Cotiviti
Healthcare Insurance • Fintech • Artificial Intelligence
Cotiviti is a healthcare technology and analytics company that specializes in improving payment accuracy and performance through advanced data analytics solutions. They partner with health plans, government agencies, and healthcare providers to deliver insights that enhance quality and efficiency in care delivery. With solutions such as risk adjustment, payment policy management, and member engagement, Cotiviti aims to optimize financial and clinical outcomes for the healthcare ecosystem.
Senior Data Scientist
October 4
Cotiviti
Healthcare Insurance • Fintech • Artificial Intelligence
Cotiviti is a healthcare technology and analytics company that specializes in improving payment accuracy and performance through advanced data analytics solutions. They partner with health plans, government agencies, and healthcare providers to deliver insights that enhance quality and efficiency in care delivery. With solutions such as risk adjustment, payment policy management, and member engagement, Cotiviti aims to optimize financial and clinical outcomes for the healthcare ecosystem.
📋 Description
• 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.
🎯 Requirements
• 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
🏖️ Benefits
• Health insurance • Professional development • Paid time off
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