Codoxo

Certified Healthcare Fraud Analyst

Codoxo · Full Time · 6 days ago

Codoxo

🌎 United States ⭐ 5-10 yrs exp 💼 Healthcare

Evaluate claims data to identify potential fraud, waste, and abuse while maintaining the security of protected health information. Collaborate with engineering and product teams to improve software functionality and provide statistical analysis reports to stakeholders.

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Lead AI Platform & Products Engineer – Healthcare Payment Integrity

Codoxo · Full Time · a month ago

Codoxo

🌎 Worldwide ⭐ 10+ yrs exp 💼 Software Development

Lead the architecture and evolution of production AI platforms spanning Machine Learning, Generative AI, and Agentic AI. Provide technical leadership and people management to AI engineers while partnering with Product and Security to deliver scalable SaaS solutions.

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Healthcare Fraud, Waste & Abuse (FWA) QA & AI Validation Specialist

Codoxo · Full Time · a month ago

Codoxo

🌎 United States ⭐ 5-10 yrs exp 💼 Software Development

Validate AI-generated fraud leads and investigative findings against healthcare fraud practices to ensure accuracy and completeness. Design and execute manual test plans to identify software defects and improve fraud detection workflows.

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Founding Account Management Leader - Key Accounts

Codoxo · Full Time · a month ago

Codoxo

🌎 Worldwide ⭐ 5-10 yrs exp 💼 Others

Lead transformation-focused sales engagements with national healthcare payers to drive sustainable cost containment. Architect long-term customer journeys and structure complex commercial partnerships in collaboration with executive leadership.

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Healthcare Fraud Analyst

Codoxo · Full Time · a month ago

Codoxo

🌎 Worldwide ⭐ 5-10 yrs exp 💼 Healthcare

Analyze healthcare claims data to detect fraud, waste, and abuse while ensuring payment integrity. Collaborate with technical teams to optimize FWA detection software and conduct professional outreach to providers regarding coding practices.

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Jr. Data Engineer- Full Time Opportunity, NOT C2C

Codoxo · Full Time · 2 months ago

Codoxo

🌎 United States ⭐ 2-5 yrs exp 💼 Software Development

Design, develop, and maintain scalable ETL/ELT data pipelines to support analytics and machine learning initiatives. Collaborate with data scientists and analysts to optimize database performance and ensure secure data delivery.

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Data Engineer- Full Time Opportunity, NOT C2C

Codoxo · Full Time · 2 months ago

Codoxo

🌎 United States ⭐ 2-5 yrs exp 💼 Software Development

Design, develop, and maintain scalable ETL/ELT data pipelines to support analytics and machine learning initiatives. Collaborate with data scientists and analysts to optimize database performance and ensure secure data delivery.

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Software Engineering Intern – AI Automation (Summer Internship)

Codoxo · Internship · 2 months ago

Codoxo

🌎 United States ⭐ 0-2 yrs exp 💼 Software Development

Design and build AI-powered automations and internal productivity tools using LLMs and APIs. Collaborate with cross-functional teams to identify automation opportunities and integrate AI capabilities into existing business processes.

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AI & Agentic Engineer – Healthcare Payment Integrity

Codoxo · Full Time · 2 months ago

Codoxo

🌎 Worldwide ⭐ 2-5 yrs exp 💼 Software Development

Design and operate agentic AI products to automate healthcare claim audits and SIU investigations. Build serverless architectures on AWS using Bedrock AgentCore and orchestrate multi-agent plans with Strands.

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Data Mining Auditor- Payment Integrity

Codoxo · Full Time · 2 months ago

Codoxo

🌎 Worldwide ⭐ 2-5 yrs exp 💼 Software Development

Perform medical claim audits to identify overpayments by reviewing billing, coding policies, and regulatory requirements. Collaborate with AI teams to translate clinical and regulatory needs into audit models and deterministic logic.

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Technical Operations Engineer

Codoxo · Full Time · 2 months ago

Codoxo

🌎 Worldwide ⭐ 0-2 yrs exp 💼 Software Development

The role involves running AI analytical reports and managing automation scripts using AWS Airflow. Additionally, the engineer will monitor AWS infrastructure health and create data visualizations in AWS QuickSight.

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Client Implementation Director

Codoxo · Full Time · 2 months ago

Codoxo

🌎 Worldwide ⭐ 10+ yrs exp 💼 Others

The Client Implementation Director manages the planning, scoping, and delivery of AI solutions to healthcare clients to maximize value. This includes managing project risks, facilitating executive business reviews, and implementing process improvements.

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Senior Product Manager — Fraud, Waste & Abuse (FWA)

Codoxo · Full Time · 2 months ago

Codoxo

🌎 Worldwide ⭐ 5-10 yrs exp 💼 Product

Own the strategy, roadmap, and execution for an AI-powered Fraud, Waste, and Abuse detection platform. Lead the transition toward agentic AI workflows to automate lead triage and evidence gathering for healthcare investigators.

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Payment Integrity Business Analyst

Codoxo · Full Time · 2 months ago

Codoxo

🌎 Worldwide ⭐ 2-5 yrs exp 💼 Software Development

The role acts as a bridge between customer success and product management to support Payment Integrity SaaS solutions and client adoption. Key duties include translating client needs into technical specifications, supporting data mining operations, and documenting product requirements.

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