Senior Healthcare Data Analyst

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. About the Role Machinify is rebuilding how health plans audit and pay claims — at scale, with AI. As a Senior Healthcare Data Analyst you will sit at the intersection of domain expertise and data engineering: translating raw claims feeds into trusted canonical models, driving payment integrity insights, and serving as the internal expert on how claims flow through adjudication. This role is for someone who knows healthcare data cold and is excited to pair that knowledge with modern AI tooling to move faster and build smarter. What You'll Do Claims mapping & transformation — Design and implement data transformations that convert raw medical and institutional claims (837 EDI, UB-04, CMS-1500) into Machinify 's canonical models, applying healthcare coding standards (ICD-10-CM/PCS, CPT, HCPCS) throughout. Data quality & pipeline validation — Perform detailed audits to detect