Opportunity Description
About the Project
We are building an AI-powered healthcare claims intelligence platform for a leading healthcare payer organization. The objective is to identify suspicious coding patterns, prevent AI-driven over-coding, and enable real-time claim risk detection before adjudication.
The platform will leverage cloud-native data engineering, machine learning operations, and advanced analytics to help automate decision-making and reduce claim leakage.
Key Responsibilities
- Design and develop scalable data pipelines on AWS.
- Build and optimize data workflows using Databricks.
- Develop and manage enterprise data models in Snowflake.
- Implement and maintain ML lifecycle management using MLflow.
- Support real-time and batch data processing workloads.
- Collaborate with data scientists and business stakeholders to operationalize machine learning models.
- Ensure data quality, governance, security, a...
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