AI/ML Solutions Analyst
Job Category: Sleep Management, LLC
Requisition Number: AIMLS003209
Full-Time
Essential Duties and Responsibilities:
- Data Preparation & Exploration
- Collect, clean, and preprocess patient, claims, billing, and operational data from healthcare systems (EHRs, billing platforms, CRM, etc.).
- Conduct exploratory data analysis (EDA) on datasets related to ventilator compliance, hospital readmissions, referral patterns, and payer trends.
- Modeling & Analysis
- Assist in building predictive and machine learning models (e.g., patient risk stratification, adherence prediction, referral conversion).
- Perform statistical and trend analysis to identify cost-saving opportunities and clinical/operational efficiencies.
- AI & Automation Development
- Support the design and prototyping of AI agents for tasks such as real-time eligibility checks, referral triage, and payer communication.
- Help build automated workflows and data pipelines that reduce manual processes (e.g., invoice/PO/receiving 3-way match, claims variance detection).
- Contribute to the development of chatbots and copilots that assist employees with data lookups, reporting, or documentation.
- Experiment with workflow automation tools and APIs to connect platforms such as Bonafide, Brightree, Acumatica, Salesforce, and Power Apps.
- Visualization & Communication
- Create dashboards and reports (Tableau/Power BI) that monitor patient outcomes, operational KPIs, and AI automation performance.
- Communicate results in clear, actionable terms for clinicians, operations staff, and executives.
- Collaboration & Support
- Work with data engineers to optimize data pipelines supporting AI/ML and automation initiatives.
Minimum Qualifications:
- Bachelor’s degree in Data Science, Computer Science, Healthcare Informatics, or related field (Master’s a plus), or equivalent experience
- Proficiency in Python (Pandas, NumPy, scikit-learn, LangChain, or similar frameworks for AI/agents).
- Strong SQL skills for working with healthcare and operational data.
- Familiarity with AI concepts such as LLMs, prompt engineering, and workflow orchestration.
- Understanding of healthcare data (claims, EHR, payer data) and compliance standards (HIPAA).
- Experience with data visualization tools (Tableau, Power BI, matplotlib, seaborn).
- Strong problem-solving and communication skills.
Preferred Knowledge, Skills and Abilities:
- Exposure to DME workflows (referrals, authorizations, billing, compliance).
- Experience building AI-driven tools or copilots in Microsoft Copilot, ChatGPT Enterprise, or similar platforms.
- Familiarity with workflow automation tools (Power Automate, Zapier, UiPath, etc.).
- Cloud platform experience (AWS, Azure, or GCP).
- Git/version control and collaborative development experience.
You will be expected to work during normal business hours, which are Monday through Friday, 8:00 a.m. – 5:00 p.m. Please note this job description is not designed to cover and/or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties and responsibilities may change at any time with or without notice.
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.
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