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Staff Data Scientist | Fraud / Billing

Leads development and deployment of ML and GenAI systems to detect billing errors, audits, and fraud in healthcare payments. Requires 5+ years data science experience, team management, and a degree in CS or related field.

180k – 230kUnited StatesML EngineeringRemote5+ YOE

About the role

What you will do

  • Build and ship classical ML and GenAI pipelines that surface, rank, and explain candidate billing error, audit, and fraud concepts across large-scale healthcare claims data
  • Advance state-of-the-art research in anomaly detection, information retrieval, and weak supervision, turning research into robust production systems
  • Accelerate concept generation and concept validation with SMEs by designing human-in-the-loop workflows that enable high-throughput review with strong precision, recall, and traceability
  • Own end-to-end delivery from problem framing and data strategy to model development, evaluation, deployment, and monitoring, with a focus on reliability and customer outcomes
  • Partner cross-functionally with Product, Data Engineering, Operations, SMEs, and business leaders to prioritize work, unblock execution, and unlock material financial value
  • Help scale the team and platform as Machinify grows aggressively toward resale and IPO readiness

What you bring

  • Degree in Computer Science, Engineering, or a related field
  • 5+ years of professional data science experience
  • Proven track record of managing data teams and delivering complex, high-impact products from concept to deployment
  • Strong knowledge of data privacy regulations and best practices in data security
  • Exceptional team management abilities, with experience in building and leading high-performing teams
  • Ability to think strategically and execute methodically
  • Ability to drive change and inspire a distributed team
  • Strong problem-solving skills and a data-driven mindset
  • Ability to communicate effectively, collaborating with diverse groups to solve complex problems
  • You embrace challenges with optimism and a balanced, and bring a business-oriented approach to product development
  • You prioritize customer impact, ensuring your work significantly advances our product value

What We Offer

  • Work from anywhere in the US! Machinify is digital-first.
  • Top Medical/Dental/Vision offerings
  • FSA/HSA
  • Tuition reimbursement
  • Competitive salary, 401(k) with company match
  • Unlimited PTO
  • Additional health and wellness benefits and perks
  • Flexible and trusting environment where you’ll feel empowered to do your best work

The salary for this position is based on an array of factors unique to each candidate: Such as years and depth of experience, set skills, certifications, etc. We are hiring for different levels and the base salary can range from $180k-$230k+ based on your assessed level. Compensation also includes meaningful equity, healthcare, unlimited PTO, and more.

Skills

Machine LearningGenerative AIAnomaly DetectionInformation RetrievalWeak SupervisionPythonSQLHealthcare Claims DataData PrivacyData Security

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