Key Responsibilities

As the Lead Data Scientist, your role will require you to work closely with subject matter experts in clinical and financial administration across practices, health systems, hospitals, and payors. Your machine learning projects will span the entire healthcare revenue cycle - from clinical encounters through financial transaction completion, extending into back-office operations and payer interactions.

You will lead the development of predictive machine learning models for Revenue Cycle Management analytics, along the lines of:

Payer Propensity Modeling - predicting payer behavior and reimbursement likelihood

Claim Denials Prediction - identifying high-risk claims before submission

Payment Amount Prediction - forecasting expected reimbursement amounts

Cash Flow Forecasting - predicting revenue timing and patterns

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