Medical Review Institute of America, LLC

AI/ML Scientist – Healthcare

Medical Review Institute of America, LLC

full-time

Posted on:

Location Type: Remote

Location: Remote • 🇺🇸 United States

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Job Level

Mid-LevelSenior

Tech Stack

AirflowDockerPythonPyTorchScikit-LearnTensorflow

About the role

  • Translate business and clinical requirements into machine learning use cases focused on automation, decision support, and risk prediction in the utilization management domain
  • Adapt and optimize existing machine learning techniques—including classification, NLP, and time series modeling—to address specific operational workflows and data structures
  • Collaborate with developers to rapidly prototype and iterate on ML models with a focus on production-readiness, scalability, and integration into customer-facing products
  • Contribute to the design of intelligent services (e.g., automated prior authorization, clinical rule learning, denial prediction) that directly impact product capabilities
  • Collaborate with data engineers to acquire, preprocess, and structure healthcare data from diverse sources (claims, EHR, clinical notes)
  • Perform data wrangling and feature engineering to enable robust modeling pipelines
  • Evaluate and tune model performance using business-relevant metrics (e.g., precision, recall, F1, ROI), ensuring alignment with product goals and customer needs
  • Partner with product managers, designers, and software engineers to embed ML capabilities into digital products and decision support tools
  • Develop documentation, model APIs, and integration specifications to support seamless model deployment in production systems
  • Provide insights and recommendations to support product roadmap decisions and feature prioritization
  • Ensure ML solutions are reliable, maintainable, and explainable, implementing monitoring and retraining strategies to maintain performance and adapt to data drift
  • Align development with healthcare compliance requirements (HIPAA, HITRUST, SOC 2) and promote ethical use of AI
  • Stay up to date with emerging research in ML and health AI and conduct competitive analysis of commercial and open-source AI/ML tools
  • Contribute to internal knowledge sharing and build a culture of applied innovation and product-driven development

Requirements

  • At least 3 years of experience in applied Machine Learning (ML) or data science
  • 1 year of experience integrating ML into software products
  • Experience working with real-world healthcare data, claims, Electronic Health Record (EHR), and clinical text
  • Experience applying ML to structured and unstructured data, particularly in classification, NLP, or time series forecasting
  • Strong Python programming skills
  • Knowledge of ML libraries: scikit-learn, TensorFlow, PyTorch, Hugging Face, or XGBoost
  • Knowledge of model evaluation, validation, and operational considerations (e.g., scalability, explainability, monitoring)
  • Master’s degree in Computer Science, or a related field
  • PhD in Computer Science, or a related field (listed)
  • Ability to sit at a desk and utilize a computer, telephone, and other basic office equipment
  • Must pass Background Screen and Drug Screen prior to employment
  • Employees required to adhere to HIPAA regulations and company policies regarding confidentiality, privacy, and security of sensitive health information
  • Preferred: Experience with MLOps tools and practices (e.g., MLflow, SageMaker, Airflow, Docker)
  • Preferred: Familiarity with clinical coding systems (ICD, CPT, SNOMED) and interoperability standards (FHIR, HL7)
  • Preferred: Background in building AI features in healthcare SaaS or digital health products
  • Preferred: Awareness of AI regulatory and ethical guidelines in healthcare (e.g., model interpretability requirements)
Benefits
  • Remote - Work from home (Mountain)
  • Diversity & equal employment opportunity (All qualified applicants will receive consideration)
  • Drug-free workplace
  • Background screen required prior to employment
  • Drug screen required for newly hired employees
  • Adherence to HIPAA regulations and company privacy/security policies
  • California applicants have CCPA data access and correction rights (contact HR@mrioa.com)

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard skills
Machine Learningdata sciencePythonclassificationNatural Language Processingtime series modelingdata wranglingfeature engineeringmodel evaluationmodel tuning
Soft skills
collaborationcommunicationproblem-solvinginnovationadaptabilitycritical thinkingdecision supportdocumentationinsight generationproduct prioritization
Certifications
Master's degree in Computer SciencePhD in Computer ScienceHIPAA compliance
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