Manager, Data Mining – Review Operations
Machinify
full-time
Posted on:
Location Type: Remote
Location: New York • United States
Visit company websiteExplore more
About the role
- Lead a team responsible for operational execution of data mining and claims review activities
- Oversee day-to-day review operations supporting Medicaid RAC initiatives
- Provide direct supervision, coaching, and performance management for a team
- Ensure that review selections align with approved RAC scopes
- Coordinate closely with analytics, data engineering, quality assurance, and reporting teams
- Support budget adherence and operational forecasting for their team
Requirements
- Strong communication and collaboration skills
- State Medicaid RAC experience is required
- Experience operating within a State Medicaid Recovery Audit Contractor program
- Familiarity with RAC audit scopes, claim review methodologies
- Ideal candidate needs familiarity with NYS Medicaid policies, OMIG expectations
- Proven ability to manage deadlines, enforce quality standards, and deliver results
Benefits
- Work from anywhere in the US!
- Top Medical/Dental/Vision offerings
- FSA/HSA
- Tuition reimbursement
- Competitive salary, 401(k) with company match
- Additional health and wellness benefits and perks
- Flexible and trusting environment where you’ll feel empowered to do your best work
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
data miningclaims reviewoperational executionperformance managementbudget adherenceoperational forecasting
Soft Skills
communication skillscollaboration skillscoachingteam managementdeadline managementquality standards enforcementresults delivery