Medicare Advantage health plan using AI for clinical coding and compliance
Astiva Health operates a Medicare Advantage plan focused on clinical operations and regulatory compliance. The tech stack—Python, PyTorch, TensorFlow, and Azure AI with RAG and LoRA fine-tuning—indicates heavy investment in LLM applications for healthcare workflows, specifically fine-tuning models on medical PDFs and optimizing OCR pipelines. The hiring velocity (8 roles in 30 days across healthcare, engineering, and sales) and project focus on HEDIS/RAF initiatives and clinical coding accuracy suggest a scaling push to improve risk adjustment and compliance performance.
Astiva Health is a Medicare Advantage health plan based in Orange, California, serving beneficiaries through managed care operations. The organization spans healthcare operations, engineering, sales, and legal functions across 11–50 employees. Core operational areas include provider network management, clinical coding and risk adjustment (HEDIS and RAF programs), contract administration, and compliance with CMS regulations. Recent projects span broker portal updates, provider education coordination, and AI-driven improvements to clinical documentation processing and OCR pipelines. The plan is actively hiring across healthcare operations and engineering roles.
Azure AI, PyTorch, TensorFlow, and scikit-learn. Recent projects include fine-tuning large language models on medical PDFs and optimizing OCR pipelines in Azure for document processing.
Orange, California. The organization is privately held with 11–50 employees and is currently hiring exclusively in the United States.
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