--- title: 'Pharmacy Team Attorney at Machinify' canonical: 'https://feeny.ai/job/pharmacy-team-attorney-machinify-los-angeles-fs5ddzvzshb8' type: 'job' last_seen: '2026-09-09' --- # Pharmacy Team Attorney at Machinify - **Company:** Machinify - **Location:** Los Angeles, CA - **Posted:** 2026-08-28 - **Last confirmed live:** 2026-09-09 - **Apply:** https://job-boards.greenhouse.io/machinifyinc/jobs/4386733009 ## 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 As part of the Pharmacy team, you will provide legal counsel and support for the Coordination of Benefits (COB) Pharmacy operations. This role ensures compliance with federal and state laws, contractual obligations, and regulatory requirements related to pharmacy benefits coordination. The attorney will collaborate with internal teams, external partners, and regulatory agencies to mitigate risk and support business objectives. Familiarity with litigation practice, mediation and settlement negotiations is a plus. ## What you’ll do - Identify relevant legal issues that could impact Pharmacy Operations and advise business leaders as appropriate so that informed decisions can be made. - Provide timely and appropriate legal review and advice for the Pharmacy Operations team. This will include communicating with parties outside of Machinify to assist in the recovery efforts of the analysts. - Monitor and interpret applicable laws, regulations, and guidance from CMS, state insurance departments, and other governing bodies. - Identify potential legal risks and develop strategies to mitigate exposure in Pharmacy operations. - Provide legal training to Pharmacy staff on compliance obligations and emerging regulatory trends. - with PBM representatives and employer group benefit managers to Negotiate resolve contested Pharmacy recoveries. - Manage and oversee litigation or disputes related to Pharmacy, including coordination with outside counsel when necessary. - Assist Client Success with legal opinions and interpretations to respond and resolve client inquiries –may include participation in client or group conference calls. - Communicate as needed to Pharmacy Operations regarding new court decisions, statutes, and regulations with instruction as to the effects on file handling. - Work closely with compliance, operations, and pharmacy benefit management teams to ensure seamless integration of legal considerations into business processes - Present at industry and legal conferences to promote industry understanding of Pharmacy service offerings. What experience you bring (Role Requirements) - Juris Doctor (JD) from an accredited law school; active license to practice law in the state of Kentucky as a member in good standing. - Minimum 3–5 years of legal experience, preferably in healthcare, pharmacy benefits, or insurance law. - Familiarity with COB processes, pharmacy benefit management, and healthcare regulations (HIPAA, ERISA, CMS guidelines). - Strong analytical and problem-solving abilities. - Excellent written and verbal communication skills. Ability to communicate effectively throughout all levels of the organization. - Willingness to handle disputed settlement negotiations and participate in litigation. - Ability to manage multiple priorities in a fast-paced environment. - Collaborative mindset with attention to detail. - Working knowledge with Microsoft Office products. Pay range: $110,000 - $135,000 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’s in it for you - PTO, Paid Holidays, and Volunteer Days - Eligibility for health, vision and dental coverage, 401(k) plan participation with company match, and flexible spending accounts - Tuition Reimbursement - Eligibility for company-paid benefits including life insurance, short-term disability, and parental leave. - Remote and hybrid work options What values we’ll share with you - Ask why - Think big - Be humble - Optimize for customer impact - Deliver results ## 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 - [Manager, Itemized Bill Review (Healthcare)](https://feeny.ai/job/manager-itemized-bill-review-healthcare-machinify-united-states-b18ppqhg5fg7) — United States - [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