Data Analyst (Eligibility)

ABOUT MACHINIFY:

In October 2025, Machinify acquired Performant and we are now part of the Machinify organization. Machinify is a leading healthcare intelligence company with expertise across the payment continuum, delivering unmatched value, transparency, and efficiency to health plans. Deployed by over 75 health plans, including many of the top 20, and representing more than 170 million lives, Machinify’s AI operating system, combined with proven expertise, untangles healthcare data to deliver industry\-leading speed, quality, and accuracy. We’re reshaping healthcare payment through seamless intelligence.

ABOUT THE OPPORTUNITY:

Hiring Range: $85,000 \- $95,000

We are seeking a detail\-oriented Data Analyst to deliver accurate, timely, and insightful reporting. This role will focus on transforming complex data into clear, actionable reports that support business and client requirements. The ideal candidate has strong analytical skills, deep experience with reporting frameworks, and the ability to collaborate closely with stakeholders to translate priorities into meaningful data outputs.

Key Responsibilities:

• Serve as primary data and reporting analyst for new and existing clients, including but not limited to external requests.
• Leverage in\-house priority tools to establish and run daily, weekly, and monthly reports.
• Ensure reports meet defined accuracy, timelines, and formatting standards.
• Follow established report definitions, business rules, and documentation.
• Assists technical and business leads with reporting requirements gathering and documentation.
• Performs routine data quality checks to identify missing, inconsistent, or out\-of\-range values.
• Analyze and reconcile multiple data sources to identify and select the most accurate record when duplicates or conflicting information exists.
• Develop and maintain processes for ensuring data integrity, including deduplication and validation across large datasets.
• Support internal audits and regulatory reporting requests as directed.
• Help identify opportunities to improve report clarity, efficiency, or automation.
• Assist with ad\-hoc reporting requests from business partners.
• Corrects areas of deficiency and oversight received from quality reviews and/or management.
• Conducts a variety of data analysis for intelligent insights using subject matter knowledge, independent judgement, and analytical expertise.

Knowledge, Skills and Abilities Needed:

• Knowledge of and ability to work with large volumes of health care eligibility data
• Experience with Medicaid / Medicare / Other TPL business models and products
• Strong system skills with ability to quickly develop expertise in new systems and applications.
• Advanced skills in Excel, Access and/or other data analysis applications
• Strong knowledge of SQL
• Strong experience for querying, validating, and testing.
• General knowledge of X12 EDI Transactions, including, but not limited to 837s, 835s.
• Professional verbal and written communication with good presentation skills.
• Able to work independently and meet deadlines with minimal supervision.
• Strong communication skills for presenting insights and collaborating with stakeholders.
• Ability to produce results and maintain positive attitude in fast paced, dynamic environment.
• Self\-motivated and thrives in a fast\-paced department performing multiple tasks cohesively, with keen attention to detail while ensuring accuracy and integrity.
• Exceptional attention to detail, problem\-solving ability, and intuition for identifying anomalies and inconsistencies in data.

Required and Preferred Qualifications:

• Bachelor’s degree in relevant field or equivalent combination of education and experience.
• 5\+ years relevant experience working with healthcare claims data.
• Knowledge and experience with Healthcare, Coordination of Benefits, Third Party Liability, and/or Medicare Secondary Payer.

WHAT WE OFFER:

Machinify offers a wide range of benefits to help support a healthy work/life balance. These benefits include medical, dental, vision, HSA/FSA options, life insurance coverage, 401(k) savings plans, family/parental leave, paid holidays, as well as paid time off annually. For more information about our benefits package, please refer to our benefits page on our website or discuss with your Talent Acquisition contact during an interview.

Physical Requirements \& Additional Notices:

If working in a hybrid or fully remote setting, access to reliable, secure high\-speed Internet at your home office location is required. Proof of such may be required prior to an offer being made. It is the Employee’s responsibility to maintain this Internet access at their home office location.

The following is a general summary of the physical demands and requirements of an Office/Clerical/Professional or similar job, whether completed remotely at a home office or in a typical on\-site professional office environment. This is not intended to be an exhaustive list of requirements, as physical demands of each individual job may vary.

• Regularly sits at a desk during scheduled shift, uses office phone or headset provided by the Company for phone calls, making outbound calls and answering inbound return calls using an office phone system; views a computer monitor, types on a keyboard and uses a computer mouse.
• Regularly reads and comprehends information in electronic (computer) or paper form (written/printed).
• Regularly sit/stand 8 or more hours per day.
• Occasionally lift/carry/push/pull up to 10lbs.

Machinify is a government contractor and subject to compliance with client contractual and regulatory requirements, including but not limited to, Drug Free Workplace, background requirements, and other clearances (as applicable). As such, the following requirements will or may apply to this position:

• Must submit to, and pass, a pre\-hire criminal background check and drug test (applies to all positions). Ability to obtain and maintain client required clearances, as well as pass regular company background and/or drug screenings post\-hire, may be required for some positions.
• Some positions may require the total absence of felony and/or misdemeanor convictions. Must not appear on any state/federal debarment or exclusion lists.
• Must complete the Machinify Teleworker Agreement upon hire and adhere to the Agreement and all related policies and procedures.
• Other requirements may apply.

All employees and contractors for Machinify may and/or will have access to Sensitive, Proprietary, Confidential and/or Public data. As such, all employees and contractors will have ownership and responsibility to report any violations to the Confidentiality and Integrity of Sensitive, Proprietary, Confidential and/or Public data at all times. Violations to Machinify's policy related to the Confidentiality or Integrity of data may be subject to disciplinary actions up to and including termination.

Machinify is committed to the full inclusion of all qualified individuals. In keeping with our commitment, Machinify will take the steps to assure that people with disabilities are provided reasonable accommodations. Accordingly, if you believe a reasonable accommodation is required to fully participate in the job application or interview process, to perform the essential functions of the position, and/or to receive all other benefits and privileges of employment, please contact Machinify’s Human Resources team to discuss further.

Our diversity makes Machinify unique and strengthens us as an organization to help us better serve our clients. Machinify is committed to creating a diverse environment and is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, age, religion, gender, gender identity, sexual orientation, pregnancy, age, physical or mental disability, genetic characteristics, medical condition, marital status, citizenship status, military service status, political belief status, or any other consideration made unlawful by law.

THIRD PARTY RECRUITMENT AGENCY SUBMISSIONS ARE NOT ACCEPTED UNLESS EXPLICITY AGREED TO IN WRITING