Lead Medical Director - Claim Editing
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.
The Opportunity
Machinify is redefining Payment Integrity through smarter technology, richer data, and intelligent automation. We are seeking a physician leader to help build the next generation of claims editing and make healthcare payments more accurate and affordable.
As Lead Medical Director - Claims Editing, you will lead clinical development and governance of editing content. You will identify opportunities, validate clinical concepts, evaluate performance, and ensure edits are evidence-based, defensible, measurable, and scalable.
This is a build-and-scale role at the intersection of clinical medicine, coding, Paymen
