senior Software Engineer, Backend | Audit Product Team](https://feeny.ai/job/senior-software-engineer-backend-audit-product-team-machinify-united-states-pb394bhcmzz7) — United States
- [Manager, Complex Clinical Review](https://feeny.ai/job/manager-complex-clinical-review-machinify-united-states-4f440xe62hjh) — United States
- [Pharmacy Team Attorney](https://feeny.ai/job/pharmacy-team-attorney-machinify-los-angeles-fs5ddzvzshb8) — Los Angeles, CA
- [DME Supervisor](https://feeny.ai/job/dme-supervisor-machinify-united-states-gsh1k6fbqfnz) — United States
- [Training Specialist, Medical Review Audit – Clinical RN](https://feeny.ai/job/training-specialist-medical-review-audit-clinical-rn-machinify-united-states-4314twdk0gtf) — United States
- [Vice President, Pharmacy](https://feeny.ai/job/vice-president-pharmacy-machinify-los-angeles-j7brs9ngdp51) — Los Angeles, CA
- [Medical Appeals Specialist (SCA)](https://feeny.ai/job/medical-appeals-specialist-sca-machinify-united-states-qy0g3h0edac0) — United States
- [Healthcare Reclamation Analyst](https://feeny.ai/job/healthcare-reclamation-analyst-machinify-united-states-pnkwrqmpcejh) — United States
- [Medical Review Nurse - CMS/RAC Auditor, Government Audits](https://feeny.ai/job/medical-review-nurse-cms-rac-auditor-government-audits-machinify-united-states-ygxgtrhkqdjf) — United States
- [Medical Review Nurse II - SNF/MDS Auditor](https://feeny.ai/job/medical-review-nurse-ii-snf-mds-auditor-machinify-united-states-x9bwvtff3xmf) — United States