AI-powered risk adjustment platform for Medicare & Medicaid providers and payers
Keebler Health builds transformer-based AI models to identify risk adjustment opportunities in healthcare claims—targeting providers and payers managing Medicare and Medicaid populations. The stack reveals a data-heavy architecture (Redshift Serverless, dbt, SQL, Python, FHIR/HL7) paired with active investment in RAG systems and fine-tuned LLMs, suggesting the core product is evolving from rule-based claim analysis toward conversational AI over healthcare knowledge bases. Leadership-tier hires (2 directors, 4 seniors) across a 11–50-person org indicate a push to scale customer implementations and data infrastructure.
Keebler Health operates an AI-first platform designed to help Medicare and Medicaid risk-bearing providers and payers uncover revenue and compliance opportunities. The platform ingests clinical encounter data via FHIR and HL7 standards, uses transformer models to flag risk adjustment gaps, and surfaces actionable recommendations with minimal data dependencies. Current work centers on implementation automation (repeatable tooling and customer-specific solution design), value-based care workflows, and optimizing the data pipeline for cost and performance on Redshift Serverless. The company is headquartered in Durham, North Carolina and operates as a private company.
Keebler Health uses FHIR, HL7, AWS, Redshift Serverless, dbt, Temporal, Python, SQL, React, and RAG systems. They are actively adopting RAG for knowledge retrieval and building fine-tuned LLMs for healthcare applications.
Keebler Health is headquartered in Durham, North Carolina and hires exclusively in the United States.
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