Senior Director, Data Mining Ideation

The role

You will lead and scale a team that turns data mining and audit-support work into findings on improper payments. You will own day-to-day delivery, team development, and operational targets within a vendor delivery model.

What you will do

• Provide direct leadership, mentorship, and performance management for operational data mining professionals.
• Set clear expectations, build a strong team culture, and establish coaching and training routines.
• Oversee workflow planning, prioritization, and quality assurance for audit-support findings and reporting outputs.
• Ensure outputs are accurate, consistent, and actionable to meet service levels.
• Drive measurable value for clients by supporting the identification of improper payments.
• Manage and deliver against annual and ongoing budgets, including capacity forecasting and headcount planning.
• Make and recommend tradeoffs on staffing, throughput, tooling, and workflow optimization.
• Run the team with strong metrics discipline and consistent operating rhythms.
• Continuously improve operational processes using automation and AI-assisted tooling.
• Partner with analytics, data engineering, reporting, product, and client-facing operations.

Required qualifications

• 8+ years of experience in healthcare payment integrity, claims analytics, audit operations, or a similar delivery function, including 2+ years leading teams.
• Demonstrated success managing budgets, headcount planning, and operational forecasting in a fast-paced, service-oriented environment.
• Track record of scaling and maturing an execution-oriented team and managing performance through metrics and quality standards.
• Strong communication and executive presence.
• Ability to build trust across teams, manage competing priorities, and deliver results through others.
• Comfort partnering with technical teams and interpreting analytical outputs.

Nice to have

• Familiarity with healthcare claims data, audit processes, payment integrity concepts, and data mining approaches.
• Experience in vendor-client delivery models.
• Experience with AI tools.

About the company

Machinify is a healthcare intelligence company with expertise across the payment continuum. It delivers an AI-powered platform to health plan clients to maximize financial outcomes and drive down healthcare costs.