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.
- Design complexity scoring engine and optimal routing algorithms.
- Develop dynamic priority scoring algorithms for optimal workflows.
- Create documentation and training for AI features.
- Support expansion planning and optimization for AI systems.
- Lead user enablement and training initiatives.
Qualifications
- 5+ years’ experience in data science with focus on predictive models
- Expertise with intelligent routing and prioritization systems
- Strong knowledge of data pipeline design and ML model integration
- Experience with healthcare claims data and processing workflows
- Knowledge of model evaluation and validation techniques
- Understanding of SLA compliance and business metrics
Originally posted on Himalayas