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MachinifyMA

Staff Data Scientist | Fraud / Billing

Machinify is a revolutionary healthcare software company with a mission to ensure that patients get the right treatment, at the right time, at the right price. The cloud-based Machinify AI platform delivers products that are transforming healthcare administration from a human-powered, error-prone series of spreadsheets workflows to a world of transparent, realtime care and payment decisions.

Machinify

Employee count: 51-200

Salary: 180k-230k USD

United States only

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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.

We are seeking a Staff Data Scientist. This role will be responsible for leading the build and deployment of classical ML and GenAI systems that generate and validate billing error, audit, and fraud concepts in healthcare payments. You will partner with SMEs and cross-functional stakeholders to deliver production-grade capabilities with clear customer and financial impact.

What you will do:

  • Build and ship classical ML and GenAI pipelines that surface, rank, and explain candidate billing error, audit, and fraud concepts across large-scale healthcare claims data

  • Advance state-of-the-art research in anomaly detection, information retrieval, and weak supervision, turning research into robust production systems

  • Accelerate concept generation and concept validation with SMEs by designing human-in-the-loop workflows that enable high-throughput review with strong precision, recall, and traceability

  • Own end-to-end delivery from problem framing and data strategy to model development, evaluation, deployment, and monitoring, with a focus on reliability and customer outcomes

  • Partner cross-functionally with Product, Data Engineering, Operations, SMEs, and business leaders to prioritize work, unblock execution, and unlock material financial value

  • Help scale the team and platform as Machinify grows aggressively toward resale and IPO readiness

What you bring:

  • Degree in Computer Science, Engineering, or a related field

  • 5+ years of professional data science experience

  • Proven track record of managing data teams and delivering complex, high-impact products from concept to deployment

  • Strong knowledge of data privacy regulations and best practices in data security

  • Exceptional team management abilities, with experience in building and leading high-performing teams

  • Ability to think strategically and execute methodically

  • Ability to drive change and inspire a distributed team

  • Strong problem-solving skills and a data-driven mindset

  • Ability to communicate effectively, collaborating with diverse groups to solve complex problems

  • You embrace challenges with optimism and a balanced, and bring a business-oriented approach to product development

  • You prioritize customer impact, ensuring your work significantly advances our product value

What We Offer

  • Work from anywhere in the US! Machinify is digital-first.
  • Top Medical/Dental/Vision offerings
  • FSA/HSA
  • Tuition reimbursement
  • Competitive salary, 401(k) with company match
  • Unlimited PTO
  • Additional health and wellness benefits and perks
  • Flexible and trusting environment where you’ll feel empowered to do your best work

The 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. We are hiring for different levels and the base salary can range from $180k-$230k+ based on your assessed level. Compensation also includes meaningful equity, healthcare, unlimited PTO, and more.

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 the job

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Posted on

Job type

Full Time

Experience level

Salary

Salary: 180k-230k USD

Education

Bachelor degree

Experience

5 years minimum

Location requirements

Hiring timezones

United States +/- 0 hours

About Machinify

Learn more about Machinify and their company culture.

View company profile

We develop software that helps people get the right medical care, at the right time, at the right price.

The $4 trillion healthcare industry is the largest and most complex sector of the U.S. economy. It involves maze-like processes, arcane rules, a multi-party payment system... and the yearly processing of 7 billion health claims.

Healthcare data is fragmented across industry players, stored in legacy systems, and is often unstructured and not machine-readable (think faxes).

We started Machinify to leverage healthcare data at scale to drive down costs and improve outcomes. Our software platform leverages the latest advances in machine learning, large language models, data analytics, and cloud processing to solve previously intractable problems.

Employee benefits

Learn about the employee benefits and perks provided at Machinify.

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Retirement benefits

401(k) sponsorship to help you invest in your future.

Equity benefits

Every employee gets equity, so you are rewarded for your best work.

Paid parental leave

We offer inclusive paid parental leave for birth and non-birth parents.

Generous paid time-off

Take the time you need when life happens. Our flexible PTO plan encourages people to take time off so they can recharge and live fully.

View Machinify's employee benefits
Claim this profileMachinify logoMA

Machinify

Company size

51-200 employees

Founded in

2015

Chief executive officer

Prasanna Ganesan

Employees live in

View company profile

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