17 jobs found in Not Specified

Title: Senior Business Analyst Duration: FTE (Full time) Location: Remote with Need based travel Job Description: We're seeking a senior Business Analyst to lead data governance and management initiatives for US Healthcare Payer clients. You'll bridge business strategy and cloud data platforms - driving governance frameworks, modernization programs, and stakeholder outcomes on Azure and Microsoft Fabric. You'll partner with business and technical teams to drive data governance initiative to enable data lifecycle maturity through cataloging, metadata management, data quality, stewardship processes, and governance workflow enablement. What You'll Do Facilitate workshops, JAD sessions & client presentations Elicit & document requirements from healthcare payer stakeholders Support the execution of the enterprise Data Governance Framework, including policy adoption, standards rollout, and roles (Owner, Steward, Custodian) alignment. Define and document critical data elements (CDEs) and expected quality dimensions (accuracy, completeness, timeliness, uniqueness, validity). Conduct workshops with business to understand and document business definitions for critical data elements - to design a business glossary for the organization Curate metadata within the enterprise catalog (e.g., Microsoft Purview, OneLake Catalog), ensuring datasets include business context, owners, classifications, certifications, and lineage. Partner with technical teams to translate business rules into data quality checks and monitoring logic. Support data access governance by enabling entitlement workflows (e.g., OneLake request center Purview policies Fabric RLS/CLS). Ensure classified/sensitive data (PII, PHI, PCI, financial) follows regulatory controls and internal policy requirements (HIPAA, SOX, GDPR, privacy standards). Lead data migration analysis, mapping & validation activities Support Azure & Fabric data platform adoption and enablement What You Bring 8-14 years in Business Analysis with data governance and/or data management focus Understanding of data governance tools, such as, Microsoft Purview (Azure Purview) Deep Healthcare Payer domain knowledge Working knowledge of Microsoft Fabric Familiarity with HIPAA, HL7, FHIR & EDI standards Core Technologies Microsoft Purview, Azure Data Lake, Azure Data Factory, Azure Synapse, Azure Databricks, Microsoft Fabric, Power BI Healthcare Domain Claims Processing, Enrolment & Eligibility, Provider Network, HL7 / FHIR, EDI 837/835, HIPAA Compliance Great to Have Data Migration & Modernization, Collibra / Alation, DAMA-DMBOK, Azure Certifications, Agile / Scrum

Staff Machine Learning Engineer We're looking for a Staff Level Machine Learning Engineer build large-scale systems that make a real-world impact? Our client - a fast-growing AI company revolutionising healthcare - is seeking a Staff Machine Learning Engineer to lead the design, deployment, and optimisation of production-grade ML systems. This is your opportunity to shape the next generation of applied AI in healthcare and work with some of the brightest minds in the industry. Responsibilities: Collaborate cross-functionally with data scientists, engineers, and product teams to design and deliver scalable ML solutions. Mentor and guide other engineers, setting standards and shaping the company's ML engineering practices. Architect robust systems that support high-volume batch and real-time inference. Develop APIs, feature stores, and automation tooling to accelerate ML experimentation and deployment. Build and maintain pipelines for data ingestion, training, evaluation, and model serving. Implement monitoring, observability, and reliability frameworks to ensure production-grade performance. Optimise performance across the ML stack - balancing latency, scalability, and cost-efficiency. Requirements: Experience building and deploying ML models in production environments. Strong programming background in Python , Go , C++ , or Java . Experience with distributed training , data pipelines , and real-time inference systems . Sound understanding of ML concepts , particularly in computer vision or large language models (LLMs) . Deep expertise with cloud platforms (AWS, GCP, or Azure) and DevOps infrastructure (Kubernetes, Terraform, Docker). Why apply? Competitive compensation and equity package. Flexible and hybrid work options across major U.S. tech hubs. A high-growth, collaborative culture where ownership and innovation are valued. A mission-driven environment - shaping the future of AI-powered healthcare . To apply please contact Sam Shinner at Discover International

