Director of Data Mining Operations, Healthcare Payment Integrity
Machinify
full-time
Posted on:
Location Type: Remote
Location: United States
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Job Level
About the role
- Lead and scale a high-performing team responsible for operational execution of data mining and audit-support activities
- Ensure operational outputs are accurate, consistent, and actionable
- Build, manage, and deliver against annual and ongoing budgets
- Monitor operational spend and ensure the organization meets financial targets
- Collaborate closely with client-aligned stakeholders and internal cross-functional partners
- Continuously improve operational processes and performance through strong metrics discipline
Requirements
- Strong communication and executive presence
- Significant experience leading operational data mining, claims analytics, payment integrity, audit operations in a healthcare environment
- Strong people leadership experience
- Ability to scale and mature an execution-oriented team
- Familiarity with healthcare claims data, audit processes, payment integrity concepts, and data mining approaches is strongly preferred
- Experience working in vendor-client delivery models
- Demonstrated success managing budgets, headcount planning, and operational forecasting in a fast-paced, service-oriented environment
Benefits
- 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
- 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 analyticspayment integrityaudit operationsbudget managementoperational forecastingmetrics discipline
Soft Skills
strong communicationexecutive presencepeople leadershipcollaborationprocess improvement