About the job
Machinify is at the forefront of healthcare intelligence, expertly navigating the payment continuum to provide unparalleled value, transparency, and efficiency to health plan clients nationwide. Trusted by over 85 health plans, including many of the top 20, and representing more than 270 million lives, our AI-powered platform seamlessly integrates configurable solutions with top-tier expertise. We consistently challenge the status quo in our industry, crafting innovative and clear strategies to enhance financial outcomes and reduce healthcare costs.
About the Opportunity
Join us at Machinify, where we are redefining possibilities within our industry. As a key member of the Pharmacy Payer-to-Payer team, you will oversee the pharmacy claim recovery process, ensuring optimal outcomes for our clients.
Location: This role offers a hybrid work model, allowing for full remote work opportunities post-training alongside in-office work at our La Grange, KY office.
Key Responsibilities
- Collaborate with payers to establish and refine reconciliation processes.
- Employ critical thinking to analyze results and foster process improvements that enhance recovery efforts.
- Create and generate team reporting metrics.
- Develop and maintain comprehensive process documentation.
Qualifications
- Possess a Bachelor's degree or 2-3 years of relevant experience.
- Demonstrate a strong work ethic and commitment to excellence.
- Exhibit strong analytical skills with a proven ability to organize, summarize data, and present actionable insights.
- A background in pharmacy compliance is preferred.
- Showcase critical thinking, creativity, and problem-solving capabilities; able to propose effective solutions.
- Ability to work collaboratively in a team as well as independently, effectively planning and scheduling tasks in a dynamic environment.
- Proficient in MS Office Suite, particularly with Pivot Tables and V-Lookup.
- Familiarity with SQL Select Queries is a must.