Senior Healthcare Analyst Fully Remote Contract to Full-Time Employee Pay: $35-$38/hr We are hiring for a Senior Healthcare Analyst to support a high-impact healthcare data team focused on reporting, data management, automation, and migration into a new enterprise platform. This is an excellent opportunity for an analyst who brings strong technical skills, understands healthcare quality data, and is excited to work with a newer system that is expanding across the organization. This role is best suited for someone who can hit the ground running , is comfortable working in a fast-paced environment, and has strong experience in SQL and Python , along with a solid foundation in SAS . Location Fully remote If local to the South Lyon / Detroit area, there may be an opportunity to go onsite once every two weeks at the South Lyon office Contract Details Start Date: 4/13 End Date: Mid-to-late October Opportunity to transition from contract to full-time employee Compensation $35-$38/hr W2 only Position Overview The Senior Healthcare Analyst will support critical work tied to healthcare data management, quality measure reporting, end-user support, and data migration efforts. This team is actively working within a new data migration system called Foundry , which supports member data workflows and end-user functionality. This is a great opportunity for someone looking to gain hands-on experience with an emerging platform while contributing to meaningful healthcare initiatives. The ideal candidate will have experience within Medicare Advantage , managed care, or payer environments, with a strong understanding of quality measures data and the ability to navigate both technical and operational needs. Day-to-Day Responsibilities Pull reports and queries from Databricks Build and maintain reporting workflows using SQL, Python, and SAS Set up and support automation processes Assist with data migration into Foundry Perform data cleanup, validation, and quality checks Support end users by troubleshooting issues and helping ensure smooth workflows Work with member and vendor data to support broader healthcare operations Contribute to platform adoption and help the team maximize new system capabilities Key Areas of Focus Data management Healthcare analytics and reporting Quality measures data Foundry migration support End-user support Automation and query development Required Qualifications 3+ years of strong foundational experience in healthcare analytics or data management Strong hands-on experience with SQL and Python Working knowledge of SAS Experience in a payer, managed care, or Medicare Advantage environment Experience working with quality measures data Strong analytical, troubleshooting, and problem-solving skills Ability to work independently and adapt quickly in a changing environment Preferred Qualifications Experience with Databricks Familiarity with quality measures such as: Medication Adherence SUPD COB Poly measures Experience supporting or participating in the implementation of a new software or data platform Experience working closely with operational users or end users during system transitions Why This Opportunity Stands Out Fully remote Clear path to full-time employment Exposure to Foundry , a newer healthcare data migration platform Opportunity to work on meaningful member data and quality-focused initiatives Strong opportunity for someone who wants to expand their technical an

Strong SYNON/COOL 2E coding skills - Experience with RxCLAIM or Healthcare PBM application - Experience with Benefit Plan and Core Adjudication in RxCLAIM - 3 - 5 Years of Experience with SYNON/COOL 2E, COBOL400, CL/400, CLLE, DB2/400 - Strong troubleshooting skills, and diligence in the pursuit of issue resolutions. - Code with a minimal amount of guidance and meet project deadlines. - Maintain existing systems, document the current system flow and business logic, development of new systems/solutions, and perform major enhancements to existing systems using SYNON and other relevant technologies.

Position: Coding Specialist coding Holds and Denials Overview We're seeking a seasoned Coding Specialist to conduct high-quality reviews and assign accurate codes to a wide range of patient records. Your work ensures that physician services are properly documented and billed in alignment with medical and legal standards. What You'll Do Assign ICD-10-CM and CPT codes (with modifiers) for professional fee services. Review documentation to support accurate coding and billing. Validate medical necessity based on local and national guidelines. Resolve coding edits, denials, and assist with rebilling when needed. Stay current with coding regulations and compliance standards. Meet or exceed productivity and quality benchmarks . Identify coding issues and contribute to ongoing improvements. Participate in departmental meetings and compliance training. Preferred Qualifications AAPC CPC certification (Required) for the last 3 yrs. 5+ years of experience in professional fee coding. In-depth knowledge of CPT, ICD-10, anatomy/physiology , and Medicare rules. Excellent analytical, written, and verbal communication skills. Strong attention to detail and ability to work independently. High level of discretion with HIPAA and PHI . Proficient in Microsoft Office (Word, Excel, Outlook, Teams). Work Environment & Requirements 100% remote with standard business hours. Extended computer usage and sitting required. Ability to lift up to 30 pounds occasionally. Strong focus on compliance, privacy, and quality standards. Work environment: A standard business environment exists with moderate noise levels. Ability to lift and move approximately thirty (30) pounds non-routinely. Ability to sit for extended periods. Extended periods of computer usage Handling - seizing, holding, grasping, and fingering of objects, tools, and controls. Vision - close vision Hearing- the ability to receive detailed information through oral and telephonic communication.

