AI-powered claims operations platform for health plans
Alaffia Health automates claims processing, utilization management, and payment integrity for health plans using clinician-guided AI. The tech stack—TypeScript, React, PostgreSQL, Airflow, Kubernetes on AWS/Azure—reflects a data-pipeline-first architecture designed to handle continuous ETL and NLP/OCR workloads. Active engineering focus on AI system pipeline design and secure cloud deployment, paired with hiring deceleration and a lean ops/data footprint, suggests mature product-market fit with execution emphasis over expansion.
Notable leadership hires: People Operations Director
Alaffia Health is a healthcare operations partner founded in 2020, delivering claims automation and analytics to health plans. The platform spans three domains: utilization management (pre-authorization), payment integrity (fraud and billing accuracy), and appeals processing. Product surface includes workflow automation, performance dashboards, and clinician-guided decision support. The company operates with 51–200 employees across the US and Canada, with engineering and product teams anchored by a PostgreSQL + Airflow data backbone and deployed on AWS and Azure.
TypeScript and React on the frontend; PostgreSQL and Apache Airflow for data pipelines; Kubernetes and GitHub Actions for deployment; AWS and Azure for cloud infrastructure; Datadog for observability; HubSpot and Salesforce for sales operations.
Active projects include NLP, OCR, and multi-modal AI product deployment; ETL processes for data integration and AI model tuning; payment integrity workflow platform; AI system pipeline architecture; and metrics/KPI design for claims operations.
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