Job Description

Job Details Level: Management Job Location: California Office - Roseville, CA Remote Type: Fully Remote Position Type: Full Time Education Level: Bachelor's Degree Salary Range: $80,000 - $100,000 per year Job Shift: Day Job Category: Insurance Who We Are 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 60 health plans, including many of the top 20, and representing more than 160 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. Location Remote - Candidate must be available to work across US time zones, occasional travel to Northern California early 2026. About the Opportunity As Manager, Health Information Technology on the Complex Payment Solutions team, you will oversee and direct all aspects of medical record procurement and the call center operations that support timely and compliant retrieval of health records. The role ensures that record retrieval processes meet internal performance benchmarks, regulatory standards, and client expectations. You will lead a cross‑functional team, implement workflow improvements, and collaborate with internal and external stakeholders to optimize outcomes. You will drive service excellence, foster cross‑functional collaboration, and support strategic initiatives related to health information operations. What You'll Do Lead and mentor cross‑functional teams responsible for medical record/document procurement, call center operations, provider, and client communications. Develop performance goals, KPIs, and expectations for staff. Serve as the operational lead for system enhancements, implementations, and integrations related to record retrieval platforms, customer portals, and call center software. Cultivate a high‑performing, accountable, and collaborative team culture through regular coaching, performance evaluations, and development plans. Oversee daily operations of all health record retrieval processes including outbound calls, follow‑up, escalations, and data entry. Ensure adherence to HIPAA, SLA, quality, and federal/state compliance requirements. Monitor productivity metrics and perform real‑time adjustments to workflow and staffing to optimize performance. Partner with IT and product teams to validate system requirements, ensure seamless integration of internal platforms, and manage data flow accuracy across systems. Lead or support User Acceptance Testing (UAT), including coordination of test cases, user feedback, and issue resolution to ensure new workflows meet operational needs. Identify system gaps and usability challenges, collaborating closely with developers and product owners to drive continuous improvement. Create and maintain SOPs, training materials, and operational manuals. Conduct root cause analyses and implement corrective actions for any service disruptions or performance deviations. Serve as a primary point of contact for providers, clients, and internal stakeholders, resolving escalations and ensuring high service standards. Analyze call center and record retrieval performance metrics regularly. Develop and present operational dashboards to leadership. Forecast workload, resource needs, and potential performance risks based on historical and real‑time data trends. What Experience You Bring (Role Requirements) A bachelor's degree in Healthcare Administration, Health Information Management, or a related field may be considered in lieu of direct payment integrity experience. Minimum of 5 years’ experience in medical insurance, health information management, or healthcare operations. Minimum of 5 years’ leadership experience. In‑depth knowledge of HIPAA, PHI protocols, and medical record workflows. Strong proficiency in healthcare technology platforms and reporting tools (e.g., EMRs, call center software, Excel, VLOOKUP, Power BI). Exceptional communication skills, both written and verbal, with the ability to clearly present data and details to management and senior leaders. Ability to work independently, manage multiple priorities, and meet deadlines in a demanding environment. Advanced problem‑solving and critical thinking skills, with the ability to assess challenges, perform root cause analysis, and implement scalable solutions. Demonstrated experience supporting or leading system migrations, including managing data and workflow transitions across platforms. Ability to work across multiple systems and platforms, ensuring alignment between tools, workflows, and data accuracy. Firsthand experience leading or supporting system implementations, enhancements, and integrations, including coordinating UAT, workflow adjustments, test scripts, and cross‑functional collaboration. What Success Looks Like... After 3 months You will have a strong understanding of the role, begin building relationships and collaborating with peers, develop effective time and priorities management, receive initial feedback about your performance and use it to improve, and feel more confident in your abilities. After 1 year You have mastered the tasks and responsibilities of the position, executing them with confidence and efficiency. You have established a strong network of internal relationships and are recognized as a key collaborator. You have been entrusted with greater responsibility indicating the company’s confidence in your abilities. You see opportunities for career progression and personal development. Pay range

$80,000 - $100,000 USD

This is an exempt position. The salary range is for Base Salary. Compensation will be determined based on several factors including, but not limited to, skill set, years of experience, and the employee's geographic location. What's in it for you FTO, Paid Holidays, and Volunteer Days Eligibility for health, vision and dental coverage, 401(k) plan participation with company match, and flexible spending accounts Tuition Reimbursement What values we'll share with you Ask why Think big Be humble Optimize for customer impact Deliver results About our Culture At Machinify, we are reimagining a simpler way forward. This begins with our employees. We are innovators who value integrity, teamwork, accuracy, and flexibility. We do the right thing, and we listen to the needs of our clients and their members. Our values come to life through our culture. We embrace flexible working arrangements that allow our employees to bring innovation to life in the way that best suits their productivity. We work cross‑functionally, abandoning silos, to bring innovative and accurate solutions to market. We invest in each other through ongoing education and team celebrations, and we give back to our communities through dedicated days for volunteering. Together, Machinify is making healthcare work better for everyone, and we’re passionate about a future with better outcomes for all. Equal Employment Opportunity 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 contact our People Operations team at Machinify_Careers@machinify.com. See our Candidate Privacy Notice at: Hashtags

#INDHP #LI-VPM

#J-18808-Ljbffr The Rawlings Group

Job Tags

Full time, Work at office, Remote work, Flexible hours, Shift work,

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