layiq
/la·yiq/adjective
worthy; deserving; fitting; suitable.
A role, opportunity, or path that merits attention, time, and pursuit.
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Employer job description
From Machinify's posting. “We” and “our” refer to the employer.
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.
The Senior Contract Analyst is responsible for ensuring the outpatient and specialty audit teams operate from correct, current payer-provider contracts and payer reimbursement policies. This role identifies and documents contract terms with audit opportunity, including carve-out payments, and maintains the concept matrix that defines which outpatient concepts are applied to each client.
This is a senior individual contributor role requiring independent judgment, good judgment and decisive action in complex or evolving situations, and sound escalation practices. The role requires exceptional organization, the ability to manage a high volume of detail with accuracy, and adaptability to shifting priorities in a fast-paced environment. Clear communication is essential, including the ability to translate complex contract and policy language for auditors, client-facing teams, and leadership.