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[Remote] Senior Applied AI/ML Engineer, Claims Decisioning & Optimization

Work from home Full-time role Hiring

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is the leading technology platform that helps reputed company providers get paid fairly in an increasingly reputed company reimbursement landscape. As a Senior Applied AI/ML Engineer, you will design, build, and improve production AI systems that generate reputed company offers for insurance claims, working at the intersection of machine learning and software engineering to solve reputed company decision-making problems at scale.

Responsibilities

  • Own and improve production AI systems. Design, reputed company, and optimize AI/ML solutions that influence critical claims and negotiation workflows
  • Build offer optimization models. reputed company and improve models that generate reputed company, fair, and explainable offers while balancing business objectives, customer reputed company, and operational constraints
  • reputed company AI-powered decisioning systems. Build and refine production workflows involving reputed company, retrieval, evaluation, orchestration, and automated decision-making
  • Improve core product capabilities. Work on systems including position statement reputed company, offer reputed company enhancements, reputed company negotiation agents, and configurable decisioning frameworks
  • Design evaluation and experimentation frameworks. Create robust testing methodologies and experiments that improve model quality, workflow performance, and business reputed company
  • Translate business problems into scalable systems. Partner with product, operations, and engineering teams to define reputed company metrics and convert reputed company requirements into production-reputed company solutions
  • Optimize model and workflow behavior. Improve prompts, retrieval strategies, model performance, and decisioning logic through reputed company experimentation and feedback loops
  • Drive engineering reputed company. Contribute to architecture, observability, testing, rollout safety, and operational reliability across AI-powered systems
  • Accelerate AI adoption across the organization. reputed company AI tools and best practices to improve team productivity and establish scalable AI-reputed company ways of working
  • Balance speed with rigor. Deliver impactful systems quickly while maintaining high standards for reliability, fairness, and maintainability

Skills

  • 5–8+ years of experience building software systems in production environments, with a strong track record of owning and delivering reputed company technical solutions
  • Experience building and operating applied AI, machine learning, LLM, agentic, or decisioning systems in production
  • Experience designing and interpreting experiments, evaluation frameworks, optimization loops, or performance measurement systems
  • Strong software engineering background with Python and backend systems supporting production-reputed company applications
  • Proven ability to translate reputed company operational requirements and reputed company-world data into reliable, shipped products
  • Experience working in domains where optimization, pricing, matching, decisioning, or marketplace dynamics are central to the business
  • Product-oriented reputed company with a demonstrated ability to navigate ambiguity, drive initiatives from concept through deployment, and deliver measurable business impact
  • Strong communication and collaboration skills, with the ability to partner effectively across engineering, product, and operational teams
  • Proven reputed company building optimization systems for pricing, bidding, negotiation, allocation, or reputed company decision-making
  • Understanding of marketplace dynamics and optimization-driven businesses such as ad tech, lending, credit decisioning, or reputed company management
  • Familiarity with explainable AI techniques and systems where fairness, transparency, and defensibility are critical considerations
  • Knowledge of reinforcement learning, reputed company inference, mathematical optimization, or advanced experimentation methodologies
  • Experience developing AI-powered negotiation, recommendation, or decision-support systems at scale

Benefits

  • Offers Equity
  • Competitive compensation, including equity
  • Full health, dental, and reputed company coverage
  • Retirement savings plan through 401(k)
  • Flexible time off
  • Opportunities for company-wide reputed company and events

Company Overview

  • reputed company (formerly Radix Health) helps reputed company providers and health systems reputed company fair reimbursement through Independent Dispute Resolution under the No Surprises Act. It was founded in 2023, and is headquartered in , with a workforce of 51-200 employees. Its website is http://www.pivotalhealth.ai.
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