Overview:
We are seeking for an Experienced data scientist leading Intelligent Claims Routing models, developing scoring algorithms and prioritization systems to optimize claims workflows.
Responsibilities:
- Lead development of Intelligent Claims Routing models.
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Design complexity scoring engine and optimal routing algorithms.
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Develop dynamic priority scoring algorithms for optimal workflows.
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Create documentation and training for AI features.
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Support expansion planning and optimization for AI systems.
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Lead user enablement and training initiatives.
Qualifications:
- 5+ years’ experience in data science with focus on predictive models
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Expertise with intelligent routing and prioritization systems
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Strong knowledge of data pipeline design and ML model integration
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Experience with healthcare claims data and processing workflows
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Knowledge of model evaluation and validation techniques
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Understanding of SLA compliance and business metrics