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BigRio

Agentic AI Solutions Architect – Healthcare RCM

BigRio, Boston, Massachusetts, us, 02298

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Agentic AI Solutions Architect – Healthcare RCM

Location:

Remote Job Type:

Contract / Consultant Duration:

6+ months About BigRio BigRio is a remote-based, technology consulting firm headquartered in Boston, MA. We specialize in cutting-edge AI-driven automation, data engineering, machine learning integrations, and custom software solutions. As a one-stop shop, we work with clients across industries, delivering cost-effective, high-impact digital transformation solutions. We are looking for an experienced Agentic AI Solutions Architect with expertise in healthcare automation, revenue cycle management (RCM), and data engineering. The ideal candidate will leverage AI-powered autonomous agents to streamline RCM workflows, claims processing, payment posting, and data-driven decision-making. This is an exciting opportunity to work on impactful projects that optimize healthcare operations through AI-driven solutions. Job Summary As an Agentic AI Solutions Architect – Healthcare at BigRio, you will design, develop, and deploy AI-powered automation solutions that enhance revenue cycle management (RCM) operations for healthcare providers. You will work closely with enterprise systems (including Epic EMR/EHR) to integrate intelligent automation agents that learn, adapt, and optimize complex workflows. This role requires a strong technical background in AI-driven automation, including autonomous agents, large language models (LLMs), and data engineering. You will collaborate with clients to assess existing processes, develop automation strategies, and implement AI-driven solutions to improve efficiency, compliance, and revenue cycle performance. Key Responsibilities Solution Architecture & Process Optimization Conduct a

comprehensive assessment

of client RCM processes to identify inefficiencies and automation opportunities. Architect AI-powered automation solutions

to enhance revenue cycle workflows, ensuring integration with

enterprise healthcare systems . Define

data strategies

that support intelligent automation, ensuring seamless data ingestion, validation, and transformation. Agentic AI Implementation & Data Engineering Design and implement

autonomous AI agents

capable of handling claims validation, coding, payment posting, and financial reconciliation. Develop

data pipelines and ETL workflows

that support AI-driven decision-making and automation. Ensure seamless

AI integration with EMR, PMS, and billing platforms , optimizing interoperability. You may be asked to lead the integration of

Agentic AI systems

with

UIPath RPA workflows

to enhance the capabilities of both platforms for intelligent automation in healthcare environments. AI Governance & Performance Monitoring Monitor, troubleshoot, and optimize AI-powered automation workflows

to maintain high accuracy and efficiency. Establish

AI governance models

to ensure compliance with healthcare regulations and

HIPAA security standards . Continuously refine AI models using

feedback loops, reinforcement learning, and predictive analytics . Stakeholder Collaboration & Training Partner with

healthcare IT, finance, and RCM teams

to define AI-driven automation requirements. Provide

training and guidance

on managing and scaling AI-powered automation solutions post-implementation. Project Management & Reporting Oversee

project timelines, deliverables, and milestones

to ensure on-time delivery. Measure the

impact of AI-driven automation

and provide insights on cost savings and efficiency improvements. Continuously identify

new AI automation opportunities

within the revenue cycle ecosystem. Qualifications Education Bachelor’s or Master’s

in

Computer Science, AI, Data Engineering, Healthcare Administration, Business, or related field . Experience 5+ years

of experience in

Revenue Cycle Management (RCM)

with strong knowledge of

billing, claims processing, and payer workflows . 3+ years

of experience designing and implementing

AI-driven automation solutions

using

Agentic AI frameworks, LLMs, and machine learning models . Proven experience integrating AI-powered automation with

healthcare enterprise systems (e.g., Epic, Cerner, AthenaHealth, Meditech) . Strong

data engineering

experience, including data pipelines, ETL, and large-scale data integration. Experience in

integrating Agentic AI systems with UIPath workflows

and providing

recommendations

on whether this integration

aligns

with an organization's current processes and future goals. Technical Skills Proficiency in AI-driven automation frameworks , including

LangChain, OpenAI API, AutoGPT, BabyAGI, or equivalent . Expertise in

Python, SQL, and cloud-based AI/ML services (AWS, GCP, Azure AI) . Experience with LLMs (GPT-4, Claude, or domain-specific models)

for autonomous decision-making. Familiarity with

cloud-based AI model deployment, vector databases, and AI orchestration tools . Strong knowledge of

business intelligence tools, AI-driven RCM analytics, and financial modeling . Soft Skills Strong communication skills to translate

complex AI strategies

into business-friendly insights. Ability to

manage multiple projects and deadlines

while ensuring high-quality deliverables. Detail-oriented problem solver

with a

growth mindset

for AI-driven innovation. Equal Opportunity Statement: BigRio is an equal opportunity employer. We prohibit discrimination and harassment of any kind based on race, religion, national origin, sex, sexual orientation, gender identity, age, pregnancy, status as a qualified individual with disability, protected veteran status, or other protected characteristic as outlined by federal, state, or local laws. BigRio makes hiring decisions based solely on qualifications, merit, and business needs at the time. All qualified applicants will receive equal consideration for employment.

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