Sr. Data Scientist
Location
Remote restrictions apply
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Seniority
Senior
Tech stacks
Permanent role
4 days ago
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
About Cotiviti
Cotiviti Service
How does Cotiviti work?
Cotiviti’s solutions are a critical foundation for healthcare payers in their mission to lower healthcare costs and improve quality through higher performing payment accuracy, quality improvement, risk adjustment, and network performance management programs.
Company culture
Open
We are open to new ideas, to different points of view, to people with diverse backgrounds.
Customer Driven
We know that we earn the privilege of serving our customers in every interaction.
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