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Key Responsibilities
1. AI/ML Model Development
  • Build, fine-tune, and evaluate ML/LLM models for classification, prediction, summarization, RAG, and agentic workflows.
  • Develop modular, reusable model pipelines supporting multi-tenant architectures.
  • Conduct experimentation, A/B testing, and performance tuning.
2. AI Agent & Orchestration Development
  • Implement agentic frameworks (multi-step reasoning, workflows, tool use).
  • Integrate AI agents into orchestration layers (Drools, microservices, API gateways).
  • Build domain-specific ontologies, embeddings, vector search, and retrieval layers.
3. Data Engineering & Feature Pipelines
  • Build ETL/ELT pipelines, feature stores, and real-time data ingestion using Python and SQL.
  • Work with structured/unstructured data including EDI, FHIR, PDFs, medical records.
4. Platform & API Integration
  • Develop secure, scalable APIs (REST/GraphQL) for embedding AI into product workflows.
  • Integrate AI modules with microservices, Postgres DB, event queues, and messaging layers.
  • Work closely with DevOps to deploy models into containerized environments (AWS, Docker, Lambda).
5. Enterprise-Grade AI Delivery
  • Implement monitoring, guardrails, safety filters, hallucination-mitigation and auditability.
  • Ensure HIPAA, PHI, SOC2, CMS-compliant AI operations.
  • Drive MLOps best practices including CI/CD pipelines, versioning, and model governance.
6. Cross-Functional Collaboration
  • Work with product, clinical, engineering, and client teams to translate real-world use cases into scalable AI solutions.
  • Collaborate with SMEs in UM/CM, provider operations, risk, fraud, and claims workflows.


Required Skills & Experience

Technical Skills
  • Strong Python development (FastAPI, LangChain, LlamaIndex, PyTorch, transformers).
  • Hands-on LLM experience (OpenAI, AWS Bedrock, local models like Llama, Mistral).
  • Experience with vector databases (Pinecone, PGVector, Chroma).
  • Solid SQL experience (PostgreSQL preferred).
  • Experience building microservices and event-driven systems.
  • Knowledge of AWS stack: Lambda, S3, EC2, API Gateway, Step Functions.
  • Experience with AI agents, RAG pipelines, and orchestration frameworks.
  • Familiarity with healthcare standards (FHIR, EDI 278/837/835) is a strong plus.
Soft Skills
  • Strong problem-solving, analytical thinking, and debugging skills.
  • Ability to work in fast-paced, ambiguous, product-driven environments.
  • Excellent communication skills for cross-functional collaboration.


Preferred Qualifications

  • 12–18+ years of experience in AI/ML engineering or software engineering with AI integration.
  • Experience in payers, providers, health tech, or regulated industries.
  • Exposure to rule engines (Drools/Blaze/Sparkling Logic) and BPM/orchestration systems.
  • Experience with RPA, document processing, OCR/NLP, or medical record extraction.

Qualifications

Graduate

Range of Year Experience-Min Year

12

Range of Year Experience-Max Year

18

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