Full-Time
Machinify
201-500 employees
AI-driven solutions for healthcare administration
No salary listed
Senior, Expert
Palo Alto, CA, USA
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- You're excited about making healthcare more accessible and more affordable
- Demonstrated record in structuring and closing software/tech strategic partnerships
- Deep experience in developing strategic relationships within large enterprises
- Proven success partnering with Marketing, Channel, Alliances, Product, and Engineering peers
- Demonstration of high levels of energy, integrity, initiative, honesty and leadership
- Must be adaptable, courteous, motivated and work well on their own or as a member of a team
- Polished presentation and communication skills
- Ability to handle a fast-paced environment and ambitious workload
- Ability to travel
- Develop and execute a strategy to pursue and close broad partnerships with payers that will drive deployment and utilization of Machinify's products, with a mutual vision for expansion, driving customer success and predictable year over year ARR growth for Machinify
- Within each potential partner, establish strong relationships with key players, identifying and cultivate internal champions and decision makers while neutralizing any potential internal skeptics
- Surface and socialize within Machinify the key priorities and challenges of potential partners
- Collaborate closely with the Machinify product team to develop value propositions that meet payer needs
- Collaborate closely with the Machinify finance team to develop win-win partnership structures
- Negotiate and close deals
- Maintain strong relationships post-close to insure partnership success and develop expansion opportunities
- Experience in healthcare is a plus but not necessary
Machinify provides AI-driven solutions to improve decision-making in the healthcare industry. Its platform helps health plans, payers, and providers optimize their operations, particularly in areas like claims processing and utilization management. The applications hosted on Machinify's AI server can be quickly deployed, allowing clients to see immediate returns on investment. This focus on rapid deployment sets Machinify apart from competitors, especially in a market where healthcare organizations need to enhance efficiency due to financial pressures. The company's goal is to help clients regain control over healthcare costs and navigate the complexities of the healthcare system effectively.
Company Size
201-500
Company Stage
Series A
Total Funding
$15.6M
Headquarters
Palo Alto, California
Founded
2016
Simplify's Take
What believers are saying
- Machinify's acquisition by Evolent Health highlights the demand for AI in healthcare management.
- The introduction of AI apps could save billions in administrative costs for healthcare organizations.
- Machinify's focus on payment integrity aligns with industry needs to reduce administrative spending.
What critics are saying
- Acquisition by New Mountain Capital may disrupt Machinify's operations and client relationships.
- Integration into Evolent Health's platform could limit Machinify's autonomy and innovation.
- Adoption of new AI apps may face resistance due to entrenched systems in healthcare.
What makes Machinify unique
- Machinify leverages AI to optimize healthcare decision-making processes, enhancing efficiency and performance.
- The company offers rapid deployment of AI-driven applications, ensuring immediate ROI for clients.
- Machinify's comprehensive AI app suite addresses the entire healthcare claims lifecycle.
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Benefits
Medical, dental, & vision
Flexible work environment
Generous PTO
Competitive salary
Equity
401(k)
Sponsorship
Generous L&D Reimbursement policy
Growth & Insights and Company News
6 month growth
↓ -15%1 year growth
↓ -34%2 year growth
↓ -34%New Mountain Capital has agreed to acquire Machinify, a Palo Alto, California-based provider of artificial intelligence-powered software focused on healthcare payments.
Prasanna Ganesan, CEO, MachinifyWhether you work in healthcare or are just a patient who has interacted with the healthcare system, it shouldn’t surprise you to read that healthcare costs have been going up and are expected to continue to do so into 2025 burdening all stakeholders. Despite the obvious need to cut wasted healthcare spending, research suggests that the industry as a whole isn’t very good at it, with administrative spending being one of the biggest culprits. One study found that nearly one-third of excess U.S. healthcare spending is on administrative expenses. Today, the backbone of healthcare administration is claims processing. Despite the structure of a claim being standardized, the processing path that each claim follows is antiquated, with many inefficient, expensive, or error-prone steps being embedded within. The question is why? First, the rules around medical coding, billing, and payment can be intricate and ambiguous, resulting in varied interpretations and decisions from one claim to another, undermining consistency in the reimbursement process. Second, claims adjudication processes rely on an arcane mix of inflexible old technology and a lot of duct tape resulting in an inability to keep pace with the evolving needs of modern healthcare reimbursement
– Evolent Health, Inc. (NYSE: EVH), a leader in improving health outcomes for patients with complex conditions, announced today an agreement to acquire key assets from Machinify, including the exclusive license to their AI-powered platform, Machinify Auth.– Additionally, certain Machinify employees will join Evolent. Both companies plan to establish a long-term services agreement to ensure smooth integration and ongoing platform development. This innovative technology aims to revolutionize Evolent’s specialty condition management platform by leveraging advanced machine learning and data analytics.Transforming Specialty Condition Management with AI:Machinify Auth utilizes cutting-edge artificial intelligence to streamline clinical workflows and enhance the quality and efficiency of clinical reviews for various specialty conditions. Evolent plans to integrate Machinify’s team, software applications, and AI capabilities into its industry-leading platform. This acquisition is expected to benefit health plans, clinicians, and members alike.This powerful combination will be integrated into Evolent’s platform to automate clinical workflows, leading to:Increased Efficiency: Evolent believes the integration of scalable AI will significantly improve efficiency by automating tasks and reducing manual data collection and analysis
Machinify solution seeks to accelerate the efficiency, quality, and clinical value of Evolent's specialty condition management platform through AI-enabled clinical workflow automationMachinify technology leverages the latest advances in applied machine learning, large language models and data analyticsAcquisition expected to benefit health plans, clinicians, and membersWASHINGTON, June 4, 2024 /PRNewswire/ -- Evolent Health, Inc. ("Evolent" or "the Company"), (NYSE: EVH) a company focused on achieving better health outcomes for people with complex conditions, today announced it has entered into an agreement to acquire certain assets of Machinify and the exclusive, perpetual and royalty-free license of Machinify Auth, a proven software platform that leverages the latest advances in artificial intelligence to increase the clinical quality, speed and consistency of the clinical reviews for all specialty conditions. Evolent plans to integrate the Machinify Auth team, software applications and AI capabilities into its leading platform. Evolent and Machinify will also enter into a multi-year services agreement to support the success of the acquisition. Evolent believes the acquisition will add significant value for Machinify and Evolent's health plans, providers and members. The acquisition is subject to customary closing conditions.Evolent believes the addition of scalable AI technology will enable the Company to leapfrog standard industry processes by increasing the number of first-pass approvals as well as streamlining manual data collection and analysis associated with complex medical decision making
Machinify introduces AI apps for healthcare claims management.