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Sr. Data Scientist

Cotiviti

Job description

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
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