
Machinify is a healthcare technology company that leverages AI to optimize payment integrity and reduce administrative costs for health plans. Their key products, Machinify Audit and Machinify Pay, utilize advanced AI algorithms trained on billions of claims to identify erroneous billing and ensure accurate coding. With a unique 'glass-box' approach, they provide transparency and control to their clients, resulting in significant financial benefits, including $1B+ in annual savings and a 15% reduction in administrative costs. The company has demonstrated strong traction, covering 65 million members and reviewing $200 billion in medical claims annually, positioning itself as a leader in the healthcare AI space.

Machinify is a healthcare technology company that leverages AI to optimize payment integrity and reduce administrative costs for health plans. Their key products, Machinify Audit and Machinify Pay, utilize advanced AI algorithms trained on billions of claims to identify erroneous billing and ensure accurate coding. With a unique 'glass-box' approach, they provide transparency and control to their clients, resulting in significant financial benefits, including $1B+ in annual savings and a 15% reduction in administrative costs. The company has demonstrated strong traction, covering 65 million members and reviewing $200 billion in medical claims annually, positioning itself as a leader in the healthcare AI space.
Sector: Healthcare AI — payments and payment integrity
Flagship products: Machinify Audit and Machinify Pay (HAL OS platform)
Scale / reach: Covers millions of members and reviews hundreds of billions in claims annually
Notable traction: $1B+ annual savings claimed and reductions in administrative costs
Recent corporate event: Definitive agreement announced to be acquired by New Mountain Capital (Jan 10, 2025)
Healthcare payment integrity, claims auditing, and payment optimization for health plans.
2016
Healthcare technology / SaaS
$10,000,000
Participation from GV and Matrix Partners
“New Mountain Capital announced a definitive agreement to acquire Machinify (Jan 10, 2025)”
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. This role is full remote. Training will be remote and will also provide in person training for candidates who are local and prefer onsite training. At Machinify, we’re constantly reimagining what’s possible in our industry—creating disruptively simple, powerfully clear ways to maximize our clients’ financial outcomes today and drive down healthcare costs tomorrow. As part of the Subrogation team, the Subrogation Analyst- RCU investigates multiple sources of health insurance data to identify possible accidents and/or physical injuries. Our detailed processes determine responsibility for medical and pharmacy claims allowing The Rawlings Group to represent our clients in recovering funds from at fault parties. * Investigates other accident coverage (Automobile or Workers’ Compensation) to coordinate reimbursement of medical bills paid by health insurance from carriers and/or providers. * Communicates with healthcare plan members, insurance adjusters, and attorneys. * Utilizes computer systems to accurately document collected information. * Applies organizational, analytical, and time management skills to manage daily workflow. * Reviews and understands healthcare contracts. * Creates medical expense spreadsheets and processes payments from recoveries. * Associate or bachelor’s degree preferred, or equivalent skills and experience. * Excellent customer service skills. * Proficient with multi-tasking and time management. * Very strong written and verbal communication skills. * Proficient in Microsoft Word, Excel, and Outlook. * Professional experience in insurance, legal, mortgage lending, customer service, or related field is preferred. You will have a strong understanding of the role. You begin building relationships and collaborating with peers. You develop effective time and priorities management. You receive initial feedback about your performance and are using it to improve. You’ve gained confidence in your abilities and are starting to feel more comfortable in your role. 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’ve been entrusted with greater responsibility indicating the company’s confidence in your abilities. You see opportunities for career progression and personal development. : $55,000 with bonus opportunity. This is an exempt position. * PTO, 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 * Eligibility for company-paid benefits including life insurance, short-term disability, and parental leave. * Remote and hybrid work options At Machinify, we’re 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. As tenured experts with unmatched experience, we champion diverse perspectives that help us to better understand and serve our clients. 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, accurate solutions to market. We invest in each other through ongoing education and team celebrations, and we give back to our communities through dedicating days for volunteering. Together, Machinify is making healthcare work better for everyone, and we’re passionate about a future with better outcomes for all. 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. #INDHP