Sr. Data Scientist

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