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Staff Data Scientist | Modeling

United StatesUnited StatesRemotelead
Data Science
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Quick Summary

Key Responsibilities

Master Claim Audits: Dive into various clinical and coding audits, unpacking the data that drives audit decisions, and understanding past outcomes. Model Advancement: Curate labeled data,

Technical Tools
Data Science

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. 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. 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.

Our team builds machine learning models for some of the largest health plans in the country to identify and audit claims errors from simple errors to outright fraud. Large insurance payers receive tens of millions of claims each year, of which they only are able to audit less than 10%. Our claim selection models help with selecting the right set of claims to audit and recover hundreds of millions of dollars each year reducing wasted medical spend. We have made significant progress already, with models that significantly outperform even selection by human experts but there are still many improvements to be made. 

We are looking for a Staff Data Scientist to advance our models further. In addition to building best-in-class models, this person will create technical frameworks and tools to help the team achieve greater scale and improved business outcomes.

 

Responsibilities

~1 min read
  • You enjoy solving real-world business problems involving data-driven optimization and ML modeling - and have been doing that successfully for a while.

  • You are comfortable measuring and optimizing the direct business impact of work. 

  • You are experienced with SQL, handling large-scale data, and are comfortable with at least one programming language (Python, R, etc.).

  • You have experience building ML models using modern ML approaches like Neural Nets or Tree-ensembles from scratch for new applications - making decisions relating to which supervised labels to use, the metric to optimize for, and the features likely to be useful

 

What We Offer 

  • 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
  • Unlimited PTO
  • Additional health and wellness benefits and perks
  • Flexible and trusting environment where you’ll feel empowered to do your best work 

The salary for this position is based on an array of factors unique to each candidate: Such as years and depth of experience, set skills, certifications, etc. We are hiring for different levels and the base salary can range from $180k-$260k+ based on your assessed level. Compensation also includes meaningful equity, healthcare, unlimited PTO, and more.

Equal Employment Opportunity at Machinify
 
We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender, gender identity or expression, or veteran status. We are proud to be an equal opportunity workplace. Machinify is an employment at will employer. We participate in E-Verify as required by applicable law. In accordance with applicable state laws, we do not inquire about salary history during the recruitment process. If you require a reasonable accommodation to complete any part of the application or recruitment process, please let our recruiters know. See our Candidate Privacy Notice at: https://www.machinify.com/candidate-privacy-notice/

Listing Details

Posted
April 4, 2026
First seen
March 26, 2026
Last seen
April 16, 2026

Posting Health

Days active
20
Repost count
0
Trust Level
34%
Scored at
April 16, 2026

Signal breakdown

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Staff Data Scientist | Modeling