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Vp sales • roseville ca
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VP, DRG Validation
MachinifyRoseville, California, USA){kind=logo}
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Job Details
California Office - Roseville CA
Fully Remote
$200000.00 - $230000.00 Salary / year
Description
Who We Are
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 Machinifys AI operating system combined with proven expertise untangles healthcare data to deliver industry-leading speed quality and accuracy. Were reshaping healthcare payment through seamless intelligence.
Location : This role is fully remote.
About the Opportunity
The Vice President of DRG Validation is a cross-functional leader responsible for the strategic direction development and execution of comprehensive DRG (Diagnosis-Related Group) validation programs across MS-DRG APR-DRG and AP-DRG methodologies. This individual combines clinical expertise operational oversight and technical acumen to lead end-to-end deliveryfrom solution design and implementation to production performance client support and innovation initiatives. The role requires a visionary and hands-on leader who thrives in complex high-growth environments and excels at aligning teams technology and strategy to drive outcomes in healthcare reimbursement and payment integrity.
What youll do
Strategic Leadership
- Develop and execute a multi-platform production strategy for DRG validation services.
- Align organizational goals with evolving regulatory requirements payer expectations and client needs.
- Lead cross-functional teams to optimize workflows automation and platform interoperability.
Operational Oversight
Team Leadership & Development
Quality & Compliance
Technology & Innovation
Client & Stakeholder Engagement
Qualifications
Preferred Attributes :
What Success Looks Like
After 3 months
After 1 year
Pay range : $200000 - $230000 USD
This is an exempt position. The salary range is for Base Salary. Compensation will be determined based on several factors including but not limited to skill set years of experience and the employees geographic location.
Whats in it for you
with company match and flexible spending accounts
disability and parental leave.
What values well share with you
At Machinify were 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 and 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 were 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. We participate in E-Verify as required by applicable accordance with applicable state laws we do not inquire about salary history during the recruitment process. If you require a reasonable accommodation to complete any part of the application or recruitment process please contact our People Operations team at . See our Candidate Privacy Notice at : Experience :
Exec
Key Skills
Python,SOC,Debugging,C / C++,FDA Regulations,Minitab,Technical Writing,GAMP,OS Kernels,Perl,cGMP,Manufacturing
Employment Type : Unclear
Experience : years
Vacancy : 1
Monthly Salary Salary : 200000 - 230000