Cotiviti

Sr. Data Scientist

Cotiviti  •  Republic of India (Remote)  •  2 months ago
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Job Description

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
Cotiviti

About Cotiviti

Cotiviti enables healthcare organizations to deliver better care at lower cost through advanced technology and data analytics that improve the quality and sustainability of healthcare in the United States. Cotiviti’s solutions increase transparency and collaboration between payers and providers while empowering them to reduce medical and administrative costs, enable better health, improve claims payment efficiency, streamline operations, drive interoperability, and advance value-based care. Its customers serve the majority of U.S. healthcare consumers, providing coverage and care for over 300 million members and patients. Additionally, Cotiviti offers data management and recovery audit services to the retail sector to improve business outcomes. For more information, visit www.cotiviti.com.

Industry
IT & Software
Company Size
5,001-10,000 employees
Headquarters
South Jordan, UT
Year Founded
Unknown
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