Job Title: Junior Healthcare Data Analyst Contract: 6-Month Contract-to-Full-Time Employee Job Description: This role supports a large healthcare organization by assisting with healthcare data reporting, data management, and migration efforts tied to a new enterprise platform. The Junior Healthcare Data Analyst will be responsible for pulling reports, writing queries, supporting automations, assisting with data cleanup and migration, and helping end users navigate reporting and operational workflows. This position plays an important role in supporting quality measure initiatives, improving data accuracy, and helping the organization transition member and operational data into a newer system. Location: • Fully Remote • If local to the South Lyon / Detroit area, opportunity to go onsite once every 2 weeks Shift: • Monday-Friday • Standard daytime business hours • 40 hours per week Pay Rate: $32-35/hour Requirements Snapshot • Minimum 3 years of experience with a combination of Python, SQL, or Databricks • Experience in healthcare data, reporting, or analytics • Experience pulling reports, building queries, and supporting data workflows • Exposure to data migration, data cleanup, or platform implementation work • Ability to support end users and troubleshoot reporting or workflow issues • Experience in payer, managed care, or Medicare Advantage environments preferred • Strong problem-solving, communication, and organization skills • Ability to learn quickly and contribute in a fast-paced environment

Must Have Technical/Functional Skills • Experience: o Must have SI experience with larger IT service provider o 10+ years of experience in software architecture or engineering, with at least 5+ years in AI/ML specifically. o Proven experience designing and developing multi-agent AI systems in a production environment. o Significant experience in the healthcare industry, with a deep understanding of clinical workflows, RCM, data standards (HL7, FHIR), and regulated environments. • Technical skills: o Expertise in multi-agent orchestration frameworks (e.g., LangChain, LangGraph, CrewAI, AutoGen). o Deep knowledge of LLM architectures, RAG implementation, and techniques for fine-tuning models. o Extensive experience with cloud platforms (AWS, Azure, or GCP) and related AI services. o Strong background in data engineering, including building ETL pipelines and managing vector stores. o Proficiency in Python and relevant AI/ML libraries (e.g., PyTorch, TensorFlow). o Hands-on experience with MLOps practices and tools (e.g., Docker, Kubernetes, MLflow). Roles & Responsibilities • System architecture: Define the architectural vision and strategy for agentic AI solutions, designing end-to-end architectures that include model integration, orchestration frameworks, memory systems, and tool-use capabilities. • Technical leadership: Guide and mentor cross-functional teams of AI engineers, data scientists, and DevOps specialists on architectural patterns and best practices for building scalable and reliable agentic AI systems. • Cloud infrastructure and MLOps: Design and deploy multi-agent AI systems on cloud platforms (AWS, Azure, or GCP), building and managing cloud-native AI pipelines with MLOps best practices for monitoring, evaluating, and scaling agents. • Healthcare integration: Lead the integration of agentic AI solutions with existing healthcare systems, and other enterprise platforms, while ensuring data interoperability and security. • Responsible AI: Ensure the implementation of strong AI governance, security, and ethical practices throughout the agent lifecycle, including bias mitigation, fairness checks, and compliance with healthcare regulations like HIPAA. • Proof of concept and scaling: Lead proof-of-concept (PoC) initiatives to validate new agentic capabilities, then develop strategies to scale successful prototypes into production-ready systems. • Technology evaluation: Evaluate and integrate a wide range of open-source and proprietary AI tools and technologies, including vector databases, orchestration frameworks (e.g., LangChain, CrewAI), and cloud-native AI services. • Thought leadership: Stay current with the latest advancements in agentic AI, generative models, and multi-agent frameworks, driving innovation within the company and potentially presenting at industry conferences.

