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Machinify

AI-driven healthcare operations optimization platform

Implementation Manager

Project ManagementConfirmed live in the last 24 hours
Full-timeRemote in USA

About the Job

Requirements

  • A bachelor's degree in Business, Healthcare, IT, Data, Project Management, or a related field, or equivalent experience.
  • Three to five or more years of implementation or project management experience in healthcare technology, payment integrity, insurance services, analytics, or related fields.
  • Experience with healthcare data structures and exchange file types, including claims, eligibility, provider, and pharmacy data, and associated integration workflows.
  • Strong understanding of data mining concepts, analytics workflows, and how data supports audit or recovery outcomes.
  • Experience implementing both SaaS products and services-based solutions.
  • Proficiency with JIRA, Smartsheet, Excel, Word, PowerPoint, and Outlook.
  • Experience with AI tools to support efficiency and accuracy.
  • Ability to explain technical concepts to non-technical audiences verbally and in writing.
  • Strong analytical, problem-solving, and critical-thinking skills, including the ability to manage data-heavy implementations.
  • Ability to manage multiple priorities and deadlines in a fast-paced environment.
  • Strong relationship-building skills and a customer-centric mindset.
  • Professionalism, reliability, and consistency in a client-facing role.
  • Working knowledge of CMS requirements, healthcare regulations, and HIPAA.
  • Ability to collaborate across distributed teams, lead through influence, and work independently with minimal oversight.

Responsibilities

  • Lead end-to-end implementation cycles, including discovery, data readiness, configuration, integration, user acceptance testing, go-live, and post-launch transition.
  • Develop and maintain project plans, timelines, milestones, RAID logs, risk mitigation plans, and status reports.
  • Facilitate internal and external project meetings, including kickoffs, milestone reviews, and working sessions.
  • Oversee cross-functional project teams to ensure timely completion of tasks and proactive issue resolution.
  • Identify and mitigate risks, and escalate blockers to leadership as needed.
  • Ensure implementation activities meet quality standards, data security requirements, contractual obligations, and industry regulations such as HIPAA and CMS requirements.
  • Serve as the primary point of contact during implementation and ensure a responsive, solution-oriented client experience.
  • Provide clear and timely updates, action items, and next steps.
  • Prepare and deliver client-facing status decks, project updates, training materials, and process documentation.
  • Present complex or technical concepts to technical and non-technical stakeholders, including client leadership.
  • Coordinate data mapping, validation, ingestion, and quality checks across healthcare file types, including claims, eligibility, provider, and pharmacy data.
  • Translate requirements into actionable JIRA or ADO tickets and support grooming and sprint planning with engineers.
  • Support integrations related to complex claims audits, coordination of benefits, subrogation, data mining services, payment integrity algorithms, and related workflows.
  • Design, refine, and optimize operational workflows based on client requirements and product capabilities.
  • Diagnose operational or system-related issues and collaborate internally to resolve them.
  • Develop user guides, standard operating procedures, quick-start guides, implementation plans, and process maps for client and internal use.
  • Maintain clear, auditable documentation for all implementation activities.
  • Deliver training on platform features, workflows, AI-driven tools, and processes to clients and internal teams.
  • Provide feedback to improve implementation methodologies, tools, templates, and overall process efficiency.
  • Support onboarding, coaching, and knowledge transfer for new Implementation team members.
  • Contribute to continuous improvement initiatives that enhance scalability, quality, and efficiency.

Desired Qualifications

  • PMP, PRINCE2, Agile, or similar certification.

About the Company

Machinify

AI-driven healthcare operations optimization platform

Machinify uses artificial intelligence to optimize decision-making in healthcare. It provides AI-driven applications that improve operational efficiency for health plans, payers, and providers, acting as a central nervous system to manage data-driven decisions. Its products streamline processes like claims processing and utilization management by deploying a growing portfolio of applications on the Machinify platform, designed for fast implementation and immediate ROI. Differences from competitors include an AI-first platform tailored to healthcare administration, a rapid deployment model, and a customer-focused approach that aims to deliver tangible results quickly. The company’s goal is to transform healthcare administration by reclaiming control over healthcare expenditures and improving efficiency and patient outcomes through data-driven decisions.

Company size
1,001-5,000
Company stage
Series A
Total funding
$15.6M
Headquarters
Palo Alto, CA
Founded
2016

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