Diverse Lynx
Principal / Expert Agentic AI Architect — Health Insurance (Expert)
Diverse Lynx, Myrtle Point, Oregon, United States, 97458
Overview
Position: Principal / Expert Agentic AI Architect-Health Insurance (Expert). Fulltime. Remote.
Role Summary You’ll architect large-scale autonomous AI ecosystems that power intelligent decision-making across underwriting, claims, and fraud prevention. You’ll define the blueprint for explainable, governed, and compliant Agentic AI across the enterprise.
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 .
Preferred: contributions to open-source AI, whitepapers, or regulatory AI committees.
Diverse Lynx LLC is an Equal Employment Opportunity employer. All qualified applicants will receive due consideration for employment without any discrimination. All applicants will be evaluated solely on the basis of their ability, competence and their proven capability to perform the functions outlined in the corresponding role. We promote and support a diverse workforce across all levels in the company.
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Role Summary You’ll architect large-scale autonomous AI ecosystems that power intelligent decision-making across underwriting, claims, and fraud prevention. You’ll define the blueprint for explainable, governed, and compliant Agentic AI across the enterprise.
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 .
Preferred: contributions to open-source AI, whitepapers, or regulatory AI committees.
Diverse Lynx LLC is an Equal Employment Opportunity employer. All qualified applicants will receive due consideration for employment without any discrimination. All applicants will be evaluated solely on the basis of their ability, competence and their proven capability to perform the functions outlined in the corresponding role. We promote and support a diverse workforce across all levels in the company.
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