Decision Scientist

Fractal Analytics

Bengaluru, India
Claims adjudication expertise
Genai and nlp application
Cloud data platforms experience
It's fun to work in a company where people truly BELIEVE in what they are doing!

Job Summary

  • It's fun to work in a company where people truly BELIEVE in what they are doing!
  • Own end-to-end problem solving for claims operations: improve auto-adjudication, reduce rework/denials, and modernize integrations.
  • If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us!

Matching Summary

It's fun to work in a company where people truly BELIEVE in what they are doing!

Skills & Requirements

Must-have

  • claims adjudication expertise
  • GenAI and NLP application
  • cloud data platforms experience
  • EDI X12 and FHIR interface design
  • consulting and stakeholder management
  • HIPAA privacy and security knowledge

Nice-to-have

  • payment integrity experience
  • pricing engine familiarity
  • BI tools exposure
  • executive storytelling skills
  • workshop facilitation
  • cross-functional influence

Key Requirements

  • 6–10 years US healthcare consulting experience
  • hands-on claims adjudication domain depth
  • working knowledge of HIPAA and PHI/PII handling
  • practical GenAI solutioning experience
  • exposure to Azure/AWS/GCP and Snowflake/Databricks
  • proposal and RFP experience
  • certifications such as AHIP, X12/FHIR, HIPAA

Work Rights

Not specified

Tailored Resume

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