[Remote] AI Architect (Healthcare)

Note: The job is a remote job and is open to candidates in USA. Talent Groups is focused on developing AI solutions in the healthcare domain, and they are seeking an AI Architect to design large-scale autonomous AI ecosystems. This role involves architecting systems for claims automation, risk scoring, and policy management while ensuring compliance and governance in AI practices. Responsibilities • Architect enterprise-grade agentic systems for end-to-end claims automation, risk scoring, and policy management. • Build multi-agent collaboration frameworks for cross-functional reasoning (e.g., Claim Agent + Fraud Agent + Underwriting Agent). • Implement governance and safety layers enforcing compliance (PHI masking, access controls, explainability). • Integrate knowledge graphs with RAG pipelines to link medical ontologies (SNOMED, ICD-10, CPT). • Design self-reflective agents capable of error correction, justification, and escalation to human adjusters. • Oversee data lineage, observability, and versioned reasoning for auditable AI. • Partner with actuarial and data science teams to integrate predictive models into reasoning agents. • Lead teams in developing trustworthy, explainable AI within HIPAA and SOC 2 frameworks. Skills • 8+ years of experience in AI systems or enterprise architecture, with 3+ in LLM/agentic AI. • Expert in LangGraph, Semantic Kernel, Autogen, or custom orchestration frameworks. • Deep understanding of health insurance workflows: claims lifecycle, enrollment, policy underwriting, utilization review. • Strong foundation in knowledge graphs, vector search, and ontology-based retrieval. • Experience integrating FHIR servers, EHR APIs, and data pipelines. • Hands-on with cloud-native architectures (Azure Health Data Services, AWS HealthLake). • Proven record of designing AI governance frameworks, audit trails, and ethical controls. Company Overview • Talent Groups is a leading provider of IT talent solutions to companies of all sizes across several different industries. It was founded in 2018, and is headquartered in Houston, Texas, USA, with a workforce of 501-1000 employees. Its website is https://talentgroups.com/. Company H1B Sponsorship • Talent Groups has a track record of offering H1B sponsorships, with 1 in 2023. Please note that this does not guarantee sponsorship for this specific role. Apply tot his job Apply To this Job