Mid-level AI Engineer specializing in healthcare claims analytics and RAG copilots
Remote, USAI Engineer4 years experienceMid-LevelHealthcareHealthcare ITInsurance
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About
Built a production "appeals co-pilot" for a healthcare claims appeals team, combining an XGBoost/logistic ranking model with a Python/LangChain RAG stack (FAISS + Mistral 7B) to surface high-probability appeal wins and speed policy-grounded drafting. Emphasizes reliability and trust: hybrid retrieval with metadata routing, citation/eval scripts, guardrails, and an explainability layer that non-technical stakeholders could understand and override.
Experience
AI EngineerCODOXO
Insights AnalystCOTIVITI
Data AnalystQUALMINDS TECHNOLOGIES
AnalystARCELORMITTAL NIPPON STEEL
Education
University of Texas at Dallasmaster, Business Analytics and Artificial Intelligence (2025)
National Institute of Technologybachelor, Electrical and Electronics Engineering (2020)
Key Strengths
Built and deployed end-to-end LLM + ML production system (claims appeals co-pilot)
Designed claim ranking model using XGBoost + logistic regression for appeal success probability
Improved RAG quality by reducing retrieval noise via chunking, metadata filters, and hybrid semantic/keyword scoring
Implemented explainability layer to increase stakeholder trust (transparent ranking reasons)
Handled sparse-data segments with regularization and fallback rules for model stability
Established reliability evaluation framework (precision, hallucination rate, latency, regression tests)