{"id":2850637,"url":"https://alion.io/job/machinify-data-mining-analyst","title":"Data Mining Analyst","company":{"id":7119,"name":"Machinify","domain":"machinify.com","url":"https://alion.io/company/machinify","size_band":"51-200","is_staffing_agency":false,"employer_type":"direct","is_intermediary":false,"listed_via":null,"ats_vendor":"Greenhouse","truth_index":{"grade":"A","score":95,"open_postings":37,"ghost_share":0,"stale_share":0,"repost_share":0,"time_to_fill_p50_days":115,"computed_at":"2026-10-24T06:02:35Z"}},"role":"Analytics","role_family":"Analytics","seniority":"junior","employment_type":null,"work_mode":"remote","remote_scope":"stated_countries","remote_scope_basis":"board_field","remote_working_hours":null,"hiring_geo_confidence":"structured","locations":[],"countries":[],"hiring_countries":["US"],"hiring_countries_total":1,"salary":{"min":80000,"max":90000,"currency":"USD","period":"year","gross":null,"usd_annual":90000},"salary_estimate":null,"experience_years_min":2,"visa_sponsorship":false,"relocation_package":false,"has_equity":false,"technologies":[],"status":"live","first_seen_at":"2026-10-19T13:01:50Z","employer_posted_date":"2026-10-19","last_verified_at":"2026-10-24T23:48:02Z","board_verified":true,"closed_at":null,"days_open":5,"trust":{"level":"ok","repost_count":0,"flags":[],"days_open":4},"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.\nMachinify is seeking an Analyst to help develop and refinement new reimbursement and payment integrity concepts. This is a hands-on healthcare domain role, not a technical or engineering position. The ideal candidate understands reimbursement logic, payment policies, and provider contracts in depth - and can translate that expertise into clear, structured concepts that inform analytics and automation efforts. \nYou will be focused on discovering where and why payment errors occur, designing methods to detect and prevent them, and partnering with technical teams to operationalize your findings. This role is ideal for someone who loves digging into claims data, identifying systemic payment issues, and shaping how technology solutions capture real-world reimbursement logic.\nWhat You’ll Do:\nLead pre and post-pay claim reviews to identify inaccurate payments using reimbursement and contract expertise.\nAnalyze and interpret provider contracts to ensure payments align with negotiated terms, methodologies, and payer rules.\nCollaborate closely with engineering and data science teams to translate business and reimbursement logic into analytical and automation frameworks.\nAnalyze claim-level data to pinpoint root causes of overpayments or incorrect denials and recommend corrective approaches.\nMaintain expertise on CMS and commercial payer reimbursement guidelines.\nSupport quality review, concept validation, and process improvement initiatives.\nWhat You Bring:\n2+ years of experience in healthcare data mining or claims editing on the provider, payer, or vendor side.\nDeep understanding of provider contracts, including rate structures, carve-outs, and reimbursement methodologies.\nStrong knowledge of claims processing, coding, billing, and payment logic across CMS and commercial payers.\nProven ability to identify improper payment patterns, root causes, and opportunities for correction.\nStrong investigative and deductive reasoning skills; able to connect policy, data, and contractual details.\nComfortable working in close collaboration with technical teams to guide implementation of business logic.\nSelf-directed, detail-oriented, and adaptable to a fast-paced, growing environment.\nWhat We Offer:\nWork from anywhere in the US! Machinify is digital-first.\nTop Medical/Dental/Vision offerings\n\nFSA/HSA\n\nTuition reimbursement\n\nCompetitive salary, 401(k) with company match\n\nAdditional health and wellness benefits and perks\n\nFlexible and trusting environment where you’ll feel empowered to do your best work\nThe 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.\nPay range: $80,000 - $90,000\nEqual Employment Opportunity at Machinify\nWe 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/","description_format":"text","description_chars":4098,"description_truncated":false,"requirements":{"experience_years_min":2,"management_years_min":null,"team_size_min":null,"manages_managers":false,"education":null,"security_clearance":false,"languages":[]},"benefits":[],"hiring_locations":[{"name":"United States","iso":"US","kind":"country"}],"hiring_excludes":[],"relocation_offered":false,"industries":["Medical AI","Revenue Cycle & Medical Billing"],"lifecycle":[{"event":"open","at":"2026-10-19T13:12:54Z"}],"visa":[{"country":"US","licensed_sponsor":true,"evidence":"H-1B filings in 12 months: 32 · green card filings: 1","filings_12m":32,"filings_prev_12m":4,"green_card_filings_12m":1,"median_offered_wage_usd":172955,"route":null,"cap_exempt":false,"checked_at":"2026-10-15T11:24:14+00:00","sources":["US Department of Labor: LCA disclosure data (H-1B, H-1B1, E-3)","US Department of Labor: PERM disclosure data (green cards)"],"filings_for_role_12m":13}],"liveness":{"score":86,"band":"hot","label":"Hiring now","p_open":1,"p_active":0.86,"p_room":1,"age_days":4,"expected_fill_days":115,"reasons":["conf:1","win:early","comp:junior"],"computed_at":"2026-10-24T06:02:35Z"},"pay":{"stated_usd_annual":90000,"is_top_pay":true},"html_url":"https://alion.io/job/machinify-data-mining-analyst","json_url":"https://alion.io/job/machinify-data-mining-analyst.json","meta":{"generated_at":"2026-10-25T00:58:48Z","cache_seconds":300,"methodology":"https://alion.io/methodology","terms":"https://alion.io/terms","contact":"https://alion.io/contact","api":"https://alion.io/developers","about":"Alion is a live layer of people, companies and AI agents: who they are, whether they are real and active right now, what they do and how to work with them, readable by people and by agents and paid per call.","catalog":"https://alion.io/catalog.json","usage":{"tier":"crawler_verified","counted_by":"address","units_charged":1,"used_today":1493,"day_limit":null,"remaining_today":null,"minute_limit":300,"resets_at":"2026-10-26T00:00:00Z"}},"offers":[{"id":"company.slices","title":"One company in depth, by slice","status":"live","price":{"credits":0.02,"usd":0.002,"plus_per_slice":{"credits":0.05,"usd":0.005}},"unit":"per company, plus each slice with data","note":"the employer in depth","call":{"mcp_tool":"get_company","arguments":{"id":7119},"rest":"https://alion.io/mcp/rest/get_company?id=7119"},"human":"https://alion.io/catalog?offer=company.slices&for=job%2Fmachinify-data-mining-analyst"},{"id":"market.stats","title":"A market slice: pay, demand and time to fill","status":"live","price":{"credits":1,"usd":0.1},"unit":"per slice","note":"pay, demand and time to fill for this role and place","call":{"mcp_tool":"market_stats"},"human":"https://alion.io/catalog?offer=market.stats&for=job%2Fmachinify-data-mining-analyst"},{"id":"job.search","title":"Open jobs by role, technology, place, pay and visa","status":"live","price":{"credits":0.02,"usd":0.002},"unit":"per posting in a list","note":"similar open postings","call":{"mcp_tool":"search_jobs"},"human":"https://alion.io/catalog?offer=job.search&for=job%2Fmachinify-data-mining-analyst"},{"id":"company.verify","title":"Is this company real and active right now","status":"pilot","price":null,"unit":"per company","request":{"url":"https://alion.io/catalog/request","method":"POST","body":"{\"offer\": \"company.verify\", \"for\": \"job/machinify-data-mining-analyst\", \"note\": \"what you need it for\"}"},"human":"https://alion.io/catalog?offer=company.verify&for=job%2Fmachinify-data-mining-analyst"}]}