
501 - 1000 employees
Founded 1983
🛡️ Insurance
💼 Consulting
⚖️ Legal
Insurance • Consulting • Legal
Medical Review Institute of America, LLC is a company specializing in clinical and utilization review services. They offer a comprehensive suite of data-driven solutions, including prior authorization optimization, second opinions, and specialty drug reviews, aimed at ensuring the right care is delivered at the right time and in the right place. MRIoA provides services to health plans, pharmacy benefit managers, government entities, and self-insured employers, among others. They leverage technology and a network of professionals to streamline clinical decisions, enhance provider performance, and ensure compliance with regulatory requirements across all 50 states. Their tools and platforms are designed to optimize clinical reviews, reduce costs, and improve patient outcomes through evidence-based care pathways and telehealth solutions.
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501 - 1000 employees
Founded 1983
🛡️ Insurance
💼 Consulting
⚖️ Legal
Insurance • Consulting • Legal
Medical Review Institute of America, LLC is a company specializing in clinical and utilization review services. They offer a comprehensive suite of data-driven solutions, including prior authorization optimization, second opinions, and specialty drug reviews, aimed at ensuring the right care is delivered at the right time and in the right place. MRIoA provides services to health plans, pharmacy benefit managers, government entities, and self-insured employers, among others. They leverage technology and a network of professionals to streamline clinical decisions, enhance provider performance, and ensure compliance with regulatory requirements across all 50 states. Their tools and platforms are designed to optimize clinical reviews, reduce costs, and improve patient outcomes through evidence-based care pathways and telehealth solutions.
• Define AI use cases and align solution delivery timelines with business, operations, and technology teams • Partner with internal teams and third-party vendors to develop efficient, compliant, and scalable AI systems • Lead rapid prototyping to demonstrate AI/ML application value and inform broader adoption • Stay current with emerging AI/ML trends and technologies and contribute to the long-term AI strategy • Research, design, and implement supervised, unsupervised, and reinforcement learning models, including deep learning and NLP • Prepare, cleanse, and engineer data for AI/ML workflows • Train, validate, and fine-tune models for performance, accuracy, and efficiency • Build reusable, production-ready AI model deployment pipelines using MLOps best practices • Integrate AI/ML capabilities into existing products and platforms • Design and implement testing and evaluation frameworks for model validation • Monitor, maintain, and continuously improve deployed models • Ensure AI systems are secure and compliant with HITRUST, SOC 2, HIPAA, and other regulatory standards • Support transition of business processes to AI-driven solutions with operations, business, training, communications, and customer success teams • Provide documentation, materials, and support to promote user adoption of AI tools • Conduct retrospectives and incorporate continuous improvements
• 3+ years of experience developing Artificial Intelligence (AI) models • 3+ years of experience developing Machine Learning (ML) models • 3+ years of experience deploying AI models in production environments • 3+ years of experience deploying ML models in production environments • Experience with AI/ML libraries such as TensorFlow, PyTorch, and scikit-learn • Experience deploying AI/ML models on cloud platforms (AWS, Azure, or GCP) • Experience in one or more AI/ML domains such as NLP, computer vision, or time series forecasting • Experience working in healthcare (Advantage) • Proficiency in Python (Advantage) • Proficiency in Node.js (Advantage) • Bachelor's degree in Computer Science, or a related field • Background Screen required before beginning employment • Drug Screen required for newly hired employees • Agreement to necessary Compliance Regulations on the first day of employment • Adherence to applicable HIPAA regulations and company policies and procedures regarding confidentiality, privacy, and security of sensitive health information • Ability to sit at a desk and utilize a computer, telephone, and other basic office equipment
• A competitive compensation package • Healthcare, vision and dental insurance • Generous 401k match • Paid vacation, personal time, and holidays • Growth and training opportunities • Award-winning remote work environment
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