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 Supervisor, Operations Quality is responsible for overseeing the day-to-day execution of quality assurance programs across operational departments such as Customer Service, Correspondence, Operations Support, and Repricing. This role ensures consistent application of quality standards, supports QA staff development, and drives adherence to audit processes, calibration standards, and performance expectations.
Key Responsibilities
- Supervise daily activities of QA specialists across multiple operational areas
- Ensure consistent execution of QA audits, scorecards, and monitoring processes
- Review completed audits for accuracy and consistency
- Conduct calibration sessions to ensure scoring alignment
- Provide coaching, feedback, and performance management
- Monitor QA productivity and turnaround times
- Identify trends and support corrective actions
- Ensure compliance with HIPAA, CMS, and internal policies
- Escalation management and issue resolution
- Support for training initiatives and documentation maintenance
- KPI monitoring and operational reporting support
- Partnership with operational leadership teams across departments
Knowledge, Skills, and Abilities Needed
- Strong understanding of healthcare operations and payment integrity
- Knowledge of QA methodologies and audit processes
- Coaching and leadership skills
- Strong analytical and communication skills
- High attention to detail
Required and Preferred Qualifications
- Bachelor’s degree or equivalent experience
- 3–5 years QA or healthcare operations experience
- Supervisory experience preferred
- Familiarity with HIPAA and CMS guidelines, and healthcare compliance standards
- Experience with call monitoring systems, document intake handling, printing technology, and file management
Skills Required
- Bachelor's degree or equivalent experience
- 3-5 years QA or healthcare operations experience
- Supervisory experience
- Familiarity with HIPAA and CMS guidelines and healthcare compliance standards
- Experience with call monitoring systems, document intake handling, printing technology, and file management
Machinify Compensation & Benefits Highlights
The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about Machinify and has not been reviewed or approved by Machinify.
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Healthcare Strength — Health coverage is described as employer-paid for employees with additional support for dependents, alongside dental, vision, mental health, and FSA/HSA options. Listings consistently depict comprehensive medical benefits.
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Leave & Time Off Breadth — Policies include unlimited PTO, paid holidays and sick time, and a weekly no‑meetings day. These elements indicate broad time‑off access alongside flexible scheduling.
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Parental & Family Support — Inclusive paid parental leave is stated at 14 weeks for birth and non‑birth parents. Family benefits are prominently featured across public materials.
Machinify Insights
What We Do
Machinify is an AI start-up in the Healthcare space. Our software platform leverages the latest advances in machine learning, large language models, data analytics, and cloud processing to solve previously intractable problems in the healthcare industry impacting millions of lives.
Why Work With Us
We are a heavily cross-functional, collaborative diverse team working together to solve big problems that matter. If you are looking for an exciting environment where you'll be challenged to do the best work of your career, consider joining us!
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