Urgent Openings For AI Developer (US Healthcare)

Artificial Intelligence (AI) Developer U.S. Healthcare Back Office (Predictive Analytics & Workflow Automation)

Location: Chennai, India
Department: Technology & Innovation Healthcare RCMEmployment Type: Full-Time

Position Overview:

We are seeking an experienced and driven AI Developer to join our Chennai-based team supporting U.S. healthcare clients. This role focuses on using Artificial Intelligence to drive predictive analytics and workflow automation across key functions in the healthcare revenue cycle management (RCM) and back-office operations. You will play a critical role in transforming healthcare operations through smart automation, denial prediction, payment forecasting, and task prioritization.

Key Responsibilities:

• Predictive Analytics
• Build machine learning models to:
• Predict insurance claim denials, delayed payments, and bad debt risk.
• Forecast cash flows, aging trends, and payer response patterns.
• Collaborate with RCM SMEs to validate and enhance model accuracy and relevance.
• Workflow Automation
• Develop AI logic to automate:
• Charge validation, claim edits, denial routing, and follow-up assignment.
• Integrate predictive models into production workflows to support real-time decision-making and task prioritization.
• Data Integration & Engineering
• Design and maintain ETL pipelines pulling data from:
• Practice management systems, clearinghouses, EHRs, and payer portals.
• Work with ANSI X12 transactions (837, 835), HL7, and FHIR standards to build structured datasets for model training.
• NLP for Medical Documents
• Apply NLP to extract and classify information from clinical notes, denial letters, appeal documentation, and billing memos.
• Model Deployment & Feedback
• Deploy, monitor, and retrain models based on performance in live production environments.
• Build dashboards for operational teams to act on predictive insights.
• Compliance & Governance
• Ensure all AI and data practices adhere to HIPAA, client-specific security requirements, and U.S. healthcare compliance norms.

Required Qualifications:

• Bachelor’s or Master’s degree in Computer Science, Data Science, or a related field.
• 2–5 years of experience in AI/ML development, ideally in the U.S. healthcare or RCM domain.
• Strong Python skills and experience with libraries such as Scikit-learn, TensorFlow, and Pandas.
• Solid understanding of healthcare RCM workflows including denials, AR follow-up, and claim lifecycle.
• Familiarity with U.S. medical coding systems: ICD-10, CPT, HCPCS, and claim formats (837/835).

Preferred Qualifications:

• Experience with RPA tools (UiPath, Automation Anywhere) or custom automation frameworks.
• Working knowledge of NLP libraries (spaCy, NLTK, Hugging Face).
• Familiarity with EHR platforms (Epic, eClinicalWorks, Athenahealth).
• Experience deploying AI solutions on cloud platforms (AWS, Azure, GCP).

Interested pls share your updated resume to below email ID or whatsapp:

Email ID: azarudeen@qwayhealthcare.com

Number: 7397746136

Regards

HR Team

Qway Technologies