Medical Review Institute of America

About the Company

Medical Review Institute of America, LLC (MRIoA) was incorporated in 1983. Today MRIoA is an industry leader in providing external review resources for over 800 clients nationwide. MRIoA provides review of medical, dental, behavioral health, pharmacy, vision, disability, workers' compensation, and auto claims for insurance carriers, employers, TPAs, self- administered union groups, pharmacy benefit managers, human resource consultants and departments of insurance throughout the country. MRIoA utilizes a nationwide network of board-certified physician specialists and professionals in over 133 specialties and sub-specialties of medicine. MRIoA also has reviewers in most states, offering the most extensive same-state reviewer resources available from an external review organization. MRIoA holds dual accreditation with URAC with certificates in Health Utilization Management and as an Independent Review Organization. In addition we are NCQA and SSAE 16 certified. MRIoA's goal is to render a professional, independent and unbiased opinion to assist our clients with their adjudication challenges or to provide an external source to comply with ERISA/DOL or state laws. MRIoA reviews cases prospectively, concurrently and retrospectively for: Medical Necessity, Appropriate Treatment, Experimental Procedures, Utilization Frequency, Appropriate Hospitalization, Formulary Criteria Review, Pre-Existing Conditions, Injury Causation, CPT Coding, Level of Disability, Provider Fees, Outpatient Facility Fees, and all Diagnostic Testing and Charges. MRIoA has provided state-level external review in many states since 2001. MRIoA is also contracted with hundreds of clients to offer Federal External Review under the ACA.

Listed Jobs

Company Name

Medical Review Institute of America

Job Title

Remote AI Developer (Healthcare)

Job Description

**Job Title**: AI Developer (Healthcare) **Role Summary**: Develop, deploy, and optimize AI/ML solutions for healthcare applications, collaborating with cross-functional teams to deliver compliant, scalable systems aligned with business objectives. **Expectations**: Design and implement AI/ML models in production environments, prioritize compliance with healthcare regulations (HIPAA, HITRUST), and integrate AI capabilities into existing platforms. **Key Responsibilities**: 1. Lead AI/ML solution development, including prototyping, validation, and strategy alignment. 2. Design and train machine learning models (supervised, unsupervised, NLP, deep learning) with data preparation and feature engineering. 3. Build MLOps pipelines for model deployment, ensuring scalability, performance, and security. 4. Integrate AI systems into healthcare platforms, conduct testing, and monitor post-deployment effectiveness. 5. Support cross-functional teams to transition processes to AI-driven workflows and provide documentation for user adoption. **Required Skills**: - Proficiency in AI/ML libraries (TensorFlow, PyTorch, scikit-learn). - Cloud platform experience (AWS, Azure, GCP). - MLOps expertise (MLflow, Kubeflow, SageMaker). - Data science methods (model validation, feature engineering, NLP). - Healthcare compliance (HIPAA, HITRUST) and secure AI deployment. **Required Education & Certifications**: - Bachelor’s degree in Computer Science, Data Science, or related field. - 3+ years of AI/ML production experience.

Salt lake city, United states

Remote

Junior

18-09-2025