Seeking: IP Auditor Overview: We are seeking an experienced IP Auditor to begin ASAP. This position in full-time and fully remote. All applicants must be US based. Must have: Must have experience in the following areas: OBGYN, NICU, medical, surgical, ortho, oncology, dedicated burn units, psychiatric. CCS or CIC/COC is required. Apply today.

We are seeking an experienced Epic Cupid Analyst This role will focus on designing, building, testing, and deploying Epic Cupid functionality in alignment with cardiovascular imaging workflows. The ideal candidate will have experience supporting Cupid and Radiant during the implementation phases, including integration design, validation, and go-live support. Travel: One week per month onsite Responsibilities Lead the design, build, and implementation of Epic Cupid in coordination with enterprise imaging and cardiovascular service lines Collaborate with technical teams to design and validate integration workflows between Epic Cupid and Sectra PACS Work with clinical and operational stakeholders to gather and document requirements, focusing on cardiology imaging and reporting needs Participate in workflow analysis, system configuration, integrated testing, and end-user training Coordinate interface validation and ensure robust image-enabling workflows (e.g., ordering, acquisition, viewing, and results documentation) Support cutover planning and go-live execution, including troubleshooting, issue tracking, and end-user support Provide ongoing documentation, status reporting, and knowledge transfer to internal teams Requirements 3-5+ years of experience with Epic Cupid, including build and implementation experience Epic Cupid certification or proficiency and ability to obtain quickly Epic Radiant certification is a plus Strong understanding of cardiology imaging workflows, including integration with EMR and PACS Familiarity with HL7, DICOM, and image exchange workflows Excellent communication, project coordination, and stakeholder engagement skills

We are presently seeking a highly motivated full stack Web-Applications developer to join our development team. The person in this role will be involved in the design and implementation of our next generation Web-based portfolio management application - Architect AI. Architect AI leverages natural language processing (NLP) to perform complex workflows rapidly allowing portfolio managers to work more efficiently, effectively reducing the number of steps in a given process and minimizing the reliance on complex software coupled with external spreadsheets that dominate many of today's front office workflows. The development environment is Visual Studio 2022 C# ASP.NET Core with MS SQL 2016+ backend.

Seeking: IP CDI Overview: We are seeking an experienced IP CDI with a varied background and strong clinical knowledge. This position is full-time and fully remote. All applicants must be US based. Must have: Must be RN with 4 years of experience in nursing and 2 years of experience of CDI. CCDS Required as well as Epic and 3M/360 experience. Apply today.

Seeking: Coding Data Quality Supervisor Overview: We are seeking an experienced Coding Data Quality Supervisor to manage a team of 8-10 auditors and 1-2 denials analysts, ensuring daily objectives are achieved. Must be an expert in mortality and PSI auditing/coding. This role will conduct regular audits of the team as requested to ensure the audit team consistently meets quality metrics. The role will train new auditors on established procedures and protocols. This position in full-time and fully remote. All applicants must be US based. Must have: Must have 5 years hospital-based inpatient/outpatient services coding experience. Previous auditing in an acute care setting and supervisory or lead experience preferred. Experience in Epic, 3M, Vizient, HealthyStream, Cloudmed, and AudaPro preferred. Apply today.

Join our customer's team as an AI/ML Engineer and play a pivotal role in architecting and deploying cutting-edge AI solutions. Be part of an innovative environment where your expertise with Python, LLMs, Retrieval-Augmented Generation (RAG), and AWS will be fully leveraged to deliver impactful, production-grade machine learning systems.

Outshiny India Pvt Ltd is a product-centric technology and consumer goods company with a strong focus on design, engineering, and disciplined execution. We build products that solve real-world problems and are designed to scale globally. About the Role We are looking for a hands-on E-commerce Operations & Growth Specialist who can own day-to-day Shopify operations, manage order and fulfillment workflows, and support product promotion through Instagram and TikTok. This is a builder role, not a managerial one. You will work closely with the Founder and have direct responsibility for systems, execution, and outcomes.