{"id":3425404,"url":"https://alion.io/job/machinify-data-mining-auditor","title":"Data Mining Auditor","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":92,"open_postings":39,"ghost_share":0.051,"stale_share":0,"repost_share":0,"time_to_fill_p50_days":90,"computed_at":"2026-10-30T05:48:23Z"}},"role":"Finance","role_family":"Finance","seniority":"middle","employment_type":null,"work_mode":"remote","remote_scope":"stated_countries","remote_scope_basis":"posting_text","remote_working_hours":null,"hiring_geo_confidence":"structured","locations":[],"countries":[],"hiring_countries":["US"],"hiring_countries_total":1,"salary":{"min":85000,"max":null,"currency":"USD","period":"year","gross":null,"usd_annual":85000},"salary_estimate":null,"experience_years_min":3,"visa_sponsorship":false,"relocation_package":false,"has_equity":false,"technologies":[{"name":"Gmail","optional":false},{"name":"Google Sheets","optional":false},{"name":"Microsoft Excel","optional":false},{"name":"Slack","optional":false}],"status":"live","first_seen_at":"2026-10-28T20:09:47Z","employer_posted_date":"2026-10-28","last_verified_at":"2026-10-31T01:51:53Z","board_verified":true,"closed_at":null,"days_open":2,"trust":{"level":"ok","repost_count":0,"flags":["company_stale"],"days_open":2},"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 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.\nThe 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.\nWhat You’ll Do:\nConduct 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.\nServe as a claims billing and payment expert, and resource for the data teams and other departments.\nDevelop and refine reimbursement policies and procedures in collaboration with the team.\nRemain updated with the latest billing guidelines and regulations.\nAchieve the expected level of accuracy and quality set by the audit for the auditing concept, for valid claim identification and documentation.\nAdditional responsibilities as assigned or needed to support the business.\nWhat You Bring:\n3-5 years of relative experience.\nAbility to review payment information against Medicare and payer billing guidelines to make determinations relating to the appropriateness of payments.\nExperience or certification in coding/billing is helpful.\nAbility to meet deadlines.\nWillingness and ability to do whatever is necessary to accomplish workload demands\nDelivery of high-quality work is critical.\nStrong attention to detail; investigative and deductive reasoning skills are a must.\nMust be able to make decisions and conclusions when working with limited information using reference materials and strong problem-solving skills.\nMust be proficient in Excel, Word, Gmail, Google Sheets, Slack, etc.\nAble to work in a fast-paced environment and adapt to rapid change and growth.\nPreferred Experience:\nPost-Pay data mining auditing experience\nPre-Pay data mining experience\nPayer auditing experience\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: $85,000\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":4053,"description_truncated":false,"requirements":{"experience_years_min":3,"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":"2026-10-28T22:15:49Z"}],"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":"2026-10-29T16:27:21+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":0}],"liveness":{"score":86,"band":"hot","label":"Hiring now","p_open":1,"p_active":0.86,"p_room":1,"age_days":1,"expected_fill_days":90,"reasons":["conf:1","win:early"],"computed_at":"2026-10-30T05:48:23Z"},"pay":{"stated_usd_annual":85000,"is_top_pay":false},"html_url":"https://alion.io/job/machinify-data-mining-auditor","json_url":"https://alion.io/job/machinify-data-mining-auditor.json","meta":{"generated_at":"2026-10-31T03:31:04Z","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":4907,"day_limit":null,"remaining_today":null,"minute_limit":300,"resets_at":"2026-11-01T00:00:00Z"}},"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-auditor"},{"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-auditor"},{"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-auditor"},{"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-auditor\", \"note\": \"what you need it for\"}"},"human":"https://alion.io/catalog?offer=company.verify&for=job%2Fmachinify-data-mining-auditor"}],"agent":{"mcp":"https://alion.io/mcp/jobs","mcp_open":"https://alion.io/mcp/open","next":[{"tool":"get_job","arguments":{"id":3425404}},{"tool":"search_jobs","arguments":{"company":"machinify.com","detail":"compact"}},{"tool":"match_people","arguments":{"job_id":3425404},"note":"people open to offers who fit this vacancy"}],"note":"The same data through MCP tools: https://alion.io/mcp/open needs no sign-in (compact searches, postings, people); https://alion.io/mcp with an Alion account has everything. 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