Qway Healthcare - Artificial Intelligence Developer, Chennai

Role : Artificial Intelligence (AI) Developer U.

S.

Healthcare Back Office (Predictive Analytics & Workflow : Chennai, : Technology & Innovation Healthcare Type : Overview :

We are seeking an experienced and driven AI Developer to join our Chennai-based team supporting U.

S.

healthcare clients.

This role focuses on using Artificial Intelligence to drive predictive analytics and workflow automation across key functions in the healthcare revenue cycle management (RCM) and back-office operations.

You will play a critical role in transforming healthcare operations through smart automation, denial prediction, payment forecasting, and task Responsibilities Analytics :

Build machine learning models to :

- Predict insurance claim denials, delayed payments, and bad debt risk.

- Forecast cash flows, aging trends, and payer response patterns.

- Collaborate with RCM SMEs to validate and enhance model accuracy and Automation :

Develop AI logic to automate :

- Charge validation, claim edits, denial routing, and follow-up assignment.

- Integrate predictive models into production workflows to support real-time decision-making and task Integration & Engineering :

Design and maintain ETL pipelines pulling data from :

- Practice management systems, clearinghouses, EHRs, and payer portals.

- Work with ANSI X12 transactions (837, 835), HL7, and FHIR standards to build structured datasets for model for Medical Documents :

- Apply NLP to extract and classify information from clinical notes, denial letters, appeal documentation, and billing memos.

Model Deployment & Feedback :

- Deploy, monitor, and retrain models based on performance in live production environments.
Build dashboards for operational teams to act on predictive & Governance :

- Ensure all AI and data practices adhere to HIPAA, client-specific security requirements, and U.

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healthcare compliance Qualifications :

- Bachelors or Masters degree in Computer Science, Data Science, or a related field.

- 2-5 years of experience in AI/ML development, ideally in the U.

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healthcare or RCM domain.

- Strong Python skills and experience with libraries such as Scikit-learn, Tensor Flow, and Pandas.

- Solid understanding of healthcare RCM workflows including denials, AR follow-up, and claim lifecycle.

- Familiarity with U.

S.

medical coding systems : ICD-10, CPT, HCPCS, and claim formats Qualifications :

- Experience with RPA tools (Ui Path, Automation Anywhere) or custom automation frameworks.

- Working knowledge of NLP libraries (spa Cy, NLTK, Hugging Face).

- Familiarity with EHR platforms (Epic, e Clinical Works, Athenahealth).

- Experience deploying AI solutions on cloud platforms (AWS, Azure, GCP).

What We Offer :

- Competitive compensation and performance-linked incentives.

- Exposure to global best practices in AI and intelligent automation.

- Work from office

- Opportunity to grow within a fast-scaling healthcare tech environment.