AI Prozessmanager - Claims Health (m/w/d)
Core
Optimizing claims processing workflows in the health insurance segment by applying AI models and data analysis to identify cost drivers and improve operational efficiency.
Role type
Senior process manager (health insurance claims)
Builds
Optimized claims processing workflows and data-driven process improvements
Domain
Insurance / Health Economics / Data Analytics
Deliverable
production ML models
Required skills
Health insurance domain expertise, Health economics knowledge, Medical understanding, SQL, QMF, Data visualization, Process analysis, Requirement specification
Preferred skills
Experience with operational control systems, Project management
Technologies
SQL, QMF, Access
Responsibilities
Develop performance processes in health using AI models, Coordinate quantitative process analyses, Create technical requirement specifications, Develop and maintain database queries, Identify cost drivers in processing clusters and propose optimizations