Qureos Mentor

Orison Solutions LLC

<div>Job Description
Key Responsibilities: 
 
 
 
Develop and maintain expert knowledge on healthcare operations including authorizations, claims, and policies to support Utilization Management and Medical Affairs. 
 
 
Conduct data analysis and research to evaluate potential changes in medical policies, claims payments, pre-certification lists, and related areas. 
 
 
Design and maintain nurse staffing models to support the client//'s Utilization Management team. 
 
 
Create presentations and analytical reports using clinical, survey, or administrative data for internal and client-facing projects. 
 
 
Interpret and summarize analytical findings, delivering clear and actionable insights to stakeholders. 
 
 
Provide ad hoc reporting and analytics support based on business needs. 
 
 
 
Primary Skills: 
 
 
 
Strong analytical background with minimum 2 years of experience in a data-driven or analytical environment. 
 
 
Advanced SQL and/or R programming skills for data extraction, transformation, and validation. 
 
 
Proficiency in handling healthcare data such as claims and authorizations. 
 
 
Experience in building data models and performing quality assurance checks. 
 
 
 
Secondary Skills: 
 
 
 
Working knowledge of data visualization tools like Tableau for dashboard creation and reporting. 
 
 
Intermediate proficiency in Microsoft Excel, including pivot tables and chart creation. 
 
 
Strong project management, problem-solving, and interpersonal communication skills. 
 
 
Ability to manage multiple tasks independently and work effectively with cross-functional teams. 
 
 
 
Good to Have Skills: 
 
 
 
Experience or academic background in healthcare, public health, business, statistics, or related fields. 
 
 
Understanding of clinical data, medical coding, or healthcare regulations. 
 
 
Exposure to predictive analytics, machine learning, or statistical modeling in a healthcare context. 
 
 
Familiarity with survey design and analysis. 
 
 
 
 
 
Skills 
 
Healthcare,Visualization Tools,Data Extraction,SQL/ R programming</div>

Research Analyst(Health Care)

Role Overview: 
 
We are seeking an AI Solutions Analyst who will bridge the gap between business intelligence, data engineering, and AI application teams. The ideal candidate will design and refine how Large Language Models (LLMs), such as GPT, interact with enterprise datasets to deliver accurate, contextual, and compliant business insights. 
 
Responsibilities: 
 
 
 
Serve as the link between business, data, and AI teams, ensuring effective interaction between the LLM and modeled datasets. 
 
 
Define and curate context and knowledge bases to enable GPT to provide relevant, precise, and compliant outputs. 
 
 
Collaborate with Data Analysts, Engineers, and SMEs to identify, structure, and tag data for AI usage. 
 
 
Design, test, and refine prompt strategies and context frameworks aligned with business objectives. 
 
 
Conduct LLM evaluation and performance testing (evals) to validate accuracy, completeness, and contextual relevance. 
 
 
Develop and maintain an LLM Interaction Design Framework documenting context injection, prompt templates, and retrieval logic. 
 
 
Partner with IT, Compliance, and Governance teams to ensure ethical, secure, and responsible AI deployment. 
 
 
Produce reports and dashboards summarizing AI performance, usage trends, and continuous improvement metrics. 
 
 
 
 
Key Deliverables: 
 
 
 
LLM Interaction Design Framework: Documentation of GPT connections, context injection, and prompt architecture. 
 
 
Knowledge Base Configuration: Curated domain and business rules repository for GPT accuracy. 
 
 
Evaluation Scripts &amp; Reports: Test datasets, scoring criteria, and LLM output analysis. 
 
 
Prompt Library &amp; Usage Guidelines: Standardized templates for consistent and effective AI interactions. 
 
 
AI Performance Dashboard: Visual summary of LLM accuracy, response quality, and improvement metrics. 
 
 
Governance &amp; Compliance Documentation: Inputs to bias prevention, ethical use, and AI control frameworks.

AI Solutions Analyst

Join Orison Solutions LLC and explore 2   exciting career opportunities. They're hiring for various roles with options for remote or on-site work. Apply today and become part of their innovative team.

Orison Solutions LLC

ABOUT_COMPANY

Research Analyst(Health Care)

AI Solutions Analyst