Principal Data Scientist AI for Claims & Risk
Sedgwick
Sedgwick is seeking a Principal Data Scientist in Nashville, TN. The role involves leading the development of advanced statistical and machine learning models to enhance claims outcomes and operational efficiency. The ideal candidate will have a Master’s or PhD in a related field and over 8 years of experience in data science or analytics. Key responsibilities include developing predictive models, mentoring team members, and collaborating with various stakeholders. #J-18808-Ljbffr
- ...Principal Data Scientist Job Responsibilities Lead the design and development of... ...machine learning models that improve claims outcomes, operational efficiency, and risk management. Serve as the... ...probabilistic modeling. Partner with AI Engineering teams to...PrincipalRiskClaims
$180k - $225k
...Principal Data Engineer Our Health and Benefits business... ...management strategies and claims audit services.... ...reporting, and advanced AI/predictive use cases.... ...compliance, and enterprise risk requirements... ...analytic engineers, data scientists, product owners, and business...PrincipalRiskClaimsTemporary workLocal areaFlexible hours- ...Hispanic Alliance for Career Enhancement is seeking a Principal Data Scientist to lead the design and development of advanced statistical and machine learning models. Responsibilities include technical leadership in modeling initiatives, mentoring junior team members,...PrincipalRisk
$97.4k - $146.1k
...function that applies the power of data with machine learning to... ...outcomes across the Health and Risk Solutions business. This team is... ...analytic agile squads supporting AI use cases within various business... ...our pricing, underwriting, claim forecasting, and clinical review...RiskClaimsLocal areaFlexible hours$120k - $160k
...Fortune Best Workplaces in Financial Services & Insurance AI Data Scientist Sr. PRIMARY PURPOSE OF THE ROLE: To partner with stakeholders... ...for this or other roles. Sedgwick is the world’s leading risk and claims administration partner, which helps clients thrive by navigating...RiskClaimsWork at officeLocal areaFlexible hours$230.72k - $345k
...Summary The Senior Director, Data and AI Engineering will be a... ...other Data and Analytics, AI Scientists, Data Scientists, various roles... ...leadership on opportunities and risks related to AI and data technologies... ...processing fee, even if claimed you will be reimbursed, this...RiskClaimsTemporary workLocal areaFlexible hours$120.1k - $251.6k
...control, contract administration, and risk management within the data center or critical infrastructure sector... ...procurement, change orders, and claims management. Identify, assess, and mitigate... ...for predictive insights. Ensure AI outputs are explainable, auditable, and...PrincipalRiskClaimsContract workTemporary workFor contractorsFlexible hoursShift work$120k - $130k
...Data Quality Engineer Fortitude Reinsurance Company Ltd. (Fortitude Re) is one of the... ...deep insurance experience and proprietary risk modeling capabilities allow them to structure... ...through to reporting, ensuring that risk, claims, and treaty data meet the accuracy and...RiskClaims$156k - $235k
...Maximus is seeking a Principal Data Scientist to enhance the USS program with innovative AI solutions. Located in Nashville, Tennessee, the role involves optimizing AI systems, leading analyses, and driving data-focused initiatives. You'll mentor junior staff and contribute...PrincipalRemote work- ...A leading risk and claims administration partner in Nashville is seeking a Product Manager/Owner for AI initiatives. The role involves end-to-end management of AI projects, focusing on improving claims processes and operational performance. Candidates should have 6–10...RiskClaimsRemote work
- ...Principal / Head of Growth Healthcare RCM Full time WAH Executive full_availability Join our... ...of realized collections that creates true risk alignment with our clients. We are hiring... ...leakage recovery Payer Market Use cases: Claims operations & recovery Lead complex, multi...PrincipalRiskClaimsFull time
$166.5k - $185k
...with powerful technology and AI to bring together everyone involved... ...the center of care. Through data science, automation, and AI,... ...YOU'LL DO As a Senior Data Scientist, you will join our Data team to... ...as electronic health records, claims, or prior authorization....ClaimsImmediate start- ...Epidemiology team by preparing Real World data, advising on data analytic strategies, and... ...leveraging RWD); Global Patient Safety and Risk Management (e.g., analysis to obtain... ...analysis plans leveraging large RWD sources (Claims and/or EHR) Liaise with data vendors to obtain...PrincipalRiskClaims
$170k - $200k
...This range is provided by Azra AI. Your actual pay will be based on your skills and experience — talk with your recruiter... ..., and adapt in the real world? Azra AI is looking for a Principal Data Scientist to lead the next generation of healthcare AI—expanding beyond...PrincipalFull time- ...Principal Actuary Founded in 1999, Quantum Health is a... ...further strengthens the AI and provider search capabilities... ...partners, including risk-sharing, performance-... ...have decades of legacy data. All other duties as... ...insights from large-scale claims and provider data sets....PrincipalRiskClaimsWork at officeRemote work
