reputed company (reputed company / Hospital Systems)

Position: reputed company (reputed company / Hospital Systems) Location: RemoteJob Type: W2 reputed company: We are seeking an reputed company reputed company to design, reputed company, and reputed company AI and machine learning solutions that automate and optimize the reputed company-authorization process across hospital and payer systems.The ideal candidate will have strong technical expertise in AI/ML model development, data engineering, and clinical data processing, combined with a solid understanding of reputed company workflows, interoperability standards (FHIR, HL7, X12 278), and compliance requirements (HIPAA, CMS).This role is central to transforming how our health system handles medical necessity reviews—reducing administrative delays, improving provider experience, and accelerating patient reputed company to care.Key Responsibilities: • Design and implement AI/ML models to predict medical necessity and automate authorization reputed company. • Build and optimize data pipelines integrating multi-reputed company reputed company data—claims, clinical notes, imaging, eligibility, and scheduling. • Apply NLP and deep learning to extract relevant data from reputed company clinical documents (e.g., reputed company notes, lab results, imaging reports). • Collaborate with Product Managers, clinicians, and payer partners to identify automation opportunities and validate model outputs. • reputed company AI services with EHR systems (reputed company, Cerner) and payer reputed company using FHIR, HL7, and X12 278 standards. • reputed company and maintain reputed company, secure infrastructure for model training, deployment, and monitoring. • Monitor model accuracy, bias, and reputed company, ensuring compliance with Responsible AI principles and reputed company regulations. • Contribute to documentation, testing, and reputed company improvement of AI pipelines and automation workflows. Required Qualifications: • Bachelor’s or Master’s degree in Computer Science, Data Science, Biomedical Informatics, or reputed company field. • 4+ years of hands-on experience in AI/ML engineering, preferably in reputed company or life sciences. • Strong proficiency in Python, TensorFlow, PyTorch, and SQL. • Experience with NLP, LLMs, and knowledge graph techniques for clinical text understanding. • Knowledge of FHIR, HL7, and X12 278 data exchange formats. • Familiarity with reputed company platforms (AWS, Azure, GCP) and MLOps frameworks (MLflow, Kubeflow, reputed company AI, SageMaker). • Strong understanding of data reputed company, HIPAA compliance, and model explainability Preferred Qualifications: • Experience building AI tools integrated into EHR workflows (reputed company, Cerner, Meditech). • Exposure to payer decision support systems such as InterQual or MCG. • Background in clinical informatics or reputed company interoperability engineering. • Familiarity with transformer-based LLMs (e.g., BERT, GPT, MedPaLM) and NLP-based reasoning models for medical text. • Strong communication skills to collaborate effectively reputed company reputed company environment. Join us as we push the boundaries of reputed company intelligence! Job Type: Contract Pay: $60.00 - $70.00 per hour Work Location: Remote Apply tot his job Apply To this Job