Cotiviti
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
To apply for this job please visit himalayas.app.
About this role & career path
Working in India
India, officially the Republic of India, is a country in South Asia. It is the seventh-largest country by area, the most populous country in the world and, since its independence in 1947, the world's most populous democracy. Bounded by the Indian Ocean on the south, the Arabian Sea on the southwest, and the Bay of Bengal on the southeast, it shares land borders with Pakistan to the west; China, Nepal and Bhutan to the north; Bangladesh and Myanmar to the east. In the Indian Ocean, India is near Sri Lanka and the Maldives. Its Andaman and Nicobar Islands share a maritime border with Myanmar, Th
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