$118.69k - $189.91k
...Job Description As a Principal Actuary in ACA Pricing, you'll use... ...trusted advisor, turning complex data into clear, actionable... ...decisions. By identifying emerging risks and opportunities, you'll help... ...organizations, and internet sites claiming to represent Blue Cross and...PrincipalRiskClaimsContract workWork at officeLocal area$89.4k - $183.5k
...Summary: Are you passionate about using AI and advanced analytics to solve complex,... ...role for you. We are seeking a Senior Data Scientist to join our innovation hub-a small, agile... ...events, forecast behaviors, identify risk, or perform segmentation and clustering....RiskTemporary workWorldwideFlexible hours$118.69k - $189.91k
...Job Description The Principal Actuary delivers a broad range of... ...identify and react to nuanced risks and opportunities. This particular... ...Points SQL-based data queries and data management... ...organizations, and internet sites claiming to represent Blue Cross and Blue...PrincipalRiskClaimsLocal area$275k
...the primary builder and steward of THA's data infrastructure. The role is responsible for... ...BI 5. Experience with or active use of AI coding tools (e.g., Claude Code, GitHub Copilot... ..., particularly hospital discharge/claims data, financial, and quality/safety metrics...ClaimsFull timeWork at office$180.37k - $212.2k
...supported. We are looking for a Senior Data Protection Engineer to lead and expand our... ...first mindset, utilizing LLMs and agentic AI to build scalable, next-gen Data Loss Prevention... ...cross-functionally to mitigate risk and ensure global regulatory compliance....RiskLocal area- ...client in Nashville, TN that is seeking a Data Engineer with exceptional SQL expertise and... ...experience, including PHI/PII handling, claims lifecycle, and EDI 835/837 formats... ..."Apply Today" you agree to receive calls, AI-generated calls, text messages or emails from...ClaimsHourly payContract work
- ...Insurance Applied & Agentic AI Engineer Job Responsibilities... ...AI solutions that transform claims intake, policy interpretation,... ...documents, SOPs, and historical claims data. Build autonomous and semi-... ...is the world's leading risk and claims administration partner...RiskClaims
- ...Data Engineer - Hybrid / Remote Opportunity Hybrid for candidates in Nashville and surrounding... ...operational SLAs, supporting analytics, AI, and clinical insights across the... ...message streams X12 837/835 healthcare claims data EHR/EMR source systems Batch, real...ClaimsWork at officeRemote work
- ...Ncontracts leads the industry in integrated risk management and compliance solutions,... ...team! The Analytics Engineer reports to the Data Architect and is responsible for building... ...resourceful, and genuinely excited about AI—whether that’s using it to streamline their...RiskTemporary workLocal areaFlexible hours
$150k - $170k
...Transformation team as Principal, Transformation Analytics... ...blends process optimization, data-driven insight... ...drivers. Collaborate with AI/ML teams to integrate advanced... ..., and operational risk tradeoffs. Retirement... ...underwriting operations, or claims operations. Trust or...PrincipalRiskClaimsLocal areaRemote work$106.9k - $176.5k
...build a better working world. Technology – Data and Decision Science – Data Engineering –... ...and technology adoption. Risk Management: Ability to identify potential... ...in capital markets. Enabled by data, AI and advanced technology, EY teams help clients...RiskSummer holidayFlexible hours- ...Insurance Product Manager/Owner AI End-to-End AI Product Owner –... ...specific Line of Business or claims domain. This role partners... ...collaboration with AI engineers and data scientists. It ensures that AI... ...friction points, regulatory risks, and client performance commitments...RiskClaimsRemote work
$70.6k - $141.2k
...Description Team Overview: The Data Center Construction... ...system of OCI’s data centers. As a Principal Engineer, you will serve as a... ...Identify design and constructability risks early, and implement... ...to life-saving care. And with AI embedded across our products and...RiskTemporary workLive inLocal areaWorldwideRelocationRelocation packageFlexible hours$142.3k - $195.7k
...put health first The Enterprise AI organization at Humana is a... ...accountable AI for effective risk management and measurement. Join... ...Proficiency in SQL, Python, and data analysis/data mining tools.... ...engineering or an applied research scientist position preferably with a...RiskBi-weekly payFull timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome office$25.48 - $63.65 per hour
...Job Description The Data Migration Engineer II is responsible for designing, building... .... Manage migration-related changes, risks, issues, and project activities while communicating... ...innovations to life-saving care. And with AI embedded across our products and services,...RiskHourly payContract workTemporary workLocal areaFlexible hours
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