Fraud AI, Data Managing Consultant

This is a fully remote position, open to applicants in New York, +1 more state.

📋 Description

• Oversee distinct workstreams and provide advanced AI and data solutions.

• Create and implement scalable AI and data solutions from the initial requirements to deployment.

• Develop, test, and refine fraud prevention and detection rules using various programming languages.

• Build and enhance machine learning models and analytics workflows.

• Spearhead data analytics initiatives to identify fraud, waste, abuse, and improper payments.

• Determine critical areas for improvements in program/payment integrity.

• Collaborate with clients to pinpoint AI use cases and convert business needs into actionable solutions.

• Manage client deliverables and assist in preparing executive-level presentations.

• Mentor both junior and senior consultants and evaluate their technical contributions.

• Ensure that solutions comply with governance, security, and responsible AI standards.

• Willingness to travel up to 50%.

⛳️ Requirements

• Must be able to obtain and maintain a Federal or DHS Public Trust; approval required prior to onboarding.

• Bachelor's degree.

• A minimum of eight (8) years of experience in AI, data science, analytics, or engineering.

• At least four (4) years of experience in a fraud/payment integrity-related position.

• Proficiency in Python/R, SQL, and data modeling.

• Familiarity with statistical and data analytics.

• Experience with CSV/TXT, JSON, XML, Parquet, and various other data structure formats.

• Expertise in developing, testing, and validating machine learning and other AI models at scale.

• Competence in using PowerBI, Tableau, Looker, or similar data visualization tools.

• Experience in applying data analytics and artificial intelligence in financial crime compliance and/or fraud, waste, and abuse prevention.

• Travel requirements will be 25–50% for candidates outside the DMV or NYC area.

• Proven experience leading small teams of junior resources.

• Ability to convey complex concepts to non-technical audiences.

• Experience in owning deliverable workstreams.

• Familiarity with creating fraud and/or financial crime monitoring rules in programming languages.

• Background in supporting healthcare technology, healthcare business, or healthcare process initiatives.

• Cloud experience with AWS, Azure, or GCP, including data and ML services.

• Experience in deploying models into production (MLOps).

• Knowledge of Databricks, Palantir, Vertex AI, or SageMaker.

• Previous consulting or client-facing delivery experience.

• Experience with Federal or State Medicaid, particularly in fraud prevention/detection or program integrity roles.

🏝️ Benefits

• Medical, Rx, Dental & Vision Insurance.

• Personal and Family Sick Time & Company Paid Holidays.

• Position may qualify for a discretionary variable incentive bonus.

• Parental Leave and Adoption Assistance.

• 401(k) Retirement Plan.

• Basic Life & Supplemental Life Insurance.

• Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts.

• Short-Term & Long-Term Disability coverage.

• Student Loan PayDown program.

• Tuition Reimbursement, Personal Development & Learning Opportunities.

• Skills Development & Certification programs.

• Employee Referral Program.

• Corporate Sponsored Events & Community Outreach.

• Emergency Back-Up Childcare Program.

• Mobility Stipend.

• Flexible benefits package.