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.
About the Opportunity
The High-Cost Drug Analyst works on behalf of health plans to investigate, identify, and recover overpayments of specialty drug claims paid through medical and pharmacy systems. The Analyst will review information related to how a drug was administered and billed (e.g., billed units, intended dose, sourcing, etc.), use the online client system to better understan... Click Apply to read the full job description.