Description
You will architect enterprise-grade agentic systems for end-to-end claims automation, risk scoring, and policy management.
Responsibilities
- Build multi-agent collaboration frameworks for cross-functional reasoning.
- Implement governance and safety layers enforcing compliance (PHI masking, access controls, explainability).
- Integrate knowledge graphs with RAG pipelines to link medical ontologies.
- Design self-reflective agents capable of error correction, justification, and escalation.
- Oversee data lineage, observability, and versioned reasoning for auditability.
Required Skills
- 8+ years of experience in AI systems or enterprise architecture.
- 3+ years experience specifically in LLM/agentic AI.
- Expertise in LangGraph, Semantic Kernel, AutoGen, or custom orchestration frameworks.
- Deep understanding of health insurance workflows (claims lifecycle, underwriting).
- Strong foundation in knowledge graphs, vector search, and ontology-based retrieval.
- Experience integrating FHIR Servers and EHR APIs.
- Hands-on experience with cloud-native architectures (Azure Health Data Services, AWS HealthLake).
- Proven record designing AI governance frameworks and audit trails.
- Familiarity with Claims Automation and Risk Scoring.