Job summary:

Job description:

**** Webcam interview;  *** Long term project *** Remote ***Linkedin Must***

Job Description:

Key Responsibilities:

• Architect enterprise-grade agentic systems for end-to-end claims automation, risk scoring, and policy management.
• Build multi-agent collaboration frameworks for cross-functional reasoning (e.g., Claim Agent + Fraud Agent + Underwriting Agent).
• Implement governance and safety layers enforcing compliance (PHI masking, access controls, explainability).
• Integrate knowledge graphs with RAG pipelines to link medical ontologies (SNOMED, ICD-10, CPT).
• Design self-reflective agents capable of error correction, justification, and escalation to human adjusters.
• Oversee data lineage, observability, and versioned reasoning for auditable AI.
• Partner with actuarial and data science teams to integrate predictive models into reasoning agents.
• Lead teams in developing trustworthy, explainable AI within HIPAA and SOC 2 frameworks.

 Technical Skills:

• 8+ years of experience in AI systems or enterprise architecture, with 3+ in LLM/agentic AI.
• Expert in LangGraph, Semantic Kernel, Autogen, or custom orchestration frameworks.
• Deep understanding of health insurance workflows: claims lifecycle, enrollment, policy underwriting, utilization review.
• Strong foundation in knowledge graphs, vector search, and ontology-based retrieval.
• Experience integrating FHIR servers, EHR APIs, and data pipelines.
• Hands-on with cloud-native architectures (Azure Health Data Services, AWS HealthLake).
• Proven record of designing AI governance frameworks, audit trails, and ethical controls.

Contact the recruiter working on this position:

The recruiter working on this position is Hima Teja(Shaji Team)
His/her contact number is +(1) (202) 6290353
His/her contact email is teja@msysinc.com

Our recruiters will be more than happy to help you to get this contract.