AI-Powered Claims Optimization Specialist

1 week ago


Palo Alto, California, United States Machinify, Inc. Full time
Job Summary

We are seeking a highly skilled Data Scientist to join our team and advance our machine learning models further. The ideal candidate will have experience building best-in-class models, creating technical frameworks, and tools to help the team achieve greater scale and improved business outcomes.

  • Main Responsibilities:
  • Master claim audits by diving into various clinical and coding audits, unpacking the data that drives audit decisions, and understanding past outcomes.
  • Develop ML models that target claims for audit with even greater precision.
  • Measure model performance rigorously and translate outcomes into operational insights and recommendations for our clients.


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