operations
Posted 4 days agoSupervisor, Operations Quality
at Machinify
United StatesRemote
Responsibilities
- Supervise daily activities of QA specialists across multiple operational areas
- Ensure consistent execution of QA audits, scorecards, and monitoring processes
- Review completed audits for accuracy and consistency
- Conduct calibration sessions to ensure scoring alignment
- Monitor QA productivity and turnaround times
- Identify trends and support corrective actions
- Ensure compliance with HIPAA, CMS, and internal policies
- Support for training initiatives and documentation maintenance
Requirements
- 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.
- Strong understanding of healthcare operations and payment integrity
- Knowledge of QA methodologies and audit processes
- Bachelor’s degree or equivalent experience
- Familiarity with HIPAA and CMS guidelines, and healthcare compliance standards •
Experience
- 3–5 years QA or healthcare operations experience
Benefits
- 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.
Additional details
- 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.